MINEBK00285

• County: Boulder
• Document: Manager
• Suffix: A

t
I t
If yon have given a lease to others for all or part of the propert}•, state the names of the ]easing com-
panics, pnrtncrsLips or individusls .
14 Ivnme lIunngcr P. 0. Address
i
+ 1
--
-- - -
-- - ~._.
' ~ Is propert} tcorLed Continuouslt~'
--- -
-------- -------------
i;' It tivorl: fills ~Lecn stoppui, state tchen___ _ /q
~! i \nmC, title an Idress of ; son in cLarc+• of wor for }'nu___ _ _ ___-
-- --\---
-------------
Stute the chu er of orc- _ __ - ~ ',
Siutc tLc value of the orc--....-~/~ _-- -~ -- - ~-'-%/~;~C~----
-------- f~-
.1fE*1 F.11YLOl•LD
+ No. Idmployed ': u. lvn ploycd
f~= __1AI+•tliac DrillnrCn. ~.
:•: -~ __for._ ..hour shift. . _-linginccrs.. _ _ $______for____hourshift.
!~-: ___._\Llchiue Ilclpcrs, :?;___._for.. .hnurshil't.
""+ ~r --.__Iuwprnen• _ _ $_..____for____houraLift.
'uf ~~lIiners, _ _ fi_~__for_ _hau!'shift. __
t! - __I'irevu'n. _ _ $____ for____hourshift.
d _--_q•imLermcrl• - .. ~.---for---hour shift .__ --
v _.13Llclamiths, _ $______for____hourshift.
j' I-- -Trnmmcrs,. _ a_y-__forl~_hourshitt. __-
' ? -- -Teamsters, _ .. $____._for___..hourshift.
$ - _- -Ore Sorters. a for. _.-hour shift. -
• -- -Foremen. _ $- _---for----hour shift.
- --7opnu'w .. fi --fur -hourshift_ q
.1I~'ndl'nt,
-• uprri' _ :~___---for----hour shift.
r -..-LuLor!'rs, _$_____for._._huursllift.
' 011icc IIclp, _ _ $______for____hourshift.
i ,'•I -- - .4ssnyers. - _ .r __for. _hoursLift. _ -3lillmen.
____ laectri+•ians. :; ~ r - - - ~'-----for___-hour shift.
•~~ - _- . ___ or. -Lour-shift. _R•utchulen. _
~ ~' ~ _ tF. ---for----hour shift.
---------------- - r.-----for- .-Lour td:ift. _
---- - r-- __for____hourshift.
+' Acern ge nurtilmr or men emplo}'ed this }'~•ur ~ ----- -
_ . _.
' Is lLcre a mill?..__.__ _ - -. - -----
______
- - ----- -- -----
__ -. _
iSurncOf111111__ -'------------
Chuructcr of mill________-_- - - -
+
~,. - - -
- --
i.'f Capacity of will-- - _ _. ---- - _ __-- --
' I - _ - _. - R Lvl u•us mill urcctCd_ ---
. ve s
r
1 ----- 0 1 1 di^ a, tnlln
~ C -------__--__--. ~r'+p•s and alter surface iwprorertosrts ___-_ - ------------___.
I'i -_ 6 y1n. -.._______________ __________ -
-(~- ~d -
t,
--
+
• ~ Cost of stu•fncc improvew!'llts uuuia in lOL_ -_ -._ -------------------------------`
~I; ~ Stale amount and clu+ruct"r of underf;rouud cLs'cloPmcuL - - ..
u
';
+iI
I ~~
~,l
~,I
'+) i
I ~yl
~!!
1btu1 Lerclopm,.nt
5lulfta __ _ z
~ Amount DonC in IJ13

1\'iuzes - ~ ,.
. _
_ _
--
- --
__ .ft.

~
_
rt

~ --------_fL; coat per ft., $-----

Drifts _--..--
. _--- .
-
--------__IL; Coat per ft., $- .-_-

Croascuts - --__
_-- J Q--~
-' -
- -_.---
---1¢9._ -ft.; coat per ft., $-
~
~ 0

$nve you reported --- ----
to this depurtm
t -__tt. __-
-
~5`_'T1___ft.; coat per ft., $----'~-Q9

twelve months prece eu
ding the dote of this all fatal and non-f
r atal accidents occurring to workmen in the

Remarks:----------
------------------ eport, us required
------------ by luw4 ______
-- ------------- ---- -
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signed
- =-`-/- - ---Company.
By---- -F r-- -- - -
Title__~o~ ~ _ -~ _ --__-
Note-Plat
date the report
BliItTAII OF:
T. R. Henn
Deaver
Sir: In ac
u . co~nryun
IIII out tEl~
1te ce; otbvnrW
. ~ ~e It Llank
It v Ilan
Imrtnrnhrp,
all out tale
tVvrr: a[Lerwbe
In~• it Llvnk
I! mi1Lrt
mpn n' nor
I mn,,.rdil i,
nu ~n+ n~f.
,1„~.
til+:+~ wurtea of c,
~~C6h%~! _Iz--
~~~5
_ .~1 ~ ~O.o»~
Tul.,l ;tCrcuge pa
!lo you own or le
if p„ ~,1 Icuse them