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If yotfha've given a lease to others for all or part of the property, state the names of the leasing com- <br />peaies, partnerships or individuals: <br />Name bfanager P. O. Address <br />------------------------------ ------------------------------ ------------------------------ <br />----------------------------- ------------------------------ ------------------------------ <br />1a property worked contiauouslyl____ _ _______________________________________________________ <br />If work has been stopped, state wh _ !f/1l_lr~- _____________ _ -----------i'y-__~„/ _ <br />Name, title and address of person m charge of work for yon _____ ~_ __ __ ____ _ _ <br />State the character of ore____ _____ __ _ __ ___~ ____ <br />,1 State the value of the ore__'// eo ~~~/ao j _ __ ~~ <br />bfEN Eb1YLOYED <br />No. Employed <br />~___Dinchiue DrilImen, $______for____hoarshift. <br />____bfachine Helpers, $______for____h shift. <br />.} oQ <br />_t~_bfinera, _ _ _ ~~_for __honrshift. <br />_____Timbermen, _ _ $______for____hourshift. <br />_____'1'rnmmers, _ _ _ $______for____honrshift. <br />_____Ore Sorters, _ _ $______for____hourehift. <br />_____Topmen, _ ._ _ $______for____hourshift. <br />_____Lnborera, _ _ _ $______for____honrahift. <br />No. Employed <br />_____Engineera, _ _ <br />_____Pnmpmen, _ <br />_____Firemen, _ _ <br />_____Rlackamitha, _ <br />_____Teamatera, _ _ <br />_____Foremea, _ _ <br />_____Superintendent, <br />_____Oftice Help, _ <br />$______for____hoarahift. <br />$______for____honrshift. <br />$________°or____hourahift. <br />$______for____honrshift. <br />$______for____honrshift. <br />$______Por____hourehift. <br />$______for____honrehift. <br />$______for____hourahift. <br />_____Assnyera, _ _ _ $______for____honrehift. _____biillmen, _ $______for____honrahift. <br />_____Electricians, _ _ $______for____hour-shift. _____Wntchmen, _ _ $______for____hourehift. <br />---------------- - - $____--for----hour shift. -----------___-- _ _ $___---for----hourahift. <br />Average number of men employed this year_ _ __ __ __ _ ~ _ _-____ ________________ <br />Ia there a mi117---!f2jS~--------------------------------------- -------------------------- <br />Name of mill--------`~------------------------Location of mill--1-=---------------------------- <br />Charneter of mill---~ ---------------------------------------------------------------------- <br />(~iv t of buildings, tram ~a a~nd_otyheer.surface improve <br />Cost of surface im rovemeate made in 197~E_ _ _ _ _ <br />State amount and eharacter of underground development: <br />---------------------------------------------------------------------------------------------- <br />Capncity of mill__~__________________________When was mill erected_~r___~_~________~~___ <br />__ $_~ ,_y__~___________ <br /> <br />Total D ve~l~opyme~f' <br />Shafts ----tiG~~~~'?'~"!_-f- - --- -ft. <br />1Vinzea ----- ~/ -------- -------ft. <br />Drifts -- - --- --- /-`-y-g-----ft. <br />Crosscuts __ zt_________~`s9____ft. <br />_ Amount Done in 191~'~ <br />_ / o0 <br />_ _ __ft.; cost per ft., $! s` ~l~ <br />!~_______ft.; coat per ft., $__'~ ____ <br />_ CJ~ <br />~~.. _ __B___ft.; coat per ft., $ T_ ~ _ <br />___±~ B ___ft.; coat per ft., $~l ~~ <br />$ave you reported to this department all fatal and non-fatal accidents occurring to workmen is the <br />twelve month receding the dat~i this report, as required by lawt ______ /L________r___________ <br /> <br />~~ ~fi,G-Mutual ~o-Operath <br />...,~ <br />