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~~ ` I <br />~ i <br />I <br />r <br />~i~I ~ <br />~ If yori have given a ]saes to others for all or part of the property, state the names of the leasing com- <br />~ panies, partnerships or individuals: <br />I' <br />~' Name blann er P. 0. Address <br />8 <br />~ !,~ <br />Il <br />~ i <br />(y~ ,~ <br />~~~ <br />it <br />~i I; <br />~ I <br />It <br />x <br />I, <br />l ~, <br />. ' ~;'I <br />J <br />i <br />~. ~'' <br />f~ If <br />ii <br />~„ ~ <br />Is property worked contiauouslyt____-~/~~ --------------- -------- <br />If work has been etopped,state when___ _ __________________ _ _____ __ _ ______________ <br />Na/ry'Jq ,title and nddreas~~f pe//rs~~on~~~~in charge of work for you_~Y~ ,. ~ -- ---------- ---- <br />State the character of ore_________///__ _____ _ -__ ______________ ~ ___ , <br />State the value of the ore_______ `.1rfeCt_ _ ~ ~~_ ~ 'V ~~?~!!'t~• <br />DIEN Eb1YLOPED <br />No. Employed n No. Employed <br />0 p <br />J/___blachine Drillmen, $~~for_0__hourehift. _~_-Engineers, _ _ _ $a___for_~_hourehift. <br />_! __,linchine Iiclpera, $_~%___for.~p_hourshift. _____Pumpmen, _ _ $______for____hourshift. <br />_~,lliners, _ _ _ $_r~^~for_cQ_hourahift. _____Firemen, _ _ _ $_______`or____honrehift. <br />_____Timbcrmen, _ _ $_~~for.~~J~ourshift. _____i3lacksmitha, _ _ $______for____hourshift. <br />_f __Trammera, _ _ _ $~L~_fo hourahift. _____Teamsters, _ _ _ $______for____hourahift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ $______for____hourehift. <br />_____Topmen, _ _ _ $______for____hoursliift. _____Superintcndent, _ $______for____hourahift. <br />__..__Laborers, _ _ _ $______for____I~ourshift. _____OlTice Iiclp, _ _ $______for____hourahift. <br />_____Assnyers, _ _ _ $______for____I~ourshift. _____bfillmen, _ _ _ $______for____hourehift. <br />_____Taectricians, _ _ $______for____hour-shift. _____R'ntchmen, _ _ $______for____hourshift. <br />---------------- - - $-___--for----hour shift./ ----------___--- _ - _ g -_---- for----hour shift. <br />Average number of men employed this year____(~______________________ _______ <br />Is there n mi114-------------- ~ Q------------------------------------------------------- <br />----- <br />Name of mill-----------------------------------Imcation of mill-----------------------__-- <br />------ <br />Character of mill------------------------------------------------------------------------------- <br />-------------------------------------------- <br />---------------------------------------------------------------------------------------------- <br />Capncity of mill---------------------------------~phen was mill erected---------------------__---- <br />Give list of buildings, trnm~vaye and other surface improvements ___________ <br />----------------------- <br />------------------------------------------------------ <br />~7-,--"-- ------------ $-- <br />Cost of surface improvements mode in 19L~ _ _ _ Cwrt~_ _ <br />State amount and character of underground development: <br />Total Dev lopment <br />Shafts ____..~~~ ___ __ ft. <br />- --- - <br />ZVinzce -----``"~~1 ~ ~ -- - - <br />~g- --------=-ft. <br />Drifts ---------~:f%o_~~------ -ft. <br />Crosscuts _______~ l~__________ft. <br />Amonat Dono in 1913 <br />________ ___ft.; coat per it., $__________ <br />____________ft.; cost per ft., $_..________ <br />____________ft.; coat per ft., $__________ <br />------------ft.;coet per ft., ffi---------- <br />$ave you reported to this department all fatal and non-fatal accidents/occurring to workmen in the <br />twelve months preceding the date of thin report, se required by lnwt ____/!_~___~~ <br />Remarks:----------------------------------------- <br />--------------e -: <br />Signe~ _,-____ <br />By--------------` ~ /...K ~ --- <br />----- <br />