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i 1 ~ ~ state the names of the Icasmg com~ <br />It yon have given a lease to others for all or part of tl~c property, <br />• ~ ~ ~ 1~ ~ panics, partnerships or individuals: P. 0. Address <br />~} ~ Dame Jlnnager <br />1 4 . <br />--- -- - - <br />----------------------------- <br />----------------------------- <br />y ~~ ( 1a property worked continuouslyt_____ <br />1 ~--------------------------- ------------------- ---- <br />1;~ ';; ~ If work has been stopped, state when________________ <br />t. r Name, title and address of person in charge of work for you___ -- - <br />1~ ----~-------------- -----------------••-------------- <br />------ ---'---c- <br />-------------------------- <br />/~~ ~ ~ ------------ <br />i <br />'4 , State the character of orc___ - - - o-o ~~ <br />` ~ State the value of the ore__t~t -$-'~-~--~-~ ~~ at<~~ ~~, <br />i ' ~ 11fEN Erl YL01 F.D <br />' A'o. F.mploced No. Employed <br />_____Enginccrs, _ _ _ $------for____hourshift. <br />}~; ____.lfachine Drillmen, $______for__.._hourshift. for-__-hour shift. <br />Ili ~' _-- for---..hour shift. -----Rtmpmen, - - $------ <br />4 __\facbinc IIelpers, $------ for_-__hourshi[t. <br />a''.. _ °-' for_ hour shift. _____Firemeu, _ - - $------ <br />--(~-Miners. - $~---- ~- <br />f3lacksmiths, _ _ $------for____hourshift. <br />i~ ~ Timbermen, _ _ $__-_--for____hourshift. ----- <br />' _ _ $-_____for____hourshift. <br />____ 'frammers. _ _ _ $____--for____hourshift. _____Teamsters, _ <br />_____Foremen, _ _ _ $____--for____boursbift. <br />_____Ore Sorters, _ _ S______for____hourshift. <br />__Topmen, _ -- _ $------for____hourshift. ___-_SuPerintendent, _ $_-----for____hourshift. <br />_ - $---_--for----lwurshift. <br />} --- <br />_____l.aborers, _ _ _ $------for_-__hourshift. _____Office IIclp, <br />~ ~ 1 _____\Iillmen, _ _ $------for___hourshift. <br />~ __ Lssayers, _ _ $------for____hour shift. - <br />_1'slectricinna, _ _ $____--for____hour-shift. __l~atchmen, _ _ $__----for--__hourshift. <br />`~ _ -- <br />_ _ $______for____hourslu t• <br />---- <br />---------------- - - $------for----hour shift. ---------------- <br />1~ ~ Average number of men employed this year__~__= j- - -- -- ----------------- -------------- - <br />1 <br />- Is there u m~ll4___7~i9 --------------------- _ _ <br />r --------- ---- <br />' . ~~ l Name of mill -----------'-----'-------'--'-- i,ocuLOn of uull____---- <br />,i~` ---------------------------- -- - <br />~,' Character of mill------------------------------------_------ <br />I; ~ws ------------------- -- ----- -----------------------------------------------------------i---- <br />' I Capacity of mill---------------------------"--When was mill erected________---------------' -" <br />!~ ~ ~~ ~,II~ ~' Gice list of buildings, tramways and other surface improvements ___`~'~.1-----J---=----=---- <br />•~ ili ' , <br />'f~ ' i -------------------------------- -------------------------------- ------------ <br />I --------------------------- <br />1~` -----------------------------°-- -------------------- <br />• ----- <br />{{ , Coat of surface improvements made m 191___ _ _ _ <br />1 f ' ' State amount and character of underground development: <br />1' 1, Total Development Amauat Doae in 1913 <br />': ~ ~ ---ft. ------------ft.; coat per ft., $---------- <br />'y ..-~,~ ~ Shafts ------------------------- <br />``, ~ --- --°------------ft. ------------tt. ;coat per ft., $---------- <br />I ~tinzce -------- 0'6 <br />• T ' Drifts ~ ~----------------------ft. 'a"~'p---_ft.• coat per ft. $g-- ---- <br />,~ ~ ---ft. ------------ft.; coat per ft., $----°---- <br />~ Crosscuts 1p-o - <br />$ave you reported to this department all fatal sad non-fatal accidents occurring to workmen in t ~e <br />•~ r j' ------------- <br />i' -- <br />4 ~ :~ 5 twelve months Preceding the dote of this report, as regmred by lnwt ___ <br />~ :~ ~ ~k ~ ; --------------------------- --------------------------------------------------------------- <br />,. <br />~~'~, . ~I. ~ --------------- ----------------------------------------------------------------- <br />,,., __ <br />- ~ ' ---- - <br />S{ <br />I ~~~ `a', 4 Signed--LL-- - - --_~/--"'`„`~"-""--°-~ <br />' ~i„i ,;, <br />I <br />,: <br />By--------------------°----------------- <br />. y , ,' <br />, :•. <br />f r,t ' ' Title-----------°-------- <br />~(~{/1/ } <br />of _~----- / ~~ <br />_ ~ _~ ~~~ <br />date <br />BUl <br />