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<br />It you have given n Icnse to others for all or part of tiro property, state the names of the lensing com-
<br />panies, partnerships or individuals:
<br />~~ Name ~fannger P. O. Address
<br />---------- n----------------- ------------------------------ -------------
<br />------------------------------ --- ~--op----------------------- ------------ ---------- _ _
<br />Is property worked continuously4__ ~ C_C!~~~.{ ___C_L_e_'_'~-_/_-rzJ __
<br />--------------------
<br />If work has been stopped, state when__~~~~z~-' ~ :~_/_~_t~z -__l_~1~____ __________. _ __
<br />Name, title and address of person in charge of work for }-ou___ ~_________` ____________________
<br />-- ----
<br />p //JJ - - - -----
<br />State the charneter of ore-_---~M Cf---------------------------------------------------------
<br />Stnte thr. value of the orc-------------------------=---------------------------------------------
<br />DIEN E\1YLOYED
<br />Q
<br />No. Employed r ~ ~'-' •- ~- No. Employed
<br />~___\Inchine Drilhnen, $______for____hourahift. _____Engincers, _ _ _ $______for____honrshift.
<br />~___.llncbine Ilelpers, $------for____hourahift. _____Pnmpmen, _ _ $______for____Lourshift.
<br />_____lliners, _ _ _ $______for____lrouralrift. _____Piremen, _ _ _ $______for____lrours}rift.
<br />_____Timbermcn, _ _ $______for____hourahift. _____f3lnclcsmiths, _ _ $______for____hoursbift.
<br />_____Trnmmrrs, .. _ _ $______for____Lourehift. _____Tenmsters, _ _ _ $______for_..__hourshift.
<br />_____Ore Sorters, _ _ $____-_for____Lourshift. _____h'oremen, _ _ _ $______for____hourshift.
<br />_____Topmen, _ _ _ $_-____for____hourahift. _____Supcrintendent, _ $______for____hourshift.
<br />_..__Lahorcrs, _ _ _ $______for____hourshift. _____Cfficc IIclp, _ _ $______for____hourehift.
<br />___._:lssayera, _ _ _ $______for____hourshift. _____Dlillmen, _ _ _ $______for____hoursbift.
<br />_____laeetricinns, .. _ $______for____Lour-shift. ____~1'ntchmen, _ _ $______for____hourshift.
<br />________________ _ _ $______for____Irourslrift. ________________ _ _ $______for____]rourahift.
<br />Average number of men em Toyed this yenr_______________________ _______.________,____._______
<br />Ie there n mill`-~U/~~r~_..~~--l~~r-~_=r~-~-~~,7'--~
<br />i4I~' - --
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<br />Name of mill---__..-= -~_1_~__~ ~c___c.~~---- Lo„ation of mill--------
<br />' -------------------------
<br />Character of mill--~`' ---------`-!!~~r_ ~~' ~-~_
<br />Ct ~-~'----------------- ------------------------
<br />Capacity of mill_/__Crd____~!'_ s j c_c~_ ~~~,_\\'hen was mill crc tad r~CC'_C' _~__'~ /__<f ~`---__-_
<br />dive list of buildings, tramways and other surface improvements 3~~~ ~~...__.,t~ ~' _
<br />----------------------------------------------------------------------------------------------
<br />---------------------------------------------------------------------------------------------
<br />Cost of surface improvements made in 1rJli_ ? r ~n ~-/ _ _ _ _ $______________________
<br />State amount and charneter of underground development:
<br />Total Development Amount Done in 1'J13
<br />Slrnfta -----------------------------ft. ------------ft.;coet per ft.,$----------
<br />Winzca ----------------------------ft. ____------__ft.; coat per ft., $_..--____--
<br />Drifta -----------------------------ft. ------------ft.; coat per ft., $----------
<br />Croaseuts __________________________ft. ____________ft.;coet per ft.,ffi__________
<br />$nce you reported to this department all fatal and nos-fatal accidents occurring to workmen in the
<br />twelve months pr ceding,tlre date of thisfport, ae required by ]/awt ________________________________
<br />Itemnrke:_~~isz- --- ..~a~_ ai% ~~~-==-'- ='=a..c_1~~?._y n__2~r.~~_./ -~~_'-.v
<br />~,~~~ pp ~~ .r ~~`c
<br />-------
<br />--------~<z~_-- _-__~_-~-.~~--------------------------------~----------------------
<br />Signed//-•!%LLl~~Y_G_azc_ ~ w_~J4 1`~Company.
<br />By- _ T-a+~~~
<br />Title------------------------------------ ~
<br />
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