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<br />If yon have given a lease to others for all or part of the property, state the names of the lensing com-
<br />Peres, Partnerships or individuals: '
<br />Name Manager P. O. Address
<br />------------------------------
<br />i
<br />- ------------------------
<br />---------------------------- ------------------------------1..-------------------------
<br />Is property worked contianonslyT______~-_°-e---------------------------------------------------
<br />)S work has been etopped,etate when-------------------------------------------------------------
<br />Name, title and address of person in ehnrgc of work for you_______________________________________
<br />State the character of ore________ : '
<br />i,lp.. e---------------------------------------------------
<br />State the va]ue of the ore-----------------------------------------------------------------------
<br />)l~N E)1f YLOYED
<br />No. Employed No. Employed
<br />____l~fachine Drillmea, $______for____hourshift. _____Engincers, _ _ _ $______for____honrehift.
<br />____'lfachine Helpers, $______for____hourehift. _____Pumpmen, _ _ $______for____hoursliitt.
<br />_~i___~finers, _ _ _ $______for_°_hourehift. _____Firemen, _ _ _ $________°or____hourehift.
<br />_____Timbermen, _ _ $______for____hourehift. _____Blackemiths, _ _ $_____1'or____hourshift.
<br />_____Trammers, _ _ _ $______for____hourshift. _____Tenmsters, _ _ _ $______for____hoursliift.
<br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hoursliitt.
<br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____liourshift.
<br />_____Lnborers, _ _ _ $______for____hourahift. _____OfBce Hclp,
<br />_ _
<br />$______for____hoursliitt.
<br />----_Assayers, _ _ _ . $______for____honrshift. _____Dfillmen; '_ ,_ $.__.~_for____houreliift.
<br />_____F,lectricians, _ _ $______for____hour•shift. _____\Vatef~men,_„_ ., , $_r__r_for____hoursl~i[t.
<br />---------------- - - .$___---for----hour shift. ---------------= _ _ $•--`--far----hour shift.
<br />Average number of men employed this year_______ _______________~ ___ __ __~____________________
<br />L there a millt------- -------------------------- ----------------------- --=--~------------------
<br />Name of mill--------- ------------------------- Location of u~i]1--------- ------------------------
<br />Character of mil1------ ------------------------
<br />= ---------------------- ------------------------
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<br />Capacity of mill_______________~__________~______VPhen was mill crected___~_
<br />. -____..._,._.~.., •- :...__.- :<_ ::: __ .-:,~'--c- :~__x'-~ ----------------
<br />Give list of buildings, tramways and other surface improvementa __________________________________
<br />______________________________________________________________________________________________
<br />______________________________________________
<br />Coat of aurfnce improvements made in 191___ _ _ _ _ _ _ _ _ _ $_ ___ __
<br />State amount and character of underground development:
<br />Total Development Amount Dono in 1913
<br />Shafts _1111-----------------------ft. ___---------ft.;coat perft., $------__--
<br />Winzea ----------------------------ft.
<br />----------__ft.; coat per ft., $_..--___---
<br />Drifts ______1SGh4,__~22T~.~~____ft.
<br />------------ft.; coat per ft., $----------
<br />Crosscnte - X50--------------------ft. ------------ft.; cost per ft., $----------
<br />$ave you reported to this department all fatal sad non-fatal accidents occnrring.to workmea ia-the
<br />___
<br />twelve months preceding the date of this report, ae required by lnwl ___________________ ! _ '
<br />semsrka:--------------------------------------------------------------------------------------
<br />----------------------------------------------------------------=-----------------------------
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<br />Signed_-----=---==---- --- -----------~--C°°apa°y
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