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If you have given a lease to others for all or part of tho property, state the names oP the lensing com•
<br />panics, partneraliips or individuals:
<br />Name -Innnger P. 0. Address
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<br />Is property worked continuously4___~________________________________________ ___
<br />_ ---- --
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<br />If work has been stopped, state when__~ c~_aYY_~r?___ ~~ ~~l _ Le_~ /`
<br />Name, title and address of person in charge of work for y u__7?i_!~_2'!'6cf!!Z_ ~~j ~F~
<br />----------------------------oo,, - ----- - ----------------~jl-------- -----G--/--
<br />State the character of orc_1~.~___ _I~!~,l._,'(p~I_~'1!!•p~_f?•~D~______ -
<br />State the enlue of the ore_~1/_ _~~_ __ `Z'~!~-~__~'e _ 1'N_~i.tvYY3'(.(~ ~i~ ~~i
<br />~ hTEN E11fYLOYFD ~~~~ ~~ ~ct ~ '~~
<br />ATO. ]3mploved iVo. Pmployed
<br />~___.1Tnchine Drillmen, $______for____hourshift. _____I;ngineers, _ _ _ $______for____honrshitt.
<br />_____.lincl~ine IIclpers, $______for____ltoural~ift. _____Pumpmen, _ _ $______for____houraliift.
<br />_~__1[iners, _ _ _ $~,.~for_~hourshift. _____Firemen, _ $______for____hourshift.
<br />__~_Timbermen, _ _ $_!X___for__~hourshift. __~_T311lClsmltha, $_~__Por_~hourehift.
<br />_____'I'rnmmers. - _ _ $______for____hourshift. _____Tenmsters, _ _ _ $______for____Iiourshift.
<br />_____Ore Sorters, _ _ $______for____hourshift. _____Poremen, _ $______for____lioursliift.
<br />_....__Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourshift.
<br />_____Lnborers, _ _ _ $______for____hourshift. _____Ofnce Ilelp, _ _ $______for____hourshift.
<br />__.___Assnyers, _ _ _ $______for____hourshift. _____nlillmen, _ $______for____hourehift.
<br />_____T;lectricinns, _ _ $______for____hour-shift. _____~Cntchmen, _ _ $______for____hoursbift.
<br />---------------- - - $______for____liourst~ift• __ _ $______for____ItoureliiCt.
<br />l______________ _
<br />Average number of men employed this year---~i~''i~ v ~i ~ _~_~'jil~~.---- _-
<br />Is there n mil]4_____________________________
<br />-------------- ---------------------- ----------- --
<br />Nnmc of mill-----------------------------------Location of mill--------------------------------
<br />Chnrncter of mill___________________________
<br />1 Capacity of mill_________________________________~vl~en ~vns mill erected____
<br />j - Oive list of buildings, tramways and other surface improv ante ~.~.~
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<br />Cost of surface improvements mndE in 191$_ _ _ _ _ _ _ _ $ Q~~ T~' ~ _
<br />State amount and character of underground development: G'~ ~~ ~ ~ X4-l%~~~-~
<br />Total Development `J~~ ~ 7
<br />Amount Dono in 1913
<br />Shafts _ ~~t~tyy_t,<<Q_______/left. _-~~!r--ft.; coat per ft., $~>~_____
<br />Z~inzcs ----------------------------ft. ------------ft.; cost por ft., $----------
<br />Drifts --------~-------------------ft. ------------ft.; coat per ft., $----------
<br />Crosscute --------------------------ft. -----~.; coat per ft., $----------
<br />$ave you reported to this department all fatal and nos-fatal nccideatn~"oc~currin/n~g ~to ~w.Prkomen in the
<br />twelve moathe preceding the date of thin report, as required by lnwf ___CY_D __t~iL'~'_(l~~-_-~__/~
<br />_ __ _ V __________ y __
<br />______ _________________________________________________________
<br />---------- -----------Company.
<br />By------------------------------------------
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