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` <br />, ,.. <br />,: <br />~~ <br />' <br />t~ ~ Tf yon bare gircn n lease to others for sII or part of the property, state the names of the leasing com- <br />' <br />'~ parries, partnerships or indiriduJils: <br />.' <br />I <br /> <br />~I~ i~ <br />~; '~nme rlnnager P. O. Address <br /> ..r ~i r. ` <br />~ <br /> <br />Qo <br />~...~.. <br />------------------------- --- ------:, `at -~J the <br /> <br />date <br />~ <br />~ <br />: , <br />. <br />,I -------- - <br />~ ------------------- -------- --- ------------- --- ---------- - --- ------- - <br />~ Is ro eYp worhed eon',inuunslr":-----_L'I-.-_'-- J r- <br /> J ~- <br />If xork bus bees st.opped.stu;e uhen_________--------------------------------------------------- T. R <br /> I~ame, tiUc and address of person in churre of \cnrh for .'oa_____------------------------------- <br /> Sir: <br /> --- <br />Stutc the chaructur of ore________________________________________________________------------- <br /> State the rulne of the crre------------------------------------------------------------------ <br /> hiE~ EM YLOSED <br /> Igo. Emplo}'ed ?Co. Emploced <br /> <br /> <br />IuchlneDrillmen.8...._Sor__._honrsllift. _____Engineers._ _ _$____._for____honrshift. <br />-' C ~ Campaa <br /> <br />~twtm <br /> <br />____11aClllnC I~elper6. `}______fUL__ jUarshift. _____Pumpmen. _ _ !F______fOI____hOllrsLift. knr It Dian <br />'~ _____liT_incrs, _ _ _ E~______for____houshift. _.___Firemea, _ _ _ J~______for____honrshift. <br /> ___._Timhermea. _ 8~__"___for____hoursltift. _____Bluclamiths. _ _ >h______for____hourshift. <br /> __.._Trummers.. _ _ M1______for.___hourshift. _____Teumst.ers, _ _ _ 9~______for____hourshift. <br /> _----U.-e fio»tL•rs - - ?'-----fv.-----Loursleft. _----F'or~•2uen. - - - $---_-_for_---hour shift. <br />1 <br />! __._Topmen, _ _ 8'_..___for_.-_hoursi:ift. _____Supcrint.endent, _ !!~______for____hourshift. <br />;, <br />• I __.-Lnherers, _ 'F____._for____hourshift. _____Uti'ice Iielp, _ _ g______for____hourshift. <br /> _-..-9ssupers. _ _ _ .y.._----for_.._Loursilift. _.___Dlillmeu, _ _ _ !F____--for---hour shift. <br /> _-_-%lectricitms. _ _ .y'___---fur..__hour-shift. ----~\etchmen, - _ 4-----for---_hourshift. <br />~ ---------------- - - ~'------for----hoursl:if3' --------------- - - ~'------for----hoursLifi' ~:i <br />n~ <br /> n <br />at <br /> <br /> <br />i <br /> <br />refuge uu:uber of men employed this rear-- EII out tLi. <br />\tao: ocLa <br /> <br /> <br />~ ----------------- --------_-- -.--_-- <br />------------- k... ,i Dlat <br /> Is Ulc»e a tuiiJ"----------~--~----~--------~------- --------------- -- <br />I ~ ~nID!'vf la!]i __..-_________. _..-______ _.-. _LGrti.l.m; ref g;;l!_ <br />-_ _- <br />. Chzructcr of mid-- ----- ----------- --- - - - <br />!! <br />'1~ - --- - -- <br />--- - -- - -------' <br />1, - --- --------------------- ---------- --- - <br />~.L'jFL'C1TP Uf Rtill___ ____ -. _ _-._~1-h!'n R'aS IC111 e7el'tUd___. ___ <br />____ <br />' ~Jlre 1iLtt of huildin RS, trL'fUKaJ'6 L'nd Uthl'r tiLLffaCe JILLpfUrelnent6 _____.__ ___-___ <br />! ~ ___d <br />, <br />Cost Uf surface lm;TV\'l'2aCL'tB laade In IfFI___ _.__ _____ <br />- - - - - ~ 1' Lvl! <br />cunp.n <br />DurtLmLl <br />I1 <br /> <br /> <br />~ <br />~~ ( - <br />G <br />___________ ______ __ <br />State C2uV ULI anC CitL'r>,!•tef Of LLnde!'~f UUfld derelopment: <br />, <br />E9. out <br />W1. <br />I.n <br /> <br />~ <br />~ Total De\'elopment Amount Done in ]5]3 <br />',I <br />~ <br />I 6hufts ---------------------_ft. __ft.;eostperft.,@--------- <br />tt <br />1 ~I•' tt ~Ciazts - - ----------~- <br />------.._. ft. -----------ft.; coLJt per ft., ffi-_------- <br />i <br /> <br />t, <br />(, <br />' Drifts ----- ----------- ---------ft. ----- ----ft.; ws1 per ft., ¢- --- <br />---- <br />1 <br />,! (-~ '(~ <br />~ <br />Crosscuts - ----- - --------------tt. -----------it.; cost per ft. <br />ffi ~'I~, ~..~z <br />~ <br />Ii L' F'~l~ , <br />---------- <br />13ure you reported to this deportment all fatal and non-fatal uccideuts occurring to workmen in the <br />~t <br />~ t <br />t~yeh'r months precoding the dote of this report, us reytlired by luwt ___________________ -„-._. <br />.._ <br /> Eemarks:___________________________________________ ~ 1 <br />~' _______________ ___ i <br /> __________________ J' l <br />~l <br />!1 !_ <br />, ( ~ ____________..___________________ <br />_______________ <br />t <br />~ <br />it '„ ~ t <br />£igned--------------------~--,------.,__ Company. PVtal ll <br />1-..~.~,.-I "_~ llu u <br />yo <br />' \ t r ~ <br />N ' - ~------- `^- if <br /> <br />, <br />~' I <br />1 <br />6 ---~- _.__~_.._--------~ <br />