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,~,~ <br />~' <br />.'.i~ IS con have given a ]ease to others Sor all or part of the property, state the names of the leasing tom. <br />1 Parries, partnerships or individuals: <br />+' <br />Dame .lIttnngcr P. O. Address <br />--- --- <br />--------------------- <br />Is property worked continuous]yt______ C <br />If work has been stopped, state when--- ___________ <br />Kama, title and address of person in charge of work for you___________________________ _ _____ <br />- - - ----------- <br />I - ------------------------------------- <br />~~ - -- <br />State the character of orc______________ <br />------------ <br />----------------------------------------- <br />State the value of the ore________ --- <br />-------------------------------------------- <br />11IEN E.1fYLOTED <br />Ko. }3mployed 10. Emplo •ed i ,-._ <br />_J_.llachine Drillmen, 4 `° r>'~~'w-.-..~~~~ <br />~~or_~_hourshift. _~_Engineers, _ _ _ $!L-for_~__itourshift. <br />___-__llachine helpers, $______for____hourshift. _____Yum mca, <br />p - - $--____for____hourshift. <br />~. _____.Iliaers, _ _ _ $______for____hourshift. -----Firemen, <br />_ .~ - - - $-______°or____hourshitt. <br />- 1_Timhennen. _ _ f^~-__for.~_hourshift. _____731uclsmiths, <br />_ _ $______for____ltourshift. <br />- ~ 'frammcrs. _ _ _ 4~`-___for~__hourshift. ____ <br />_Tcatnstcrs,_ _ _ $______for____hourshifi. <br />_ ~_Ore Sorters, _ ?35~_for ~__hourshift. _____A'oremea, <br />. _ __Topmen, _ c_ - - - $------for___..hourshift. <br />____for____hourshitt. _____Superintendent, _ $______for____hourshift. <br />----.Lahorers, _ _ _ fi______for____hourshift• _.._ <br />-Office help, _ _ $______for____)tourshift. <br />____:'ssaycrs. - - _ ~_-__-_for_-__hourahift. _____Dlillmen, _ a__ <br />- - ____for____hoursiii.t <br />--___%•:Icctricians. _.,_ __for_..__itour-shift. _._ <br />__.__for____hourshift. <br />"-------------- - - $----__for____hourshift. <br />--------------- - - $--_---for-_--hourshift. <br />Average mm~ber of men employed this year- _ ~" <br />Is there a mill°__~"~ -~---------------~ <br />------------------------ <br />Hume of mill--_ --------- --------- - <br />----------- _-----i.urn;iou of mill----------- <br />Charactcr of mill------------------ --- - --- - --- <br />Capacity of mill-_ ---- _ -- -----------------N'Len x•as tail] ~cted__-..-------_--_--_------- - <br />Gicc lis of buildings, trama'y?s~nd other duce improvem • s <br />J'' --• <br />_ -s-'-~t~~ -)------ <br />____________________________ <br />_____ <br />Cost of surface improvements mode in 197___ _ T `--~-t_ ~ ----------~-- <br />Stnte amount and character of underground development l $ <br />i'otnl Development <br />_ Amount Done in 1913 <br />Shafts --_-!~-10_-- _ _~_c <br />N'inzr _ ---------------ft. ------------ft.; coat per ft., $~-% _ <br />r' -r 's - ------- ft. <br />---- <br />------------- ------------ft.; coat per ft., $-..----- - <br />`''~ "'t"'Drifts _ ~~` <br />_______ft. ____________ft.; cost per ft., $~ ~_`__ <br />Crosscuts - ------------------------ft. <br />-----_______ft.; coat per ft., $__ <br />have you reported to this departmeat all fatal a¢d non-fatal accidents o tarring to workmen in the <br />i twelve months preceding the date of this r`po~as rk aired by laws _____ -~ -- <br />~. <br />- - --------N - -- <br />---------- - - <br />---------------------------------- ------ <br />---- `- <br />- --- - <br />--- <br />----------------- <br />--- --------X -- -- - <br />- ------ ~.s-~~ YY~.---~ <br />~-- <br />Signed----------------------------------- <br />-_ _ _ _Compa¢y. <br />.~ By Tit1e------------------------------------ <br />