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i~ I <br />~1 ~ <br />,~ . <br />it <br />f' <br />li j, <br />i1 1~ <br />it <br />I <br />Q .a ~: r <br />If yon have gives a lease to others for all or~part of tho property, state the names of the ]easing com- <br />panies, partnerships or individuals: <br />Name Diaaager P. 0. Addraes <br />L property worked continnous]yt_______j.II____________________________________________________ <br />If work has been stopped,atate when________________________________________________________ <br />----- <br />Name,title and address of person in charge of work for you_______________________________________ <br />State the character of ore__________~u17..id <br />------------------------------------------------- <br />State the value of the ore----------------------------------------------------------------------- <br />DiEN EDIYLOYED <br />1 <br />i rii <br />I ~~ <br />~~ <br />i~ <br />'~ I <br />,~ <br />I' <br />! i <br />i (t <br />I `V`. <br />li <br />t~ <br />'''. <br />i i il! <br />I~ ; <br />n ^, { <br />iil ~ I M ~ <br />II l <br />iII <br />I~` , ~ ' ~. <br />i, <br />II i <br />f <br />i ', <br />i~ I I'~ <br />r! ~ <br />~'~' SS1 , <br />{ <br />~ i <br />t. <br />,ti. ; ,~: <br />;i '~ i <br />~~ 1 i <br />~,. ~ <br />~ i~ <br />1. ~ Iit~ <br />~' .1 ! :: <br />~; . <br />,iii <br />i'' <br />,. !. <br />~tlit` e!!~f <br />No. Employed No. Employed <br />____Dfachine Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______for____hanrahift. <br />____Dfachine Helpers, $______for____honrehift. _____Pumpmen, _ _ $______for____hourahift. <br />_____Dfinera, _ _ _ $______for____hourshift. _____Firemen, _ $________°or____hourshift. <br />_____Timbermea, _ _ $______for____hourahift. _____iilackemithe, <br />_ <br />_ $______for____hourshift. <br />_____Trammers, _ _ _ $______for____hourshift. _____Teamsters, _ _ _ $______for___-.houreliift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hoursl~ift. <br />_____Topmen, _ _ _ $______for____hourshift. _____Superintondeat, _ $______for____hoursl~ift. <br />____=Laborers, _ _ _ $______for____hour shift. _____OfHce Ilelp, <br />_ - <br />$__.-___for____hoursliift. <br />____ Assayers, _ _ _ $______for____hourehift. _____Dlillmen, _ _ _ $______for____hourel~ift. <br />_____Electriciana, _ _ $______tor____hour-shift. ..____Watchmen, _ $______for____hourshift. <br />---------------- - - $_--_--for----hour shift. ----------____-- _ _ $--__--for-_--hour shift. <br />Average number of men employed this year________ ______________________ _ _ <br />Is there amillt------- --------------------------- --------- <br />------------- <br /> <br />Name of mi]1--------- <br />--------------------------L <br />ocation of mill--------- ------------------------ <br />----------------------- <br />Character of mill--------------------------------- ---------------------- --------------------- - <br />Capacity of mill---------------------------------Nhen was milloroeted___-___-- ----------------- <br />_ _ ------ <br />(}ive list of buildings, tramways and other surface improvements ______ _ ~ <br />Quoin r Shoe -------------------------- <br />-------------------------- <br />----------------------------------------------- <br />Coat of surface improvements made in 191___ _ _ _ _ _ _ $ - - _ - ___ <br />State amount and character of underground development: <br />Total Development Amount Dono in 1913 <br />Shafts -----------------------------ft. ------------ft.;cost perft.,$---------- <br />Winzee ----aG---------------------ft. ------------ft.; coat per tt., $_..-------- <br />Drifts ----GAG---------------------ft. ------------ft.; coat per ft., $---------- <br />Croescuts --------------------------ft. ------------ft.; coat per ft., $---------- <br />$ave'yonsepoPtcd'tq thie,degartmeat,gll fatal'aad non-fatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, as required by lawf ________________________________ <br />Remarka:------------------------------------------------------- <br />Signed---------}---------- <br />.-____.,_ ___,..,~___,..Compaay, <br /><_ <br />By---------------------------- <br /> <br />