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~ . <br />fi''~ <br />, <br />;II: <br />I~ <br />~:: <br />ji <br />If yon bare g]ren s ]ease to otters for sII or part of the property, state the names of the leasing com- <br />Panies, Partnerships or indiyidnals: <br />?game Manager P. 0.9ddreas <br />~, <br />-------- --- <br />- ---- -- <br />-- <br />---ti -------- <br />- ------------- <br />- ---------- -- ---------- <br />----------------------- <br />------ --- - ----------------- <br />Ia property worL-ed continuouslr'____ ° ~ <br />If work Lns been stopped. state s}len!5¢~. _ //----------- ---------------------------- ---- <br />~-vac-~.---~ _ --- <br />'`ame, title and uddreas of - ~~~-- ------- - "-'=' <br />person in charge of work for you. i~_____ <br />_ ~ ~J --------------------------- <br />5tate the character of orv•_____~•~-'~~_____________.______.________________________________.___ <br />State+l,e value of the ore___---~ ------------------------- <br />----------------------------------- --- <br />D~N EIt7YLOSED <br />Igo. Em;.lor~d Igo. Employed <br />.-._D1ucLine Drillme _. for__ _hovrshift. __-- <br />Engineers,// ffi______for____hourshih. <br />--._'l1u!•Line73elpers. 4-- _--for--. -hour shift. -_--I'umpme>S`~ r <br />ffi______for__._Lourshi,t. <br />_____Miners, _ _for____Lourshift. __ <br />- - --- _ <br />__FSremen, _ _____!'or____},ourshitt. <br />_.-._T}mLr•rmea. _ ,p~---- for--_-LuursLift. <br />- -____$lucl;smit s, _ _ ffi______for_.__}lourshift. <br />_ . -- <br />_.-Trummers.. _ ___fur__._Lourshift. .____Teamstera,_ <br />- 8______for____hourshift. <br />-Ore fiorters. . >?- ~.`or. _Luurshift. ----f'urrmen, _ <br />_ _Tupmen - - •--- for-___Luurshift. <br />- 4- - - - ~~ _Lour shift. . _. _FUper}nicndent <br />- ffi--- or_ __Lourn!~ift. <br />LuLurers, _ A. .. _ ---fur. ~lwur shift. <br />_Office Ife1p, _ _ &______for__ .huursLih. <br />-. 9ssurers, _ fF'. ___1'or_--Lour shift --_-- <br />b1]1Lnen, _ _ _ ffi______for____LOUrshiit. <br />_--- e;L+ciriciunE. _ 8'- -_--for.. -Lour-sia't. <br />_.._\4aL:hruvn, _ _ ffi__.__-for-__hourshif;. <br />'----------- - - a'-----for_-._huurshift. -' <br />------ ------ - >i,______fvr___hoursLift. <br />l <br />~'eruge num},~•r of men employ <br />this regr - .. r=~„~- - <br />Is tLr•r!• a mi1J °- -- - - - <br />-- -r-- <br />- - - <br />ICeme of ma_. _-_ -____._____ <br />r <br />.Luruct~r of ruill_ / ---'--- <br />Cupar•it)•ul'niill.. _.._ ------/ - - - _ ..._---------------`~---------.. <br />--- ----- ---- -H'hen was mill ere---. - <br />Giro lint of Luildings, tramways and other surface imprut'erucnts _ 1".1~/ ------~ - ~-~ ~--- <br />- rte`------------- <br />.-..---- -------- <br />_ -------------------- <br />:oat v.'' surface irnpru~'ements modem ]97~ _ ---~-~~ -- ~~-~ <br />fituU, umuuut and charac cr - - - - - - - ffi----__ - <br />t of underground dewrlu],rucnl: <br />'1'otul lleyelupment <br />S11u1'ts .'< y^o _ Arnount Doue in ]913 <br />~' - <br />yr--- - -fi. <br />R-inzca i c.e-,•. - ---------ft.'t Per St., ffi-----__ <br />---._ - -- I ---`5---. ft. <br />llrifts - -- - - ~ r ~ -- .---- . _----------ft.• t er ft., ffi- ~--- .._. <br />_ - ---- ---lt. -ft.; coa <br />Cruas:uts --. - ----- $-------- <br />_._ ~. ~_. _.__-. ____ _ft. • <br />----------_ft.; evat per ft., ~ _-- <br />Ifare you reported to this depuriment all fatal and nun-fatal xccidenta~rt;urring to workmen in LLe <br />twelve montLs preceding LLc dote u1 tL}a report, us reyuirv:d by lu»'T __. _~_~ <br />11.emarka:__ 1P_~.____-_----------- <br />--------------------------------------------- <br />Signed-- -------------- - <br />---------- ~----------Company. <br />i <br />True---------~, .-~ ~ ~,, <br />