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,, <br />f ~~ <br />i '~ <br />~'~ I~ <br />I;. <br />ji,~~ <br />i l;i~ <br />I <br />i <br />!~. <br />~~ <br />~j <br />1 I <br />If you Have given n ]ease to others for all or part of the property, state the names of the leasing com- <br />panies, partnerships ar individuals: <br />Nn~y~, ,llnn er P. O. Address <br />Is property worked continuously t____l~ Q F______ __-----~--- __---_~~__-_-~_~-_--_--__--~~~~~~ <br />If work lots been stopped, state when___0%~!~~_~~ _~~_~-------------------------------------- <br />---------------- <br />------ -------------- <br />Name, title and address of person in charge of work for you______________________________ ___ <br />State the cbnrneter of ore___ _ <br />n 0 _. ----------------------------- <br />Stnte the value of the ore__-~ ~_0__=___ ~=_•-_ _._-_:_~__-_________ ______ <br />r ~ ________________ <br />11fEN E3IYLOYED <br />No. Employed ATO. Employed <br />---------------- - $-_____for____hourshift. <br />Average number of men employed this ycnr____9 •__._______ - <br />Is tbcrc a mi114____~r._ ---~"--'---'------ <br />----------------------------------------------------- <br />Nnmo of mill------------------ ------------------ <br />----------------Location of mill----------------------°--------- <br />Chnracter of mill_____________________________ <br />------ <br />Cnpncity of mill__~- ------------------------------------------------------------------- <br />-----------------------~Phen was mill erected-_-~ ---------------_-- <br />Oive list of buildings, tramways and other surface improvements _____ <br />'I~L!'??'4''-------------------- <br />-------------- <br />------------------------------------------ <br />------------------------------------ <br />Cost of surfncc improvements made in 1'Jl~~ _ _ <br />_ =~L-r_~-. c <br />State amount and character of underground development: $ <br />= ---linchine Drillmen, $_. ___~_for____honrshift. _____Engineers, _ <br />_ $______for____hourshift. <br />l lfnchineIIclpcrs, $_~_for____hourshift. _ ___Puml n _- <br />- _ $______for__ ursliift. <br />- Z_1liners, _ _ _ $_3 rjfor_ ~_hourshift• ___Riremen, $ c <br />_.~.1'imbermcn, _- _ $_. __ r----hour shift. <br />for____hourshift. _____i3laclsmitha, <br />_r~Trnrnmers, _ ~. _ , - $-==~--for____hourshift. <br />$__~__for____l~aurshift. _____Tenmsters, _ _ • <br />$______for____I~our aliift. <br />_,t_Ore Sorters, _ _ $_r__for____honrshift. _____h'oremen, <br />_ .~Topmen, _ _ - - - ------for____l~oursliift. <br />- _ $_.u_for____l~oursl~ift. _____Supcrintend t, _ $___ __for____hoursliift. <br />-_,.....Lnborcrs, _ _ _ $_r..__for____hourshift. _____ _ <br />Ollire IIeI _ $______ ___hourshift. <br />__.... Assnyors, _ _ _ $__-._for____hour shift. 'lfillm ~ _ _ <br />'----` ~ - $---___for____ our shift. <br />___lacetricinns, _ _ $__r___for_..__hour-shift. <br />--- -«' chmen, _ _ $______for____ho shift. <br />-------"------ - $-~___for_---hour shift. <br />Total Devc]opment <br />Amount Dono in 1'J13 <br />Shafts ______________ <br />'--------------ft. <br />--------____ft.; coat per ft., $__________ <br />Winzes ------------------------ <br />--- <br />ft. ------------ft.; coat per ft., $---------- <br />Drifts __________________ <br />--------___ft. ____________ft.; cost per ft. <br />Crosscuts --------------------------ft. ~ $---------- <br />-------_____ft.; cost per ft., $___ <br />gavo you reported to this department ell fatal and nos-fatal nccidente occurring to workmen in the <br />twelve months receding the date oP this repo , ne gm`ed by lawt ___~iC --~ <br />Romark :__(~__~~ ___-_- _-- <br />---- - --- <br />-------- <br />- -- -- -- <br />------~ .jam, - e <br />~... -c ----- ----- ---- _ it/3 <br /> <br />---------------------- ----------------- <br />,,7 T----------~------~ <br />/1 ~---l:ompa~ <br />By---/~1_~.7~ _ <br />~ Title------ /=f'/~ --------- <br />