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i!~ ~{t. <br />~i. f, •~ <br />i <br />!, <br />r~ <br />~~! i <br />t <br />`; <br />~ ~. <br />i ~~ I i t~ <br />i <br />If yon have gives a lease to others for all or part of the property, elate the names of the leasing com- <br />panies, partnerships or individuals: <br />r~ Name Mnnn cr <br />g P. O. Address <br />~ ;a <br />~ 1 <br />l~l <br />i ~ <br />' ~ ~~ <br />i ~ ' lir <br />I '~ <br />I it <br />i <br />If <br />I'~~ ;~ <br />'I <br />i <br />I , ~ i <br />,I ~ ~ ~ <br />1 ~ ~', <br />I~ <br />j~ ,l <br />11 ~,' ~ <br />}~'1 i i <br />r: ' ~ r <br />1 f <br />f I' ~ Q <br />~'• <br />', <br />~ ~ ~_'.f I <br />~., , <br />~~ j~ I <br />~`' ~' <br />~ k V. ". t':.. <br />----- <br />Is property worked continuouslyt_______________________________________________________________ <br />If work Las been stopped, state when------------------------------------------------------------- <br />Nnmc, title and address of person in charge of work for vou__________ <br />---------------------- <br />-------- <br />State tl~e character of ore____________ <br />----------------------------------------------------------- <br />State the value of the ore________________ <br />11fEN Ei1f YLOYED <br />No. Employed No. Employed <br />____.llncltine Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______for____hourahift. <br />\inchine IIclpers , $______for____hourahitt. _____Pumpmen, _ _ $______for____hourshift. <br />_____.liiners, _ _ _ $______for____hourshift. _____Firemen, _ $______for____hourshitt. <br />_____Timbermen, _ _ $______for____hourshift. _____I3lacksmiths, _ $______for____hourshift. <br />_____Trnmmers, _ _ _ $______for____hourehift. _____Teamsters, _ _ _ $______for____hourshift. <br />__.__Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ $______for____l~oursl~ift. <br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____}~oural~ift. <br />_____Laborcrs, _ _ _ $______for____l~ourshift. _____OfHce 7Ie1 <br />P. - <br />- ^s______for____hourshift. <br />_____.~ssayers, _ _ _ $______for____hourshift. _____1lfillmen, _ _ <br />_ $______for____hoursl~ift. <br />_____Electricinns, _ _ $______for____hour-shift. ____1Cntchmen, _ _ g______for____hourshift. <br />---------------- _ $______for____l~oursltift. ________________ _ $______for____houral~ift. <br />Average number of men employed this yenr_______ _________ <br />Ia there nmill7______ __________________________ <br />_ <br />__ <br /> <br />ame of mill-------- <br />~ <br />-------------------------- ____________________ <br />Location of mill-------- ________________ <br />--- <br /> <br />Chnracter of mill_____ <br />___________________________ <br />___ _ -------------------- <br />-- <br />Capacity of mill________________ ________________~,hen was mill erected <br />Give list of buildings, tramways and other surface improvements _______ <br />--------------------------- <br />ost of surface improvements made in 191___ _ <br />State amount sad character of underground development: <br />Total Development Amount Done in 1913 <br />Shafts -----------------------------ft. <br />------______ft.; coat per ft., $__________ <br />~Sinzes ------------------- ----ft. <br />----- ---_________ft.• cost er ft. <br />Drifts p ' $-""'---- <br />-----------------------------ft. ------------ft.;coet per ft.,$---------- <br />Crosacute --------------------------ft. ------------ft.; cost per ft., $---------- <br />Iiave you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, sa required by lnwt _______________ <br />Remarks:---------------------------------------- <br />Signed------------------ ------Company. <br />By--------------------------------------°-- <br />TIt18____________________________________ <br />