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<br />t , <br />, I <br />I ~` <br />I,,; ~I <br />I,~ <br />.~1 <br />,! <br />l 1 ~, <br />I <br />i <br />~ ~' j <br />~I <br />i ~,~ <br />I <br />i <br />~~ <br />I <br />'I <br />I <br />li l <br />i <br />i ~. <br />Signed--------------- <br />By----- <br />------------------Company <br />--'----- <br />Title--------------------------- <br />If you have given a lease to others for all or part of the property, state the names of the leasing com• <br />panics, partncrsliips or individuals: P. O. Address <br />Name 1lanagcr <br />Is propertc worked continvouslyt-----------------------"--- -------------------------- <br />If -vork has been stopped, state when---------------------"-"--------"------------- --------------- <br />Name, title sad address of person in charge of work for yon---------------------------'--'-'"----- <br />----------- <br />State the character of ore----------------------------------------------------------------------- <br />--------------- <br />State the value of the ore----------------------'---- <br />DiEN E;\f YLOYED <br />No. Employed <br />No.Employed _____Enginccrs, _ _ _ $------for____hourehift. <br />~___9fachine Drillmen, $_-----for____hourshift. for____hoursl:ift. <br />for__--hour al:ift. _----Pumpmen, - - $------ <br />____3lacbine helpers, $------ _____Piremen, _ _ _ $-------for____hourshift. <br />____~1liners, _ _ _ $------for____l:onrshift. <br />_____T31acl:amiths, _ _ $------for____hourshift. <br />_____Timbermcn, _ _ $____--for____hourshift. for____bourehi[t. <br />for____]tourshift. __---Tenmstcrs, _ _ - $------ <br />__Trnmmers, _ _ _ $------ _ $______for____bourshift. <br />--- <br />Q______for____honrshift, _____'oremen, - - <br />_____Ore Sorters. - - • <br />_ $______for____l:ourshift. _____Superintendent, _ $___---for____l:oursh: t. <br />__ __Topmen, _ $______for____hourshift. <br />for____hourehift. _____Otflce ilelp, _ <br />__Lnborers, _ _ _ $_----- for____hourshift. <br />-- nlillmen, _ _ - $------ <br />____.lssayers, _ _ _ $__----for__.._hour shift. -----• <br />\\'atchmen, _ _ $__----for____hourshif t. <br />_____F.lectricians, _ _ $_-----for____hour-shift. ----- <br />for____hourshifL _ _ $__----for____hourshift. <br />---------------- <br />-------------------- <br />Avernge number of men employed this ycar-------------------------------'- <br />------------------------------- <br />-------------------- <br />Is tl:crc a mi114---------------- <br />------------------ <br />______Tmcalion of mil --------------- <br />Name of mill _-- -------------------------- <br />--------------------- <br />Character of mill--------------------------------------------------- <br />------------------------------------- --------------- <br />Capacity of mill---- ___--------------------- R'hen was mill erected------------------------- <br />Oive list of buildings, tramways and other surface imprevementa _________-- <br />--------------- <br />------------- <br />--------------------------------- <br />Coat of surface improvements made in 191___ _ _ _ - - - - <br />State amount and character of underground development: <br />Totul Development Amount Done in 1913 <br />----------------------ft. ------------ft.;coet per ft., $---------- <br />Shafts _______ <br />------------------ft. ------------ft.; coat per ft., $---------- <br />Winzcs __________ <br />____________ft.; cost per ft., $_____----- <br />Drifts -----------------------------ft. <br />---ft. ------------ft.; cost per ft., $---°----- <br />tir088Cllt8 ___________. _._________ <br />Have you reported to this department all fatal and non-fatal uccidente occurring to workmen in the <br />twelve months preceding the date oY thie report, as required by lawT ---------------------- <br />Remarks:--------------------------------- <br />