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~I <br />t <br />"~i <br />11• Pames, PBartne7rships or~ind~idnnls: for all or part of tLe property, state tUe names of the leasing tom. <br />I <br />ame _ ISnnnger <br />~~./'`f% -- T ~P 0 Address <br />/ ---- <br />.GS.ig4' i e.C_- _._ r <br />i --- -------.. ___- ---~---- _ <br />i ) - <br />I 1 Is Property }ror]:ed continuoush-I_______~_.;/=_ , <br />I I i If Stork Las Leen stopped. statN ichen____~______ ___-~----"'-'-- <br />' If ' -------------~-----_-----<- <br />' ~ '`ume tine aad address of pe^son in !~ <br />I // • -- _---ge of w•orL- for }•ou__~~ ~' ~~_ J-~-~_-~_ - -/ ~- <br />~~ I~ ~ <br />; ~ ~..2a-.G!1 - , <br />I i Stute the charucter of ope________ -- <br />---- <br />------------------ <br />------- <br />-- - <br />~ Stute tLe ~•alue o.` the ore__~.•F~_J_`~A ~ --- <br />ItfEl~ E;57YLOTED <br />~ ?\o. Employed Igo. Employed <br />y._\Uu_•hine Dri]lrnen, yL~__for_~}2oursLift. _1_Engineers, _ _ "~~ <br />___>Iachinr Helpers. a______for__-_Lourshift. _____pum,men. - ffi-f-___for_~Lourshift. <br />I - - ffi______for____hourshift. <br />_____Sliners, _ _ ffi______for____hour shift. ___ <br />__Firemen, _ _ ffi______Eor____hourshift. <br />j . ~ _TitnLe•-men, _ c ~ ~_ a for_y_Luur s}+ift. _.~ _Blackemiths, _ o0 <br />o° - ffi`}_-___for_~Lourshift. <br />-'frluumers, _ _ a~___for_~Lourehift. <br />----_Teumsters, _ _ _ ffi______for__._LoursLift. <br />~f_~re Sorters, _ c r3_='_for ,~_hot:r shift. - _ - _Furernen, _ <br />..~._Topm~.n. _ a ~ "` - - - ffi---.- -for___-Lourshift. <br />- _J__-_for_d~_LuursLift. _~ _Supcrintendent ~ :,G <br />-- LaLun~rs, - - ffi~----for_g Lours!:itt. <br />- 9°---_-_fur____Lourshift. _____Oflice Ifu]P, _ _ ffi______for___J+ourshift. <br />--- :'Issapers. _ c for_-__Lourshift. __--- <br />-F•ler•triciuns. - _ g___ - ffi-----for----hourshift. <br />-'-- -_fur__. _Lour-shift. _. __A•utchmen, <br />- _ ffi______for___.-hoursLih. <br />--------------- - - ffi-----for---LoursLift. <br />--`----------- _ ffi______for_-__hourshift. <br />Averuge numLcr of men empluyud tlus year-. -_ _ _ <br />Is tl„•re a mill:'------~ / -----------~-- <br />----------------- <br />---- -------- <br />ICutne of rnil]___ ----------"----- <br />Character of mill------___--- _ _ ------ <br />--- -------------- <br />~ Cupucityufmill-'-'------------ ------- --- -~--~------------------------------_.. - <br />----------.._\\'hen wus mill cn•• nd___--__-- <br />Gi~•e list of i,uildings, tranneuys and other aurfuce improvements ____ -_--_-- --- - <br />- -_ ~F_...J?---~..~------- - - <br />-- --------------- <br />---------- <br />--------------- <br />------------------ <br />Cost of surface improvements Made in ]IJ]_-_ - -------------------------- <br />State amount and character of underground devclupmuut: ffi <br />Total Duvclopmeut <br />SLafts _ ~- 0_ U Aroount Done in ]913 <br />---------------------ft. ------------ft.; cost per ft., ffi------- - <br />- ------- -ft. ---ft.; cost per ft., ffi------- -- <br />Drifts _.~Q,D_-q--D-------------ft. // <br />Crosscuts 7/ _ '- ~~--bit•; +%oet per ft., $__57 <br />--7--J D---------------it. _ <br />--1~`-~/--ft.; cost per St., ffi---~- <br />$ave you reported to t}l~ department all fatal and non-fatal uccidents occ ring to workmen in tLe <br />tx•elve m~nth/s~~pm~"•eding tLe date of this re ort, as reyuired Ly/ lawf ___ _ A,a <br />~f ~--` ~ ~ --~---~ ----- <br />- ------ .ftt.!- - <br />n~. ~ _o=~ /~__ <br />.. --- -f~i¢~_~Ily P~[.resatif <br />- ----- <br />Signed-\ --r=~~•_3i_ ~%?_C~yL- <br />_K ~__Oompany. <br />~~ ~J , 1 <br />' Title------ *=-~ C~1-.S <br />~. ~ <br />i' <br />