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!h'".~ If yon have given a tense to others for all or part of the property, state the names of the ]easiag com•
<br />~~I ~ psaies, partnerships or individuals:
<br />;~
<br />j _' Nnme 11lnnngcr P. O. Address
<br />I I
<br />'~C
<br />'r' I TB property worked continuouslp9___ '~~ __1~ / ~~ .3 ______ _ _ _
<br />ad ~~ i~ If work has been stopped, state whenL_ ~ ~~S'iS ~.l~C!«_: •~__.21~c7=u~_______ ~
<br />'•; Nnme, title and nddrees of arson in clmr a of work for ou_!_L+ ~ ~ J/ d
<br />i. ;~
<br />State the chnrneter of ore __~~~ =_'__ ~__*~~~ __~~t~ _~~2!~~_4~?-~-^~'!__~~•~.._ ~.~?t.e .
<br />State the value of the ore---~D1rJs~r~_-=_acm--.C-~--~__1~XF_-_'-------------------------
<br />hfEN EMYLOIED
<br />I ATO. Employed Dlo. Employed
<br />' 6s ,~J~°
<br />,_..:;~_llachine Drillmen, $_~_pfor____hourshift. __f_Engineers, _ _ _ $___~-afor____honrehift.
<br />~~-..
<br />' ~ ~' Oinchine Helpers, $_~_~~for____hourshift. _____Pumpmen, _ _ $______for____hourshift.
<br />t _____I\finers, _ _ _ $__ ___for____hoursllift. _____Firemen,
<br />_ _ _ $_______`or____honrehift.
<br />___~_Timbenacn, _ _ $_~~~,;:far____hourshift. __~_Bluckemiths, _ _ $_Jl~for____hourehift.
<br />I
<br />__~Trnmmers, _ _ _ $_.r~~~for____hoursllift. _____Teameters, _ _ _ $______for____hourahift.
<br />____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ $______for____hou~hift.
<br />I~ '' _____Topmen, _ _ _ $______for____hourshift. ___JSuperintendent, _ $Lz~~:cfor~"_d~i`ourshift.
<br />~, I _____Lnborere, _ _ _ $______for____hourshift. ___I_OfSce IIelp, _ _ $__?__°_lfbt•__°_`_Fiourahift.
<br />_____!lssayere, _ _ _ $______for____hourehift. ___~_Millmen, _ _ _ $_~,f..~'efor__g houtrshitt.
<br />_____Electricians, _ _ $______for____hour-shift. ..____Wntchmen, _ _ $______for___-hour shift.
<br />~ ---------------- - - $____--for----houre}Iift. _____-----____-- _ $_-----for---_hourshift.
<br />~ Average number of men employed this year____LD__________________._____-_________-____________
<br />~ Is there a mi119_______ _
<br />Name of mill ________~_ ~T!14I________________Location of null__nlc_:~_-__~__'__^:H,.!.__,-~.,,,,;,;~
<br />• ~ ~. ^ ~
<br />Character of mill__t~rrea_•(c~~1ny_ =^~. _I___ P.tics,~~==----------------------------------
<br />~. --------------------------~ ~ ^r--------------------------------- -----------
<br />~ Capacity of mill_____~1~' __;.F s_________________When wne mill er~ted__ ~Gc.__-1~~,3' __J _
<br />~~ Oise list of buildings, tramways and other surface improvements ~~ ~..n~____/~rY1~c%_/:'~
<br />i J~T.ti~~1(1rc_e_u_~~z_ 1~~1~ZC'~-_----- -i~!=_Ye`~___Jrr..~ war = =-"-- ''-~..
<br />, // ~ / ~ ~ ~
<br />cYi~_~:~__rs..~'~1..-__a ^.: /u__1trc:~/?,---=-=1"''.e~(.s"ix--mactk~_.~~.-~ar~_-~"C-"----- `'
<br />~ h Coet of surface improvements made in 1910 /_ ~_~ t-' _~j- /~ $___
<br />~.- -r----------------
<br />I' State amount and character of underground development: .~ n~~ ~, :~icc~,i' ~ ~
<br />~ Tots] Development Amonnt Done in 1913
<br />. ,. ---
<br />t Shafts ----""-=---------------------ft. ----ft.; coat per ft., g
<br />r~ ~ _____ft.; cost per ft., $
<br />t Winzes ----------------------------ft. -------
<br />~ '3 Drifts _____a__=''__________ __________ft. __ ~ ~' ^ ft.; coat per ft., $__i _s!! _
<br />'~ ~ Crosscuts _~_es_ ---------------___ft. ---_-:~ 3Jt_ft.; coat per ft., $_-~cL~--
<br />i_'c $ave you reported to this department all fatal and non•fntul accidents .oyc/curring to workmen in the
<br />,f twelve months precedmg the date of this report, ea required by law9 ____ /~?!}'~' -
<br />~~^,j gayiarks:_: ~~_"_ ~ - <-«_ sy~,t__=..~.1:,.~__~rsi.-- =~ --- ~ ~ ~./~. ( i ~ - //~-
<br />~ a- '~:-- ..~~..crilmyJ
<br />~ 1 j ,~
<br />~ '' ~ ~"~"~ f1-=~-- "7i"~_~K-n/~__utK ~%r~ ~r.~a.,i i _.:~ ~ •-- ~rres.__.c ~,wsv5. r,~.,.-i~
<br />~' a_LeL~• L1.: __f.s. 4_ ~7r~(C1 _ _~w-.'-_ _ ~--'~ }~s ~ `s ,/ L'r.,, d T :.
<br />I "
<br />~ ,
<br />,, ,
<br />i ,~;
<br />. .•
<br />~ Signed---`-=--~ =--=~j~,-'-~-'-_"-`--------Company.
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<br />Title---------=--~
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