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i; <br />`1~1 I If yon have given a lease to others for all or art of the <br />p property, state the names of the lensing com- <br />ponies, partnerships or individuals: <br />i Name i<Innager P. 0. Address <br />.' <br />----------------------- <br />- -- <br />I ; <br />~~~ ------------------------- <br />Is property worked continuously 4__ ~ ~?•°~/ h°_~'_~c{(_ <br />'i,l -------------- <br />11 ; ~ If work hna been stopped, state when__4~Lt~_*_-±e,,.Q ~yy_a~_~_~ ~U ~ /., l - <br />f Namc, title and address of person in ebnrge of work for you___~-ss~gles~_~ _/1 <br />0 -~ ----- <br />t State the cbnrncter of orc___ ~'_~-~~~!r_eC2g_~_____________________________________ <br />I1;• ~ ~ ~ State the value of the ore_____~!?~__[a ~ .~ /fU ~- <br />1 ' iIIEN EDIYLOYED <br />~ No. Employed No. F.mploycd <br />N~ ' ',~~ <br />__ 1[nchiac Drillmen, $______for____honrsbift. _____Engiacers, _ .. _ $______for____hourahift. <br />n,l I 'linchinc IIelpera, $______for____hourshift. _____Pum men, <br />II __//~ P - - $______for____honrahift. <br />I~, ~ -!!__itfmora, _ _ _ $______for____hourehift. _____Firemen, _ _ _ $_____ °or____honrshift. <br />~ ___Timbcrmen _ $______for____hourshift. _____i3lneksmitl~s, _ <br />i - _ $______for____hourahift. <br />If i _____'1'rnmmera, _ _ _ $______for____hourehift. _____Tenmatera, _ _ $______for__...-bourehift. <br />~ _____Ore Sorters, _ $______for____hcurshift. _____Foremen, _ _ <br />- _ $______for____hourahift. <br />~~ ' _____Tapmen, _ _ _ $______for____hourahift. __1__Supcrintendent, _ $______for____hourehift. <br />_____Laborers, _ _ _ $______for____hourshift. _____011'ice IIelp, _ _ $______for___J~ourahift. <br />~lsanyere, _ _ _ $______for____hoursbift. _____~[illmen, <br />-----• <br />_ _ _ $______for____hourahift. <br />_____Plectricinns, _ _ $______for____hour-shift. ____R'utchmen <br />- - $______for____hourabift. <br />4 ---------------- - - $------for----hourehift. ------- <br />' --------- _ _ $______for____lionrehifk. <br />i <br />Average numl~cr of men employed this year_______________________________ _ <br />' 1 --------------------- <br />~i I Is there a mi114----- ~------------------------------- <br />Nnme of mill----------------------------------Location of mill--------------------------------- <br />~ cbnrncter of mill_______________________ <br />~I <br />Capacity of mill__ ______,__ ____________________~Vhen woe mill erected//__________________________ <br />~' Oive lis~t•,o~,f, bynildinpg~e,tr~amways and other surface improvements _..~_oZf~. _ ~ 1, {~„~~, <br />~ // = z°~'-'fir- ' -- ---'E ~~'-= r <br />---------- <br />--------------------------- <br />i Coat of surface improvements made in 191_ _ _ 7Lr,..~ _ _ _ <br />' ~ State amount and character of under $ ---------- <br />I ground development: <br />Total Development Amount Done in 191 <br />Shafts ____________ _________ __ft.;caet pet ft. <br />- -------ft. <br />Winzes -----"311-----------------ft. ------------ft.; cost per ft., $_..-------- <br />~~ <br />~ Drifts _________ <br />' --- ----------------ft. ------------ft.; coat er ft., <br />p (7 p $---------- <br />~;~ Crosscuts ______p __________________Pt. ________-___ft.;cost per ft. <br />1 $nvo you reported to this department all fatal and non-fatal necideata occurring to workmen in the <br />' ~ twelve months preceding th date of thphis~ repo~rt, as required by lnwl ____________ _- _ <br />,`. Remarks:-------~~..-.~bfs~ss!__ ~uS---~.~co <br />------------------- <br />--------------------- <br />--------------- <br />i <br />--------------- <br />---- - <br />----------- <br />Signed-----="~- ~ . <br />'Ltd,-------Company. <br />is ~ r o <br />t1 ~~!`1 Title_______~2eslY- <br />i SIN ~. ~ ~. `J ----------- <br />