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<br />If yon have given a tense to others for all or part of the property, state the names of the leasing com-
<br />panies, partnerships or individuals:
<br />Name Dlanager P. O. Address
<br />--
<br />--- ------------------
<br />------
<br />Ia property worked continuouslyi___ Z~~-
<br />- ---- `~
<br />If work has Ueen stopped, state when----- _ ------- "~}'-7~, y~~ ~~ 1z ~ r
<br />Fame title nn~ addres~ Person in chnrge~f work for you s-----------------------
<br />--- -- _
<br />---
<br />----
<br />State the character of ore__________ ~ - -
<br />State the value of the ore___ ~ -------------~""~1-~-----
<br />DIEN EDSYLOYED
<br />No. Employed No. EmPloced
<br />" _Engincers,_ _ _ $___-_-for____hourshift
<br />Y_`__Dfachine Drillmen, $______for____hourshift. ____
<br />_ for____hourshift. "~Pumpmen, _ _ $______for____hoursl~ift.
<br />_ ~ _Dlachiae Helpers, $------ '-_--
<br />Diiners, _ _ _ $_s~__Cor_~lioursliift. __~_Firemen, _ _ _ $______for____hourshift.
<br />_~_Timhermen, _ _ Q------for____honrshitt. __`__Rlachsmiths, _ _ $-_--_-for____hourshift.
<br />__C__Trammers. _ _ _ $______for____hourshift. ____/_Tenmstcrs, _ _ _ $______for____hourshif~
<br />4~3!7Sfor_R~hourshift. __~_Ibremen, _ _ _ $J_°~__'hor_l--},mot-sl'ift.
<br />__l__Ore Sorters, _ _ ..
<br />for____hourshift. __:'_Supcrintendent, _ $______for_-- ~ioursliift.
<br />--t--Topmen, - - - ~'------
<br />• - $_,L~°_for_ -_hourshitt.
<br />__~ _Lnhorers, _ _ _ $____--for____hoursLift. __J__Office Help, _ ~
<br />for____hourshift. __~ _Diillmen, _ _ _ $______for____hourshift.
<br />_r_-Assayers, - - - $------
<br />~ for__--hour-s ..--'--~Vaiclnven, _ _ $______for____hourshitt.
<br />___rlectricinns, _ _ $____--
<br />sltrLfor_1_~lteatSTd7`t• '~ _ 0.______for___-hour shift.
<br />Average numher of me~njempl~yed this yenr_______~-----------------° -------"°-_--- ~_
<br />Is there a millT----''"" ~------------------------------------------------------------------
<br />----------
<br />Nnme of mill----_-- ~-------------------Location of mill-----_----------------
<br />-------------
<br />Character of mill-----------------------------------------------------------------
<br />-------------------------------------------------------------------------
<br />Capacity of mill_-__~ __ ~---- -------------When was mill erected____.~~c_ - --------------
<br />1_-
<br />Give list of huildinga, tramways and other surface improvements ________~
<br />-/S'~--~-t_nPC-~-----------------------------------`--------- ---- -- ----'------- -
<br />------------------------- - --
<br />-----
<br />-----
<br />Cost of surface improvements made m 191.cni- - - - - - - - - - ---------
<br />State amount and clmractcr of underground development:
<br />Total Development Amount Doae in 1913
<br />Shafts __'!.! -`_--~----~ ---------ft. -°----°---ft.; cost per ft., $----------
<br />ATinzes ------t ~-- --------------ft. ------- ----ft.; coat Per ft., $-..--------
<br />Drifta ---, e-c------------------ft. --1--`- ~--ft.; cost per ft., $-t~_ ~-°---
<br />Croascuta __~= ~_-~ = _-= -=------ft. ----`--------ft.; cost per ft., $----------
<br />$ave you reported to this department all fatal and nos-fatal accidents occurring to workmen in the
<br />twelve months preceding the date of this report, as required by laws ~~ 4-®S_ ~e=~1-'~-'~' II
<br />Remarks:---------
<br />nA~ /i
<br />-----------------uY+_~---- -----------------------------------------°-°--- ~llir
<br />Signed_
<br />_ .,
<br />By__ //FF,, •Y~=~L_/f/s!s LGL'e7~F-,(/,rQ
<br />date
<br />BL'.
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