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~,~, <br />Tf you have giseh a lease torothers for,all ar part of the property, state the names of the lettsing com- <br />"ponies, partnerships or indivifluals <br />` Name , Manager P. O. Address <br />~-- ~.~ __ __ 3^ _ ~ <br />--- ------- -------- <br />E Is property worked continuously4___f --- ---- --- -- - ---' -- --- -- - -- <br />--- <br />If work has been atopped,state when___ _ ____ _________ ~q~~_- --- -- --- ----- <br />, ''Name, title and. address of person in charge of work for you__~I/:_~ '_ - ---- -------- <br />Sate the character of ore-._ C.~~~~~~"-- - -= -- -- <br />---- - -- <br />;. - <br />;" `State the value of-.the ore__ __~~~z< ---~~~-~cu=T1iy/%_ -- - <br />M1:,T1 EMPLOYED.- <br />No. Employed z• No, Employed. , <br />~, <br />= Machina Drillmen, $ __ for __hour shift. ___Engineera, _ _ _ $ _for_ __hour~ahift; <br />t <br />_Machine Helpers, $ _ for __haur shift. ,__Pumpmen, _ $ _for_ hour shift. <br />_S9'__Miners, _ _ _ $__~ ~--fo Q--hft. ___Firemen, _ $__ for_ _hour shift. <br />_Timbermen; _ _ $______for.___hour shift. -____131acksmiths, _ _ $___ _for____hour shift: <br />____-Trammers, _ _ _ $______for____hour shift. _____Teamsters, _ _ _ $, ___for____hour shift.. <br />__ _Ore Sorters, _ _ $______for____hour hift: _____Foremen, _ _ _ $______for____haurshift. <br />r <br />° _____Topmen, _ _ _ $______for____hourshift. _____Superintemdent,-:_ $___ .for_ __hourshift. <br />_____Laborers, _; _ ~:$-___-_for____hour shift.. -____Of6ce Help,. '_ _ $______for____hourshift. <br />_____ASSayers; _ _ _ $______for____hourshift. _____Millmen, _ _ _ $ _ _for_-__hourahift. <br />_ -__Electricians, _ _ $______for____hour-shift. _____Watchmen, _ _ $______for____hour shift. <br />`` ---------------- - - $------for----hour shift. ----- -- ------ - - $ ---for ---houtaYaift~; <br />Average number of men employed this year__~-------------- ------ ---- -- -- -`---- <br />Is there a mi114------------------ ------ ---------------------------------- ---- ------`----- <br />Name of mill:---------------------- ----------Location of mill-------------- - -=----------- <br />Character of mill-------------- ------ -------------------------- -------- - - --------------- <br />rr <br />k <br />Capacity o~ mill--- --------------- ----------When was mill a eeted__________----------------- <br />C#ive list ofbuildings, tramways and other surface improveme t -__ ___________~_____:_------____-- <br />Cost of surface .improvements made in 191___ _ - _ _ _ - - $------- -------- <br />State amount and character of underground develop,,. t• <br />~' ~ ~~ ~ Amount `Done in 1913 <br />Total Develop, m~ent <br />Sha ts~ -- - - ~-r-- ~-,k-~1 ~------ft. ----------ft.; cost per ft.; $- -- <br />lri <br />Wes ~- ---- --- ------ft. - .~~----ft.; cost per ft., $- -- -. <br />~ Drifts __-- _ -- - - ---ft• --- ~y~__ft.; oost per ft, $.a~-l~lL_-- _ <br />(`rosacuts =~-- - -----------ft• ----~'9°---ft. ; cost per ft., $~~ <br />$ave you Teported to this flepartment all fatal and non-fatal accidents occurring. to workmen in the <br />~' , <br />twelve months preceding the date of this report, as required by law4 __________________ ____-___-_- <br />~. <br />------- <br />" liemarks - --- --- --- - - - <br />_ ~,~ <br />-------- - --- --- ---- -- - - ~~---~--7 - ti, - <br />~} Sign [!_~~~ -_~,Company. <br />By__ - _~z-coo -- '-------~- --- <br />N <br />Title-e-~---4.a1~---------------------- - "i <br />h N <br />4 . <br />">r . - ~~ <br />F~4 :" ~ - <br />- °.. <br />T. NFU :~ - . <br />~t <br />