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<br />If yon Lave given s lease to others for sll or part of the property, state the names of the leasing com-
<br />panies, partnerships or individuals:
<br />Name
<br />--- ------------ - - -
<br />Manager
<br />Is property worked continuonslyt__-'%--_----____-- -----------------------------------_--
<br />If work has been stopped, state when______ f~-~ = ~1%'~;_:__" !i_rf!_~ ~ ~-
<br />- ~=--
<br />~ ~' -
<br />Name, title and address of person in charge of wort- for you_____r ~ !_____-
<br />fTfr-`-v'w- ------------
<br />----
<br />--- -
<br />State the character of ore_ _!~'~~!'_%',~%_=~ __~'~ "1"~~'~'"•'
<br />-----
<br />-- r -~---------------- ---------
<br />State the ralne of the ore__`.-___~_~!_S.~ ~ ___.~_'`__~_?~" ~~'• ~'
<br />~_
<br />MEN Eat YLOYED
<br />No. Employed ~/~¢~LvC~~ No. Employed
<br />___Machine DriIlmen, $______fbr____honrshift. _____Engineers, _
<br />
<br />1lfachine Helpers,
<br />~ i
<br />$_____ or____hourehift.
<br />~
<br />ers, _ _ _ $----_
<br />r----hour shift.
<br />_____T~rmen, _ _ $______fo~
<br />hourehift.
<br />_____Trnmmers, _ _ _ \\
<br />$______for___~tOnrshift.
<br />_____Ore Sortet~,
<br />_ $______for__.._hour ift.
<br />_
<br />_____Topmen, ~
<br />_ $______for____hourehift~
<br />\
<br />_____Laborers, _ ~, _ $______for____honrshift.
<br />_____Teumsters, _
<br />_____Foremen, _
<br />P. O. Address
<br />
<br />_ ~``~$'______for____honrehift
<br />_ _V~______for____hourshift.
<br />_ _ $_>~___ ~or____hoarshift.
<br />_ _ ffi--\_ ~___---hoar shift.
<br />_ _ $______for~__l~onrshift.
<br />_ _ $______for___:hourshift.
<br />_____Superintendent, _ $______for____hourshift.
<br />~___Cffice Help, _ _ $______for____hours iSt.
<br />_____Asanvers, _ _ \$______for____hourshift. ~ Millmen, _ $______for____hourshift.
<br />_____Electricians, _ _~$_.____for____hour-shift. ___^~~t•atchmen, _ _ $______for____hourshift.
<br />---------------- - - $--~-_for__--hour shift. ------~---____-- _ _ $---_--for----Loarahift.
<br />Average number of men employed this year_____/~'____%-c_________.-_____________.._______
<br />Is there a millt__~(I~/"_- - - ------------------------f -----------------------------------
<br />Name of mill---------------------------____--Location u. mill------------------------------
<br />Character of mill---------_° =--- -----------------------------------------------------------
<br />__
<br />-- ----
<br />Capacity of mill______ ~__c-___________________When was mill erected______ _______
<br />~~. ~,
<br />Giv list of bµildings~^Lramwnys and other surinc¢ improvements _ _ .:G _-? ~! _
<br />i_ ~.
<br />=~_ r
<br />..,
<br />:';~
<br />Coat of surface improvements made in 191__~~C'~! _ _ _'-i ___ _ $__ ___ -~____________
<br />State amount and character of underground development:
<br />otal Development {
<br />Shafts _~b_c~l~i.~._~~!_ ___ft.
<br />Drifts -------------~--------------ft.
<br />Crosscuts __________-4______________ft.
<br />_ Amouat Done in 1913
<br />___,_ __ft.; cost per it., $____ _____
<br />___ \_~_____ft.; cost per it., $_..____ _
<br />_______ ____ft.; cost per ft., ffi__-___-_ _
<br />____________ft.; cost per it., $__________
<br />$ave you reported to this department all fatal and non-fatal necidenty ccnrring to workmen in the
<br />twelve months preeedmg the date of this report, ae required by laws ~L _~ G ________________~..~_
<br />Eemarks:-----~----------------------------------------------------------'-------------------
<br />-°------------------------ =~~c--- °---------
<br />SignedSH-1~~-~~~~~/ =~_~~ r.+~,,.L'ompan7.
<br />/7 ~,~, ~ ,/ _,
<br />~~~ ,
<br />Titladl(p /_ _ Y _~r ~~~,
<br />_ _ _ _ _Pumpmen.
<br />_____Firemen, _
<br />_____Blacksmiths,
<br />---=---------------------- ---------r-------------- - .
<br />------ -
<br />
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