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IL you have given a ]ease to others for all er Part of the property, state the names oY tha leasing com• <br />panics, partnerships or individuals: P. O.Addreae ' <br /> <br />ItiEN E111PLOYED <br />~ No. Employed No. Employed <br />____ilfachine Drillmen, S______for____hourahift, _____Enginecrs, _ _ _ $______for____hourshift. <br />____nfachinc Helpers, $------for___-hourshift. _____pumpmen, _ _ $______for____hourshift, <br />_____-finers, _ _ _ $------for____hoursltift. _____Firemen, _ _ _ $------_'or____}~ourshift. <br />_____TimUermen, _ _ $______for____i~ourshift. _____i3lnekemiths, _ _ $______for____hourshift. <br />' _____'frnmmers, _ _ _ $______for____hourahift. _____Tenmsters, _ _ _ $______for____hourshiCt. <br />_____Orc Sorters, _ _ $______for____leourahift. _____I'oremen, _ _ _ $______for____hourshiCt. <br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____I~aurahift. <br />_____Laborers, _ _ _ $______for____hourshift. ___-_Office Help, _ $------for____hourshift. <br />_____Assayers, _ _ _ $______for____hourehift. _____i<Iillmen, _ _ _ $______for____hourahift. <br />i <br />_____F,lectricinna, _ _ $______for____hour-shift. <br />____.A'atchmen, _ <br />_ $______for____hourehift. <br />________________ _ _ $______for____hoursliitt. ________________ _ _ $------for____honrsliift. <br />~ Average number of men employed this yenr____________________________ ___..--_------------------- <br />i <br />Ie there a mi117---~n---------------------- <br />----------------------- <br />-------------------------- <br />Name of mill-----°-------------------------- --Lecation of mill------- -------------------------- <br />Chnrneter of mill---------------°------------------------------------ -------------------------- <br />Capacity of mill_ _________ _____ __ _________ __~9hen was mill erected_ ______ _ ______________-- <br />6ive list of Uuildings, tramways and other surface improvemanta ________ <br />-------------------------------------------------------------------- _________________________- <br />-------------------------- <br />Cost of surface improvements made in 191___ _ _ _ - _ _ _ _ _ $______________________ <br />State amount and character of underground development: <br />Name <br />lllanager <br />----------- <br />------- -------- <br />~v,~~~=---------- <br />oaf.-A'v~ U ------- - - - - '^=- <br />Is property worked continuously t----------------------- <br />-------------------------------------- <br />------------- <br />If wort: hna Ueen stopped, state iv ~en________-- <br />--- <br />Nnmc,title and address of person in charge of wor or you------------------------------------ <br />------ <br />Statc the character of ore----------------------------------' ----''"" <br />------------- <br />State the value of the ore_____-r-----------------------------"----------------- - <br />Tots] Development Amonnt Done in 197~~ <br />Shafts ------------°--------°----ft. ------------ft.; coat per ft., $---------- <br />tifiinzes ----------------------------ft. ----------__ft.; coat per ft., $_--__----- <br />Drifta -----------------------------ft. ------------ft.; coat per ft., $---------- <br />Croascuta _____________-____________ft. ____________ft.; coat per ft., $________-- <br />$ave you reported to this department all Yntal and non-fatal accidents occurring to workmen in the <br />twelvo months preceding the date of this report, u required by lawT ________________________________ <br />ltemerka:-------------------------- - <br />----------------------------------------------------------- <br />Signad_ ~S1r_ v -_-- - --- ------ -v~nq`_--Company <br />By------------~3` ' <br />1 Title------------------------------------ <br />i I, <br />