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<br />~6~ ~ ~~ '?
<br />~ ~ ~ ~ If yon have given a lease to others for all or part of the property, state the semen of the leasing com-
<br />e ,' ' ~ panics, partnerships ar individuals:
<br />i ' ~ Name Manager P. O. Address
<br />i+ S ~ ~. ~
<br />' frl i j ______-_'-_________'__________ •
<br />r ~ __________________
<br />,I ~,~, ____________ ______________________________ ___________________
<br />___________
<br />~ •
<br />_______
<br />~ ~~ ) ~~
<br />IB property worked continuously4_________ -_v_L~ ___________________________________________
<br />I~ ~ II If work has been stopped,etnte when_______~L__________ __ __
<br />' i r Name, title and address of pereoa in charge of work for you_____ _ v ~.
<br />~ ~ -~-~--~=-----.;tom--
<br />------
<br />_cO~r..~ac.._ ~~s~~t~_cs-~MvY~-----~--/---------------------------------------
<br />r ) ~ ~ I State the character of ore________1T ~ !'~lY~~s_?rL _ ---_~---_--__-
<br />' f ~ ~ State the vnluo of the ore_____~-=r%G,'"~(~_~/~~~~'4_
<br />,J -----°--------------~---------
<br />i
<br />y~ f MEN EMPLOYED
<br />j ~ No. Employed No. Employed
<br />~ I ~___tinchiae Drilimea, $______for____hourahift. _____Engineers, _
<br />I , ~ _ _ $______for____hdutehift.
<br />,` I! ___ tinchiae Helpers, $______for____hourahift. _____Pumpmen, _ $______for____hourshift.
<br />r ~ --2--timers, _ _ _ $~1,~for_~hourehift. _____Firemen, _ _ _ $______!or____honrehift.
<br />~ I j _____Timbermen, _ _ g______for____hourshift. I3lneksmitha
<br />j ----- _ _ $______for____hourehift.
<br />~, i _____Trnmmere, _ _ _ $______for____hourshift. _____Tenmaters, _ _ $______for____haurehift.
<br />I ~ ~ -----Cre Sortcre, _ _ $______for____hourehift. _____Foremen, _ _ _ $______for____hourahift.
<br />~ •~ -----Topmea, _ _ _ $______for____hourahift. __LSu oriatendent ~-
<br />P , _ $__Y __for____honrahift.
<br />1 ~ _____Laborers, _ _ _ $______for____hourahift. _____Of13ce Hel
<br />P. - - $______for____hourshift.
<br />j i j ~ _____Asanyere, _ _ _ $___-__for____hourshift. _ ___tiillmen, _
<br />- _ _ $______for____hourehift.
<br />' I _=---Electricians, _ _ $______for____hour-shift. _____}pntchmen,
<br />' _ _ $______for____haurehift.
<br />' ~I + - - $------for----hour shift. ---------------- - - $------for----honrshift.
<br />` I ~~, Acerage number of men employed this yenr___44-~i~ '
<br />----- - ~`..~Yl~ ------ -- -----------
<br />~~ .^ Is there n mill4_______~~-________-_-- ,
<br />---------------------------------------------------
<br />i; r
<br />Name of mill-----------------------------------Locution of mill-------------___-:-
<br />I j --------------
<br />Chnrneter oP mill------------------------------------------------------------- ~
<br />11 -----------------------------°----------
<br />----
<br />,, Capacity of mill_______________ _\Vhen was mill erected___________________________
<br />F', ~ -----------------
<br />,1., ; . ,
<br />f)ive list of buildings, trnm~vnys and other aurfnce improvements
<br />I. _ _-_-_-_--_-_-_-_-_-_-_--_--_-_-----------
<br />]1 ~
<br />,~ _
<br />, ; ~ Coat of aurfnce improvements made in 191_`[_ _ _ _ ------"--
<br />' ~ ~ State amount and ehnrneter oP underground development: $
<br />' r
<br />! Total Development Amount Done is 19~
<br />i ~~
<br />ly, ~~ Shafts -----------------------------ft.
<br />q~ ------------ft.; coat per ft., $----------
<br />Wiazes ----------------------------ft.
<br />------______ft.; coat per ft., $
<br />Drifts ------_~!J!J °----___--
<br />' ^ --------------------ft. _f_C~_~ _ft.; coat per ft., ~---~ d l~
<br />~, f ;~ + Crosscuts ----1~-~ ---------------ft.
<br />r ..1.'~ ~ _1_.k'_1~----ft.; coat per ft., $---~t/ I~-
<br />' ~ $ave you reported to this department all fatal and non-fatal accidents ocenrring to workmen in the
<br />'1
<br />twelve months preceding the dote of this report, as required by ]nwi _______=
<br />f
<br />Itemarka:----------------------------- ~~ '---------------
<br />----------------
<br />---------------------
<br />I -----------------------------------------------------------
<br />i :, ~ -----------------------------------'-----
<br />r.~ r --------- ----
<br />. i ~ ~ k f ~~ ~- -----
<br />i~ Signed-_°'~!-i~ti-c~-%'!~-.,L:e J' _
<br />' ! / --------- Compaq.
<br />i
<br />- ------------------
<br />Title__
<br />11 "~ t .~ ------------------ - ----------
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