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1 <br />1 ~ -- <br />t,. t~ <br />t ~ <br />Ij }~ <br />I~ ! If con hale gicen a ]ease to others for all or part of the property, state the names of the leasing com. <br />, i ~' • panics, partnerships or individuals: <br />~' E~ <br />lame 3fanager P. O. Address <br />'' -4--~--Hollmd_______--- --~~_~._Holland._____-- _--Victor cold. <br />---- - - - <br />-- ---- <br />------- <br />' o Is propertc worked continuous]}•9_________________________________ <br />If work has been stop, ed, state when___-_I~09.L'^111CS_1.-_]-Ql.'1__________________ _____ <br />game, title and address of person in charge of work for you_____________________________ <br />------------ <br />_--- <br />i late the character of ore_________lIU__pr9~_________________________ <br />- 6tate the ra]ue of the ore________________ <br />--------------------------------------- <br />I ---------- - <br />• ' 3fE:Q E1fI'LOYED <br />~ I lo. Emp]oyed -- lo. F,mployed <br />i <br />..1._~fachine Drillmen, $4..-OQfor_f~_hourshift. _~-__En meets, _ _ <br />B _ ~a0~_for.$__Lourshift. <br />~_ _.'rfaclrine Ilelpers, $.___._for__-_honrshift. _____Pumpmea, - . _ ffi______for__-_hourshift. <br />~ ----_\fiaers, _ _ $-----for---_hours}rift. __-__Firemen• <br />I -• - ~ $-_____for____hourshift. <br />~i _---Tirnbcrmen. _ _ ?-_----for----hour shift. -----I3lacltsaliths„ _ _ <br />;~ $______for____hourshift. <br />~ -_]-_'I'rarnmers.. _ _ ~aOQfor_i~_hourshih. _____Teaznstera, _- __ _ $______for____Irourshift. <br />~ ___.Are Sorters. _ _ ?______for____l:ourshift. __I'oremea, _ <br />I' --- _ $-_____for____hourshift. <br />i - _Topmen, _ _ a______for____Lourshitt. .___Supcrintendent, _ $__.___for____hourshift. <br />Laborers, _ a______for____hourshift. _____O1Bce Ile! <br />p, _ $___-__for____hourshilt. <br />I, _. - -Assayers, _ $.-____for___.hourshift. _____~1lillrnen, _ _ <br />' --___Electricians, _ _ a_-____for____hour-shift. ____\latchmen, .- _ $______for____bourshift. <br />---------------- - - $-_____for____hourabift. <br />t <br />;, Average number of men employed tbis year-- ____~T?@ (3) <br />Is il!erc x mi119 __ _______ __ ____________ _ tttt//~~ ------------------ <br />. . <br />. _ l~Y.J _. ______________ ___ <br />__-.. <br />Larne of mil]--.----- _---. -Lncntion ,;f mill-------------- <br />--------------- <br />~ ~ Character of mill-______ <br />I, C•syaeit ~ of mill._..____-- ___--- -- -_-_ __\5'hen wan roil! crected------------------- - <br />------ ' <br />___ <br />Cite lint of buildings, trarnways and other surfacr, improvements ______ <br />--. ZIIprDYiUDDJl'~1}_fl17._T_Q>;t9Y4S~------------------------------------------------- - <br />------------------------- <br />------------------ <br />--------------------------------- <br />Cost of eurfacc improvements made in ]91$__ _ IIOIl@. <br />fitnte amount uml character of undergrmmd developrnent: <br />~ 'Total Development Amount Done in 1Jli3 <br />fihafta __-_2140___------------___ft. _~ta___ft; coat per ft., $----_.--- <br />\Cinzea -- _-100-- _-- ----------_ _ft. _.~-__ft.; coat per ft., $--___--- _ <br />Urifta ----3500-------__-- <br />•' ----____it. ---540.--___ft.; coat per tt., $-fi.fi0--- <br />Croaacuta --1250---------------___ft. <br />-~___ft.; coat per ft., $__________ <br />~ kxve you reported to thin department nll fntul and non-futul uccidenla occurring to workmen in the <br />twelve months yreceding rho date of tbia report, ae required by luwl ___~ ______ ~_______ <br />----------- <br />~l Iiemarka:----------------------~8-•---------------- <br />j -- -- --- -- - <br />--------------------------- _ <br />--- <br />--- ----------- <br />$igned__ ____~~ <br />x~ ~~:__Company. <br />s ',i~ <br />`. Title______~__ <br />,.1 <br />