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~ ~- <br />~ If. you have given n tense to others for all or part of the property, atnte the names of tlm leasing com- <br />' panics, partnerships or individuals: <br />n <br />~°~ ~ ' <br />iK <br />~; ~I <br />~ i <br />l~ <br />L~ <br />Ij <br />i <br />j <br />~~~~ <br />i <br />I~ ~. <br />!'~ <br />I <br />~i <br />~I rl i I <br />~ 11 <br />i <br />,' <br />~f ~ I <br />I'gl ~ <br />~~ I; <br />I~,l ~ <br />l <br />f <br />'1 I <br /> <br />i a" h <br />~ I <br />,'. <br />j jl <br />~ <br />I <br />~. i Ii <br /> <br />I <br />'~. <br /> <br />i ~~ <br />i~ <br />iI <br />.~ <br />i <br />~ ` <br />! ~ <br />.i~ <br /> <br />~ ; <br />~ <br />~ I. <br />ff <br />~~;` ~: <br /> <br />'I <br />. <br /> <br />I . <br />t I <br />ii <br /> <br />slc'.i. ~~I I,' .Li <br />.~1~~ ~1.t~:li~:>,A , <br />Nnmc <br />manager <br />P. O. Address <br />Is property worked conlinuously4--------------------------------------------------------------- <br />If work bas been stopped, state whcn________..---------------------------------------------------- <br />Nnme,title and address of person in charge of work for you_______________________________________ <br />State the character of orc--------------------------------------------------------------- ---- <br />State the value of the orc----------------------------------------------------------------- ----- <br />\fEN E.l1YLOYED <br />No. Employed No. I:mploycd <br />~_-._\Inchinc Drillmen, $. ____Cor____honrshift. _____T•.ngineers, _ _ _ $___..__for____honrshitt. <br />_____3fnchine IIclpers, $______for____hoursltift. _____Pumpmen, _ _ $______for____hourshitt. <br />_____\[iners, _ _ _ $______for____boursbift. _____Firemen, _ _ _ $______for____hourshi[t. <br />_____Timbcrmcu, -. _ ~:______for____bourshift. _____131ucksmiths, _ _ $______for____hourshift. <br />_____'I'rnmmrrs. _ _ _ .^r______for____bourabift. _____Tenmsters, _ _ _ $______for___..hourshift. <br />_____Ore Sorters. _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____hourshift. _____Supcrintendent, _ $______for____hourshift. <br />_____Lnborcrs, _ _ _ $______for____hourshift. _..___Ollicc IIclp, _ _ :$______for____hourshi[t. <br />__.-__.lssayers, - _ _ $______for____hourshift. _____\filhnen, _ _ _ $______for____hourshift. <br />_____I3lectricinns, _ _ $______for____hourshift. .____Natchmen, _ _ $______for____hourshift. <br />________________ _ _ $______for____l~oursliift. ________________ _ _ $______for____hoursliift. <br />Average number of men employed this year________________________________________.____._______ <br />Is there a mill9--------------------------------------------------------------------------- --- <br />Name of mill --------------------------- -_-----Location nl' mill----------------------_--_----- . <br />Character of mill-------------------------------------------------------------------------- -- - <br />Capacity of mill_______________________._________\Vhcn was mill erected__________________---__- - <br />Givc list of buildings, tramways and other surface improvements __________________________________ <br />Coat of surface improvements mode in 171___ _ _ _ _ _ _ _ _ _ $_________________-___- <br />State amount and character of underground development: <br />Total Development <br />Shafts -----------------------------ft. <br />\Vinzcs ----------------------------ft. <br />Drifts -----------------------------ft. <br />Croascute __________________________ft. <br />Amount Done in 1713 <br />___ft.; cost per ft., $__________ <br />____________ft.; cost per ft., $_..______-- <br />____________ft.; cost per ft., $__________ <br />____________ft.; coat per ft., $________-- <br />$ave you reported to this department all fatal and nan-fatal accidents occurrinpL to workmen in the <br />twelve mo prep qd~i~,s tho de~t~ of this C ort, ae~equired by 1 1 __________ ~ _ <br />Regiarka: _ SF,/-k~2?1~1 ~-~ 071 _ ~/~LL_t~ ! __!~1_ ~Q„--- ~-~12_1_DY_1. !2L ~._~~~l <br />f-. ,, <br />_3-IL~-_lill~LZ~L~_~`~rNOGC ~~ ~J,.! _SGEE ~n ~/L/i.L 1l_i _L1- /J <br />Signed---------- ==- ---- -- ~-------/ ---Company. <br />