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1 rl <br />^~ <br /> <br />~, t <br />;'. ~ <br />~~ )f yon have gicen a ]ease to others for all or part of tiro property, state the names of the leasing com• <br />,. i ~ .i ponies, partnerships or individuals: <br />I <br />. <br />i Dame ?liana er P. O. Address <br />6 <br />~ <br />?°'+f 'i <br />-. <br />pp <br />, <br />!',i ' <br />! <br />Is property worked continuously t----------------- <br />----- <br /> <br /> <br />e~ <br />~ I - <br />--------------------------------------- <br /> <br />If work has been stopped,atate~chen_________________________________________________ <br />}~ Name, title and address of person in charge of work for you_______ <br />__ <br />_ <br /> <br />i <br />'~ l _ <br />____ <br />________________________ <br />-----------------------------------------------~----------------------------------------------- <br />'I~l State the character of ore----------------------------------------------------------------------- <br />• ~ 1 State the value of the ore------------------------------------------------------------------ ---- <br /> ~ 11fEN EDIYLOYED <br />i <br />i No. Employed No. Employed <br />I ~ , ____:~inchine Drillmen, $______for____hoursbift. _____Engineers, _ _ _ $______for____honrshift. <br />~ _____Biaclrine IIelpers, $______for____hourshift. _____Pumpmen, _ _ $______for____hourshift. <br />~ t _____Sliners, _ _ _ $______for____hourabift. _____Firemen, _ _ _ $______for____hourshi[t. <br />i <br />~ `I ____Timbermen, _ _ $______for____hourshift. _ <br />___Iilachsmiths, _ _ $______for____hourahift. <br />~ <br />j I, t <br />I = <br />= <br />___Trammrrs. _. _ _ $______for____hourshift. ___Tenmsters, _ _ _ $______for____hourshift. <br />r; _____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____haurshift. <br /> <br />i II <br />~,~) <br />f <br />I <br />_____Topmen, _ _ <br />_ $______for____hourshift. _____Superintendent, _ $______for____hourshift. <br />' i <br />' I~ __ __Laborers, _ _ _ $______for____hourshift. _____OIBce IIclp, _ _ $______for____haurshi[t. <br />; <br />~~ 1 <br />_____9ssnyers, _ _ _ $______for____hourshift. _____111illmen, _ _ _ $______for____hourshift. <br />~ ~ ~ _____Islectricians, _ _ $______for____hour-shift. .____~\'ntchmen, _ _ $______for___..hourshi[t. <br />i <br />f ---------------- - - $______for____hourshift. _ _ _ $______for____hourslriCt. <br />I }~ <br />i Average number of men employed this yenr_______________________________..________-____________ <br />' In there a millf--------------------------------------------------------------------- ~..--- <br /> ~ Name of mill-----------------------------------].ocntion of mill-------------------------------- <br />; Character of mill----------------------------------------------------------------------------- - <br /> It <br />r <br />iII ~ <br />I <br />! ---------------------------------------------------------------------------------------------- <br /> <br />Capacity of mill_________________________________\1};en was mill erected___________________________ <br />, <br />I Give list of. buildings, trnmwaye and other surface improvements __________________________________ <br /> <br />, <br />,; --------------------------------------------------------------------------------------------- <br />Coat of surface improvements mode in 191___ _ _ _ _ _ _ _ _ _ $______________________ <br />i% State amount and character of underground deve]opment: <br />~' ' Total Development Amount Done in 1913 <br /> Shafts -----------------------------ft. ------------ft.;eoet per ft.,$---------- <br />~~ R'inzes ----------------------------ft. ------------ft.; cost per ft., $-..-------- <br />' I Drifts -----------------------------ft. ------------ft.; cost per ft., $---------- <br />~~ <br />1 ! <br />l! Croeacuta __________________________ft. ____________ft.;cost perft.,$__________ <br />1 <br />1 ~ $ave you reported to this department all fatal and nonfatal accidents occurring to workmen in the <br />i ~; twelve months preceding the date of this report, as required by InwT ________________________________ <br />M Iiemarka:----------------------------------------------- <br />--- <br />Iy{ -------------------------- <br />i,' --------------------------- <br />i l <br />~'i <br />I --------------------------------------------------------------------------------------- - ---- <br />n, <br />l;; .S t }/ <br />~ Signed----------------------------------------Company. <br />, <br />;t. <br />'~~ By------------------------------------------ <br />j. <br />~ , , <br />l <br />,,I~ <br />` Title------------------------°---------- <br />,, <br />i:i~q~ ~t:~. _.,~~~~ <br />