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i~ 11 i i ~I ~ ~ '~ p i' ! ,, ',II I~, it I a I~ ~,. 4` ,~ i ~, ~~ , i. i ~~I ~~'`~ .. ~l~ ~ ~ . ~' ~:~~' IP yon have given a lease to others for all or part of the property, state tl~e names of the leasing com• ponies, partaerahips or individuals: Name Dianager P. O. Address IB property worked continuouslyt__________________________________________________ ------------- If work has been etapped,stnte when________________ Name, title and address of person in charge of work for you_ ___ ____ __________ _________________ State the character of ore_________________________________________________ ---------------------- State the value of the ore----------------------------------------------------------------------- 1+LEN El1YLOYED No. Employed No. Employed ____Dinchine Drillmen, $______for____hourahift. _____Engineera, _ _ _ $______for____hourahift. ____3fachine Helpers, $______for____hourehift. _____Pumpmen, _ _ $______for____houraiiift. _____Tfinera, _ _ _ $______for____hourahift. _____Firemen, _ $______for____hourshift. _____Timbermen, _ _ $______for____l~ourahift. _____T3lneksmitha, _ $______for____I~ourshift. _____Trammera. _ _ _ $______for____hourehift. _____Tenmatera, _ _ $______for____houreliift. _____Ore Sorters, _ _ $______for____hourahift. _____Foremen, _ $______for____}~oursl~ift. _____Topmen, _ _ _ $______for____liaurehift. _____Superintendent, $______for____hoursl:ift. _-___Laborera, _ _ _ $______for____hourshift. _____Office Help, _ $______for____houreliift. _____:~ssayere, _ _ _ $______for____hourehift. _____111illmen, _ $______for____hoursl~ift. _____Electricinns, _ _ $______for____hour-shift. _____til'ntcl~men _ _ $______for____I~ourehift. ---------------- - - $----__for____houreliift. -------------------- - $ ----- for--- hour shift. Average number of men employed this yenr_________________________ ------- Ia there n mi]It------------------------------------------------------------------------------ - Name of mill---------------------------------.._Locnlion of mill---------------------------__-- Character of mill_____________________________ -- Capacity of mill_________________________________When was mill erected_________________________ (3ivc list of buildings, tram~vnys and other surfncc improvementa __________________________________ ------------------- ------------ - ------------ ------------------------ -------- -- Coat of surfncc improvements mode in 191___ _ State amount and clmrneter of underground development: Total Development Amount Doae in 1913 Shafts _____________________ ___qt. __ft.; cost par ft., $__________ ----- ---------- Winzes ------------------------ ft. -------ft.; cost por ft., $-~--------- I -' ----- Drifts ____________ ft.• coat er ft., ----------------- t. ------------ , P $---------- Croescnts ----------- --------------ft. -------_____ft.; cost per Pt., $__________ $ave you reported to this department all Patal and non•fatnl accidents occurring to workmen in the twelve months preceding the date of this report, ae regaired by Inwt _________ ----------------------- marka:------------------------------------------------------------------------------°- ------------------------------------------------------------- ----------------------------------------------------------- ------------------------------------------------------------ Signed----------------------------------------Company. .. • _~ By------------------------------------------ Title------------------------------------ ~`1 i~ ~, . I ~' i . ~1 i :~ ttrt' II ~4 ~i Ii I I~ j ~ ~ '• ~ . '~ I~ , + i I I I ~II~ ~~ I l ili` i !~ I i !~