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If you have given a lease to others for all or part of the property, state the names of the leasing com• <br />parries, partnerships or iadiciduals: <br />ATame blanager P. U. Address <br />----------------- ------------------------------ ------------------------ <br />----- -------- <br />Is property rvorl:ed contiauoush•4____________ --_--__ ~_______________ <br />-- ------- ---- -- ------- <br />- ----------------- <br />If rvorl; has been stopped, state rchen_________ <br />---- - - ------ -------- r/--. <br />Name, title and address of person in charge of work for you_ __ _ ~ _ lliL~6C//J~( <br />---------------------------- __ _ (_~ G~ <br />State the character of ore__~ ~ <br />State the value of the ore-__----~ --~1~~%~!~/f!f~_ ~~--- <br />ilfEN E3IYLOYED <br />iii I~ II <br />~~ii p i i <br />1 lI <br />~I`, ~ I (I <br />~~~i i <br />I ' <br />:~,'l;l' 'I~ <br />j. ~~ <br />I'i <br />I ! <br />~!~I to i I <br /> <br /> <br />No. Employed No. Employed <br />----• <br />Machine Drillmen, $______for____hourshift. _____Engineera, _ _ <br />_ $______for____honrehift. <br />------ <br />4fachine IIelpers, .$______for____hourahift. _____Pum men, <br />P _ _ $______for____hourehift. <br />_____.llinere, _ _ _ $______for____]rourahift. _____Firemen, <br />- _ _ $______for____hourshift. <br />----- <br />Timbermen, _ _ $______for____hourshift• _____I3lackamiths, <br />_ _ $______for____hourshift. <br />___.._Trammera, _ _ _ $-_____for____hourslrift. _____Tenmatcrs, _ <br />_ _ $______for____lrouralrift. <br />----- <br />Ore Sorters, _ _ $______for____Irourahift. _____Foremen, <br />--__ Topmen, _ _ - - - $------for____honrshift. <br />- _ $______for____]rourstrift. _____Superintendeat, _ $______for____hoursl~ift. <br />_-___Lnborera, _ _ _ $______for____hourshift. _____OFlice Help, _ _ <br />$______for____hourshift. <br />_____.lasnyere, _ _ _ $---___for____hourshift. _____1llillmen, <br />_____F.leetricians, - - - $------for____hoursl~ift. <br />_ _ $______for____hour-shift. Watchmen, _ _ $______for____hourshift. <br />---------------- - $------for----hour shift. ---------- <br />------ - _ $---___for____honrslrift. <br />Average, number of men employed this yenr___________ <br />----- -- <br />a there n mi114--------------------------- <br />--------------------------------------- <br />Nnmc of mill ------------------------ ------- <br />-----------location of mill-------------------------------- <br />Charactcr of mill______________ <br />------------------------------------ <br />--------------------------------------------- <br />Cnpncity of mill_______________ --- <br />__________________Whcn was mill ere to _____ ____ __ ____ _ <br />Give list of buildings, tramrvnys and other surface improvements ~ L <br />--- <br />--------------------------------- _________ ___________ <br />Cost of surface improvements mode in 191 <br />State amount and character of underground evelopment: ~~/'~ $ ~ J <br />~-f ~y' <br />Total Development Amount Dono in 1913 <br />Shnfta -----------------------------ft. <br />------_-____ft.; cost per ft., $__________ <br />\Vinzea _______ ft. <br />Drifts ------------------------ ------------ft.; cost per ft., $---------- <br />-----ft. ^-----------ft.; coat per ft., $---------- <br />Crosscuts --------------------------ft. <br />-------_____ft.; coat per Pt., $__________ <br />$ave yon reported to this department all fatal and son-fatal accidents ocenrring t work en in the <br />twelve months preceding the date oP this report, as required by Inwi ,~_(____~~ ~ $ ~} <br />Remarks:-------- __+f _-e~__o_ n!/ SG <br />--------------------------------- ---------------------------------- <br />------------- <br />--------------------- <br />---------- <br />,~A' -------- <br />Sigaed_ __ _~G <br />- --- r --- --- - ---------~!•~1Y. <br />`fie------ <br />- --- ~----- <br />