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~!.; ~ <br />~ ~~ I If yon hate gicen a lanes to others for all or part of the property,rstaletl~aw~~o>~I~ ~ea~ng spry.; <br />~ ! i panies, partnerships or indicidunls: <br />~~ <br />t'.. ~' . <br />~~f ~ ~ Name 1linnagTr ~ ~•ITO. ~ddreas <br />_ _•. . <br />~~~ ~~ <br />-------------- <br />` --- <br />-- - <br />------------- ----------------------- <br />. E `~~' - <br />et <br />... <br />p -------- ------------------- ----------^-'-------------- -- ------------------------ <br />Is property worked continuous)}•4________~_-r~ _____________________________________ <br />~_ / - /9/3 <br />~' If work has been stopped, state when ~b~ ~------------------------------------ - -- <br />~ r Name, title and address of person in rge o work for you_______________________________________ <br />------------------------°- Jj 1~~~~~~-~--~-- --- <br />State the character of ore----~ a __~! 9i~~%!''~~1_--------------------------- <br />f ~ ~7d c -- -- ~.t'Z'- <br />( State the ralue of the ore_- =_--_--__- _ T 6 -- - ---------------------------------- <br />~ if <br /> <br /> 11fEN E)1fYL0YED <br />No. Employed A'o. Employed <br />.___Dtachine Drill men, $______for__. _hourahift. _____Engineers, _ _ _ $______for____hourshi[t. <br />--_:lfachine I~elp ers, $______for____hourshift. _____Pumpmen, _ _ $______for____honrshift. <br />_____Jfiners, _ _ _ $______for____hotrrahift. _____riremen, _ _ _ $______for____lroursliitt. <br />_____Timbcrmen, _ _ g______for____hourshift. _____i3laclamiths, _ $______for__~_hourshift. <br />_____Trnmmers. _ _ _ $______for____hourshift. _____Teamstcre, _ _ _ $______for____hoursbift. <br />_____Ore Sorters, _ _ $______for____honrshift. _____Foremen, _ _ _ $______for____hoursbi[t. <br />____Topmen, _ .. _ $______for____hourshift. _____Superintendenl, _ $______for____hoursbift. <br />_____Laborers, _ .. _ $______for____hourshitt. _..___Of17ce He]p, _ _ $__..___for____hoursbift. <br />__. __9ssayers, _ _ _ ~______for____hour shift. _____3fillmen, _ _ _ $______for____hour sbift. <br />_____I;lectricians, _ _ $______for____hour-shift. ____\Fatchmen, _ $______for____hourshift. <br />---------------- - - $-_----for----]rourshift. _---------_--_-- _ $------for-_--hourshift. <br />Average number of men employed this year-______ __ <br />Is there a mi114___ _.n~(~______-_ <br />------------ <br /> <br />Name of milt----- <br />------------------------------ --- <br />i.ocntion oC mil]------- -------------------------- <br />------------------- <br />---- -- <br />Character of mill__ ___^__________________________ _ <br />--------------------- <br />------------------------ <br />` 1 <br />r ~ <br />1 <br />~' ~~ 1: <br />II ~ <br />.l;~ <br />I ; ~; ~ <br />~ I ~~ <br />~ I <br />i~ ~ ~ <br />I, <br />j i' <br />i <br />~i ~ <br />,j <br />I l <br />1 <br />I i' <br />^ ~'~~ <br />t' j ~ <br />j t• <br />r Sf'`` f~t~ • <br />~ rn i :i <br />I'I !I~ ; 1 <br />tI~~1~ <br />Cnpncih•of mil]_________ _____________________~~hen was mill erected___________________________ <br />Give list of buildings, tram~vnps and other surface improvements ___1___________________________ <br />-------------------------------------------------------------------------------------------- <br />Cost of surface improvements made in 191_ _ ~ Q0~ <br />State amount and ebarncter of underground development: <br />Tatnl Development Amount Done in 1913 <br />Shnfta ----------f ~v-`----------ft. ------------ft.; coat per ft., $---------- <br />~l'inzea --------~~'-p---- -------ft. <br />~ ------------ft.; coat per ft., $c.-~-~ ----- <br />Drifts ------------~-j~- <br />/-~--- - ft. ------------it.; coat per ft., $---------- <br />Croaecute _________!Ci-P_'i^_-[________ft, ____________ft.; cost per ft., ffi---------- <br />$ave you reported to this department all fatal and n on-fatal accidents occurring to workmen in the <br />twelve montlre preceding the date of this report, as required by law} ______________ <br />____ <br />Remarks:------------------------------- ______________ <br />-------- <br />[/~J ~///-------------------------------------- <br />Signed_,C~,l~~l~/.~e.~c1~1~2~----- --' <br />By-----tf>' - ~ _ <br />;J <br /> <br />