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<br />If yon have given a ]ease to others for all or part of the property, state the names of the leasing com-
<br />panies, partnerships or iadividunls:
<br />i\'ame Hann cr
<br />g P. 0. Address
<br />Is property worked continuouslyt____ ~~t_~__ _
<br />If work has been stopped, state when_ia~.cy_~ ____~i~
<br />.TQnme, title and address of person in charge of e•orlc for y
<br />------------- ------
<br />State the character of ore_ _ ____ _ _ ~ ^ ,^ d
<br />- di--•- ,
<br />State the value of the ore______~__ ~-Le . ~~~
<br />i1fEN E)l1 YLOl F.D
<br />No. Employed i\'o. Employed
<br />---°
<br />Machine Drillmen, $______for____hourahift. _____En racers, _
<br />6' - _ $____.._for____Irourelrift.
<br />\faehine IIclpera, $______for____hourshift. _____Pumpmen, .. _ $______for____hourshift.
<br />_____.lliners, _ _ _ $______for____lrourslrift. _____Firemen,
<br />- - _ $______for____bourshift.
<br />_____Tirnbermen, _ _ $______for____hourshift. _____f3luckamiths, _
<br />_ $______for____hourshift.
<br />_____Trammers, _ _ _ $______for____haurslrift. _____Teamstera, _ _ _ $______
<br />for__.._hour shift.
<br />_____Ore Sorters, _ _ $______for____hoursbift. _____Foremen,
<br />_ _ _ $______for____hourshi[t.
<br />-_.._ Tapmen, _ _ _ $______far____hourshift• _____Supcrintendent, _ $______for____Irourshifl.
<br />_.___Luborers, _ _ _ $______for____hourshift. _____Oflice IIel
<br />' P. - - $______for____hourshift.
<br />------
<br />Assayers, _ _ _ $_..____for____hourebift. _____Dlillmen,
<br />_ _ _ $______for____Irourslrift.
<br />_____)'slectricians, _ _ $______{or____hour-shift. ____\\'atelrmen
<br />- - $----__for____hourshift.
<br />---------------- - - $-_____for_.__hourehift. _________ _ $______for____hourehift.
<br />------- -
<br />Average number of rasa employed this year___ ____ Zt'
<br />~~j~ ~ --------•----------------------
<br />Is there a rnillt_____
<br />--------------------------------------- - -
<br />Nnrne of mill ___~~~~ _-___-_- _-_-_Locntion of mill_ e~itMel ~sB~S~ ~~~
<br />Clrarncter of ill____ ______GPI.y~-' ~
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<br />----------- - --~-~-~!'W ----&----
<br />Capacity of mill__/_D_R_`~ryc~._.~4__ _ ____\1'hen was mill crected____.~_~~ Z-____________
<br />Give list of buildings, trnmwu s and ther surface improvements •
<br />---- J3a,,,,,,(~_
<br />,~'I~~}y', 1 r_"'7r'r/a'~+~~-t!n/rTX~Zfy~_r` _ _iyls~,,,
<br />Cost of surface improvements mode in 191 _ _
<br />- - - - - - - $-~Q-o 0 0----------
<br />State amount and character of underground development:
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<br /> Total Development
<br /> Amount Done in 19 13
<br />Shafts --
<br />' ---------------------------ft. ------------ft.;coat per ft., $----------
<br />R
<br />inzea -- ------------------ ----ft.
<br />---- ------------ft.; cost per ft., $_..--------
<br />Driftx --- --------------------------ft. ------------ft.; coat per ft. $----------
<br />Croaxcute --------------------------ft. ------------ft.;cont per ,
<br />ft., $----------
<br />Have you reported to tlrie department all fatal and non-fatal accidents occurring to workmen in the
<br />twelve months preceding the date of t}ria re ort ae required by lawt
<br /> ______________ _ _ -_
<br />„"i -=r__--------
<br />' -~~~~ --~kv_~----- - ---- - ----
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<br />- -~-•-----------/-J--------------
<br />Signed~~~~, I _ -.1i0W_`_u~~.2C.-----Company.
<br />Title--------------------
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