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1~ <br />---------- ---------------------- --------------- <br />--- ------- ---------------------- --------------- ---------- ---------------------- --------------- <br />Signe~d~f7:S!r!6%°_ _-- _ _ __~~`< ~__Company <br />By /~ ---------- <br />--- - --------------,-Q--- <br />If yooi~ve given n lease to others for all or part of the property, state the names of the leasing com- <br />panies, partneraliips or individuals: <br />Name <br />binnager <br />------------------------------ <br />---------- ---------- <br />~~~---v 1 -- --- - --- ---- <br />----------------------------- -----l--~ -------------- <br />P. O. Address <br />~~ ~,~2- <br />,_ <br />Is property worked contmuoualy4----- ------------------------- <br />If work has been etopped,atnte when___ ________________ __ <br />--- ~f <br />Na ,title and n dress of person in charge of w k r you__I(.'C~ <br />- --- <br />State the character of or __~Lc4'`=____~4~!^~-~--~--- -~ _==-- - <br />-- <br />State the value of the ore__~}~z_ ____~~i__~~ _____- ~u!L-~ <br />cam.« <br />~ ,IfEN Eb1YLOYED <br />No. Employed No. Employed <br />~~ ~_hourshift. <br />=_for_ <br />~B b[nchine Drillmen, $!C gineers _ <br />'ti~?^_~_`-En , - _ $______for____hourehift. <br />_ <br />_ ~_binchine IIelpera, $~~°_for_8__hourshift. `~Pumpmen, _ _ $______for____hourshift. <br />_t~bfiners, _ _ _ $_3_-`_for_~__hourshift. '~?~_^BFiremen, _ _ _ $_______°or____hourshift. <br />__~_Timbermen, _ _ $~_`_~_for~Y__hourshift. __1__I3lacksmith~,~l,,~ _ $333 for_~_hourahift. <br />__1__Trammers, _ _ _ $.,3_°-=_for_g_hourehift. __,g_~~~``"_'"`//'"''_''"" _ $,y~~=for_F__hourshift. <br />__/__Ore Sorters, _ _ $3_°_-_for_ $_hourehift. __~_Foremen, _ _ _ $h =~_for__r_hourshift. <br />`%~±~~Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourshift. <br />_ ~_Lnborers, _ _ _ $~'=__for_$__hourshift. __.2_Office IIelp, _ _ $~?° __for_8_hourshift. <br />00 <br />__!__Aasnyers, _ _ _ $~L=___for_8.._hourshift. <br />__~bIillmen, _ _ ,gs-o <br />_ $.3~~=for_~_hourehift. <br />__L__Electricians~ _ _ $_'E_°-~_for_R _honr•shift. _____R'ntchmen, _ _ $______for____hourshift. <br />_.Z_T.,o-l~-_.~_$.3_°_-_for_8__hourshift. ~'_~~^f~K~»~•$.~3~~'for_~_hourshift. <br />__a <br />-~ <br />~ <br />- ~ <br />° <br />~ <br />` <br />l ~ <br />Average number of meg employed this yenr__ <br />_ <br />_ <br />_ =_ <br />_: <br />__ <br />Is there n mi114---- 1(~6!_f - ----- <br />-------- --- <br />~ <br />-^ ~~' <br />' <br />~ ------------------- --------------- ----------- <br /> <br />~ <br />~ <br />~ <br />Name of mill______ <br />_____ <br />_ <br />__ <br />_~~ <br />{~J <br />e,..._.-.~ <br />Charncter of mill <br />r <br />~ _Location of mill_ _____ <br />_ - <br />~=~^ _ _______ <br />~= <br />~_ <br />------ <br />PLC. <br />---"te <br />t------------ <br />_ <br />_ ------- --------- <br />- <br />-~---------------- <br />- <br />--------------------- r - --- ----------------'--- <br />Cnpncity of imll__ ~_xY~_ °~'°'"-C______\Vhen was mill erected___!_.~ ~ ~' <br />Oive list of build}ngs tramways and other surface improvements ~J3~~%L_ ~'`^_~'^~________ <br />oat of surface i pr ve a is made i- n 1 3~ _ _ _ _ _ _ _ _ _ $1m 6 00_°~________ <br />State amount and character of underground development: <br />Total Development <br />Shafts -------------1'~~---------ft. <br />~Vinzes ______________ _ _ ft. <br />Drifts ---------J o O~ a c~--- --- <br />---------------ft. <br />' ~ (~ <br />Crosscuts _____~3 ~_~-?.____.._______ft. <br />Amount Done in 191.3's~ <br />_______ft.; coat per ft., $__________ <br />_______ft.; cost per ft., $__________ <br />-----__ft.; cost per ft., $------__-- <br />_______ft.; coat par ft., $__________ <br />$ave you reported to this department ell fatal and non•fatnl necidente occ'ur_rin/g to workmen in the <br />twelve months preceding the dote of this report, as required by lawt __~e5~ ____________________ <br />Remarks:/-~~T,-------------------- r - --- -- ---- ----/.- ---l- ---- <br />--------~D-"~-~..~s~cr/C-~!lt~,!__-=~`--Sl--~i^^-r--..l-~..v--~~----~~1 An,.-u.+~L. <br />