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'i ' r <br />I 7S yon have gicea a lease to others for all or part of the property, state the names of the ]easiag com- <br />panies, parmers}Iips or iadiciduals: <br />Name '_1Ianager P. O. Address <br />,~ <br />m <br /> <br />v - <br />Is Property ;c•orked continuoush-F___ -- ~------------------------------------------ <br />--- -- <br />If cork has been stopped.st.ate}chen___________________________________________ <br />------------------ <br />Name, title and address of persgain e}arge of ~corL- f ~cou_________ <br />------------~5-'~ ---`-f-~- `-~-t--- - ~-'`-`~- - <br />"7 - -------- ~--------- -. <br />--- <br />State the character of orr___________________________ _ _ ________ _-~ ~~ ~ <br />~ ------- <br />State the culue of the orc_---------------- ------__-- _------------_----- <br />TIEN E;1(YLOTED <br />No. Emp]oy-ed QQ No. Employed <br />_~.lluchine Drillmen. $1~__for_t1_hourshift. ._~ _Eagineers, _ _ _ $_•~ft~I'or_8_hourshift. <br />____Bluchine IIelpers. ¢____ ~'or_'t_l:ourshift. _____Pumpmen. _ _ $______for____hoursLift. <br />L^~_Yliners, _ _ _ c~ ~or__!_hourshift. _____Firemen. _ ¢______for__y__hourshift. <br />.`___Timberinen. _ 4~-'~for_~_hourshift. _~__}31acLsmilhs, _ _ $_~ _`_for_U__hourshi.`t. <br />~- M <br />L._Trummers.. _ _ Q_y~__-for_ ~_hourshift. __y___Teamsters, _ _ _ $__~~_..ae_~~for___-hoursl:ift. <br />~.j___Ore Sorcrs. _ $.~~or____hourshift. _J_-P'orcinen, _ _ _ $J_~for~~_hourshift. <br />_(._Topmen. _ $__3_for____hourshift. _____Superiatendent, _ 0.______for___.hourshift. <br />Laborers, _ _ _ fi______for____hourshift. ___Ofiice Ifelp, _ _ $______for__._)IOUrshift. <br />lssarers. _ _ _ $..__._for___hourshift. _____'_lfillmen, _ $______for____hour=hilt. <br />_____Electriciuas. _ _ c______for____hour-shift. __\Cutchmen, _ _ a;_____for____hourshilt. <br />---------------- - - =------for----hourshitt. ----------___--- _ _ $--__--for----hour shift. <br />A;-era(re somber of Inen employed this ceur____~O____~_~_.-_ <br />Is there a Iuill!'__. ______ <br />flame ur mil]- _ _J.o~•~i'i^,n o!' mill------------____-._ - <br />- ---- <br />Charactcr of mill____________________ <br />------------------ <br />i Cupxcitr u.` mill.-._-_-- ----\l Len n•us mill erected______-- ------____-- . <br />Gi;-c list of huiL iags, trumn•uvs and other surface imyrocements ________________ <br />----- <br />---- <br />--------------- ------- 1- ~ y .- <br />Cost of surface imprucemeuts tnude in 191__ ~_ 7 r o-~-q ~~~ <br />State urnuunt and churacur of und~_r•round dec.. <br />' 6 •lopment: <br />Total Leceluptncnt ~ Amount Done in 1313 po, <br />}lafta ~'.~ ~ ~~ <br />~- .J_-~- ~------------ft. - ~-~ -~---ft.; coat per ft., $_~!'~~ - <br />~Ciuzs /-~. ~ ~-------------ft. _ v <br />/, --- -__7Y__ ___ft.; coat per ft., ffi_(._~__ - <br />- -- ------ ---------ft. ~ °----ft.; coat per ft., $__x ._ <br />Cruast•uts _ -f _f _r~. n_____ •~ <br />____ft. __ ___ b __ft.; coat per ft., $__~ _____ <br />Race you reported to this department all fatal and non•fatul accidents oyc,(cu_r~ri~ng to tv rkm n is tin: <br />rivehe mouths Preceding t}ie date of this report, ae required by laws ____! '__'!!'~_ ~~ k!1 i"~' <br />-- -------------- <br />------------- ---------------------------- <br />-- --- - <br />I ----- ------ ----- --------------------------- - <br />---------------------------------------------/--~---------------------------- <br />6igned~~_9_tip<_% ~«-<"".y--Company <br />-----------//- <br />,.. ~~ Title-------- ~/~_l.~tY_ -~-.~~ <br />_ p 9i,5 ------ ---------------- <br />Jx ~ ~ ~vti.nfus~~ <br />