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1~r~ ~ I 1 I,r ~ I I u yon have given a leans to others for all or part of the property, state the names of the leasing com- ' panics, partnerships or individuals: i Nnme Manager P. O. Address i " ---------------211'`---------- -------------------------- I~ ~ ' ~r i -f~~ - ire . ~cyZ:n'~4_LS_l?-^-__CL/.G y ____ _ - _ ~CI l t l ____ __________ __.. y Ie property worked coatinuous It If worl:lins been stopPed,stnte when____________________ ____ ~------>-------~ ----- i I Nnme, title and address of person in charge of work for you-----------------------------~_______ ~~ ----- ~=~--o`ne'---------------------------------- II'f State the character of ore-----------~ J =---------------------------------------------------- ~~``i'~ State the vn]ue of the ore--------------------------------------=------------------------------ f JL•~ »N E11fYLCY1JD ~~ No. Pmploycd No. F.mplo}•ed ~~f ____bfnchine Drillmen, $______far____hourshift. _____Pngincera, _ _ _ $______for____hourehift. i~, ~I l ____3[ncbine Ilelpere, $______for____hourelrift, _____Pumpmea, _ _ $______far____hourehift. ~`i ~ _____3fiacrs, _ _ _ $______for____hourshift. _____Firemen, _ _ _ $_____ °or____hourehift. , _____Timbcrmcn, _ _ $______for____hourshift. _____Tlhicl:emilhs, _ _ $______for____hourshitt. I ' _____Trnmmcrs, _ _ _ $___-__for____hourahift. _____Tenmsters, _ _ _ $______for____hourehift. ~ _____Cre Sorters, _ _ $______for____hourshitt. _____Foremen, _ _ _ $______for____hourshift. ~ ' _____Topmea, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourshift. ) __..__Lnborers, _ _ _ $______tor____hourslritt. _____Cfficc Ilclp, _ _ $_-____for____hourslrift. ) II _____Assnycrs, _ _ _ $______for____hourehift. ~Iillmen, _ _ _ $______for____hourshi[t. -----' ~ _____l;lectricinns, _ _ $______for____hour-shift. _____A"ntchmcn, _ _ $_-____for____hourshi[t. ' ---------------- - - $_-----for----hour shift. ----------____-- _ _ $-__---for_---hour shift. r U ~~ Average number of men employed this ycar_______ ~t_~ ~:~ ~~ - 'I. Is there n mi114------------ -J L?!\ ---------------------------------------------°---------- x {. i\'mnc oC mill---------------------------------Location of mill--------------------------------- k 1 I'll 1 Charnetcr of mill------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------- r~1 Capacity of mill_________________________________\Chen was mill erected___________________________ ' Give list of buildings, tramways and other sur~fnce i psovornenta __________________________________ ~, J ------------=-- -- rf~ -N-,--%--=- - -~. Cost of surface improvements made in 191___- _ _ _ _ $______________________ State amount and cbnrnctcr of underground development: ,i i~ it G !~ .-~- ! ~ci I Total Development Amount Dano in 1913 ' Shafts -----------------------------ft. ------------ft.; cost per ft., $---------- ' ~'inzes ----------------------------ft. ------------ft.;cost per ft., $---------- i ' I Drifts -----------------------------ft. ------------ft.; cost per ft., $---------- , Croaecuta --------------------------tt. ------------ft.; cost per ft., $---------- ~' $ave you reported to this department all fatal and non-fatal nccidenta occurring to workmen in the twe]ve months preceding the date of this report, ae required by ]nwt ______ _______ ~' ___________________ Remarka:___ _________ ~L7,----1~ ----- -- ~ - . i _____________________________________ _____________ i _________________ __________________________ - ---- r - - 7~ a : ~w ~ / ~. Signed %~?'eGa l~ ~ ~ ~,I + ~ 4~ ------~mpany - ------- --- , ', ' :. ~` By-------------- ~~ Iii `~ Title-------------Q? C~s~/~~__----- _ i