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<br />________________1__________________________________________________________________
<br />__________
<br />Capacity of mill_________________________________~Vhen was mill erceted_____ _____
<br />z --- -----------
<br />C}ive list of buildiaga, tram~vnys and other surface improvements ____/_}_ ~
<br />`-=~lctsn~.r-- ---- ----
<br />--------
<br />------------------------------------------------
<br />----------------------------------- --
<br />Cost of surface improvements made in 191_ _ _ _ _ _ _ _ _ _ $___~~ ,_________-
<br />State amount and character of underground development:
<br />Total Development
<br />IS yon have given a lease to others for all or pas; of tl~e ~ropee~y, state the names of the leasing cam•
<br />panies, partnerships or individuals:
<br />Name btanager P. A. Address
<br />----------------------------- -
<br />-- --------------------------- ------------------
<br />Is property worked continuoualyi___-R" ,
<br />-J~- ~~---~ -------------- ~ - ~_~,,
<br />If work has been stopped, state ~vhen_____________!~_____
<br />-------jjffii ll--//------- -----------~ ---
<br />Na c, title and address of person ju charge of work for you____`"!e__VY'__~ _
<br />----------==~'=~~f-- ~ ~ -mar=r'_=-='~ ~---- /
<br />------------------- --------------
<br />--------
<br />State the character of ore-____-= ~'`~E _~_.c,e.~y,~Q~-'~SJ_=i±u3.__ a_.~ _~_;.~
<br />State the value of the•orc___ ~?'~-_"_ ~eS..s_.L'_________________________ _____________-
<br />MEN El11YLOYED
<br />No. Employed No. Employed
<br />____ilfachine Drillmen, $______for____hourahift. _____Engineers, _ _ _ $______for____honrahift.
<br />____IlInchine Helpers, $______for____hourehift. _____Pumpmen, _ _ $______for____hoursliift
<br />
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<br />t. _____Firemen, _ _ _ $______!or____hourahift.
<br />_____Timbermen, _ _ $______for____hourshift. _____T3lackamiths, _ _ $______for____hourslii[t.
<br />_____Trammera, _ _ _ $______for____hourahift. _____Teamstere, _ _ $______for____hoursliift.
<br />_____Cre Sorters, _ _ $______for____hourahift. _____Foremen, _ $______for____honrsliift.
<br />_____Topmen, _ _ _ $______for____hourehift. _____Supcrinundent, _ $______Yor____houraiiitt.
<br />_____I,abarere, _ _ _ $______for____hourahift. _____OIRce Help, _ $______for____l~oursl~ift.
<br />_____~lssayers, _ _ _ $______for____hour shift. _____Millmen, _ _ _ $______for____hour shift.
<br />_____Electricinns, _ _ $______for____hour-shift. _____~i'ntchmen, _ _ $______for____hoursliitt.
<br />---------------- - - $------for----l~ourshift.
<br />_
<br />----------------
<br />_ $______for____honrahift.
<br />~'' Average number of men employed this ycnr_____~_
<br />Is there a mi114---~ ------------------------------------
<br />---------------------------------
<br />Nnme of mill-----------------------------------Location of mill---------------------------------
<br />Character of mill_______________________________
<br />------------------------------------------------
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<br />Stmfts -------------------------- ft.
<br />---
<br />Winzea ----------------------------ft.
<br />Drifts -----------------------------ft.
<br />Crosscuts --------------------------ft.
<br />Amount Dono in 1913
<br />-"--~________ft.; coat per ft., $__________
<br />-----_______ft.; coat per it., $__________
<br />o~~r'____ft.; cost per ft., $__~ ~____
<br />--__________ft.; coat per ft., $__________
<br />gave you reported to this department all fatal and non-fatal accidents ocenrriag to workmen in rho
<br />twelve month~~pleceding the date of this report, ae required by ]nwt __~y-
<br />Ramnrkn• i _ ,. ~ _
<br />, J_______~_ .~____...._~-~
<br />- -
<br />~.._i.~° __________ t
<br />______________~]_~___/_~________________________________________
<br />$igned_?_'_`~~_~/~' ~<Li~t^~sPaRy
<br />Y=~~J -- - - ---- -- -
<br />-~ Title- _ -_ _ ~~--~~
<br />f L _ ___ _
<br />
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