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<br />~~~ ! I I2 yon have given n lease to others for all or part of the property,~atnte the names of the leasing com• <br />~ I paniea, partnerships or individun]s: <br />_ a er P. O. A dress <br />n \ <br />Cl /~ 7~ <br />.^ ~ <br />- .~ <br />-- -- -•°-K- " --- - - ~~ ii11~r- ---- <br />~~ Is property worked continnously4_____ <br />- - --- - ------------------------- - <br />------ <br />~ t1 I If work has been stopped, state when__ __ _ __ <br />-- --- --- <br />I Name, title and address of person in ehnrgc of work for y _____~ _ __ __ _ ' ~ ~~___ - <br />~I' ---------------------------(--- , - <br />'{ Slate the chnrneter of ore____ _ _ ~__ ______ ______________ <br />I'I ~- ------ <br />--- ~ / <br />State the value of the orc___ _Q tf ___ ____~!I_~ ~~~"J2~1_____________________________ <br />~ ~ DIEN E~fYLOYED <br />' ~ No. Employed No. Employed pQ~~ <br />!I ~~_binchine Drillmcn, $ ~~for__'~_hourshift. _~ __Engiaeers, _ _ _ $t~-~er_6__hourehift. <br />I`i, l'-~`"_c___3lnchinc Helpers, $______for____hourshift.fw!'KPumpmen, _ _ $___-__for____hourehift. <br />I!'i , <br />~ _f _lfinera, _ _ _ $.1C,.__for_4_hourshift. l/___Firemen, ~ <br />_ _ _ $___~__ro__~ar_ __hourshitt. <br />_____Timbcrmen, _ _ $______for____hourahift. _l__I3lacksmiths, _ _ $1.1r~IOr~hourshift. <br />i <br />_~_'prnmmers, _ _ _ $_~p__for_p~~.hourshitt. _l__Teamsters, _ _ _ $.SF~___for~~hourshift. <br />~I 1__Orc Sortcre _ $__V___fOrX__henr911ift. ~ Foremen ___for __ <br />I ~~``"" "" <br />_____Topmcn, _ _ _ $______for__p_~-_hoursliift.~vQ~eSupcrinteadent, _ $______for____liourshift. <br />~ J~,~, _~,__Lnborers, _ _ _ $_t~___for!___honrshift. L>____Ofiicc 7Iclp, _ $______for____hourshift. <br />Ij) __ASSnycrs, _ _ _ $______for____hourehift.~L~Dlillmen, _ _ _ $______for____hoursbi[t. <br />~% ___Electricians, _ _ $______for____hour-shift. LL___\Yntchmea, <br />~ ------- _ _ $______for____hourshift. <br />i ---------------- - - $------for----hour shift. -yy------- ---------- $ ----- for--- hour shift. <br />X11 Averngc cumber o men employed this yenr________7_.1liY'~_ <br />'I ~ Is there n mill7__yL~ <br />1~ <br />~~~ I, ------------------- <br />---------------------- <br />f' ---------------- <br />Nnme of mil!______!!___________ ___Loc;dio^ of mi1L_ ~________________ <br />,'~`~ 1 chnrneter of mill___!!_______________ - - - - <br />-------------------- <br />I~ -----------------------------------------------~---------------------------------------------- <br />---------------------------------------------------------------- <br />- ---------------- <br />Cnpncity of mill_ ___ --~~Yhen was mill erected <br />--~~_--- <br />---- - -- <br />,' Give 'st of huildi gs, trntnwnys and other surface im rovementa <br />--------------------------------- <br />' ---------r -------------------------------------------- <br />---- <br />oat of surface improvements mode in 191___ _ _ _ _ _ <br />State amount and character of underground development: $ <br />I~ <br />ii `Total Development <br />Amount Dano in 1912' <br />t Shafts __G1-%~-?~t~Q~_______----ft. ______-----_ft.; coat per ft., $__________ <br />' )I AVinzes -------1L------------------ft. <br />____ft.; coat per ft., $__________ <br />Drifts ------~-~-~----- _ Ob. <br />----------ft. --~ ~----ft.; cost per ft., $--/ ------ <br />Crosscuts ________ ~, // <br />~, ', i f-= --------------ft. ------=----ft.; coat per Pt., $__t~ `~ w'_ <br />; $ave you reported to this deportment all fatal and con-fatal accidents occurring to workmen in the <br />~ twelve months receding tlhe date of this report, ae re aired y lawf __ <br />Romarka:__a~~-„E~~~ ~ ~ --- `--Q------------------- <br />- ---- - "~ <br />'i ~ ~ ~--- :--- <br />_ .. <br />i - ~-------------------------- --------- <br />. -___---_y' 1 <br />~ , , , /r <br />Signed__ , _ ~ ~_ _Company. <br />-1 <br />i ! <br />~ n <br />---------------------------------- <br />Title------------------------------------ <br />I ~ ~ ~? I ~, <br />_ ~~i_~--. ~ - <br />