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i~f <br />~~ <br />~~~ ~ <br />(t <br />~ f <br />I! i <br />' , <br />1 ; <br />i , <br />I <br />1. <br />I <br />I <br />i~ <br />I <br />Ei <br />I <br />I <br />;I <br />1 <br />f: <br />If yon have given a lease to others for all or part of the property, state the names of the leasing com- <br />panies, partnerships or individuals: <br />Nam itfanager P. O. Address <br />------ -~ ~'-_ "u__~_°_ ~ ---- -- - ----------------- r <br />~e~,, ~ ~ - ---- ------,- --~ <br />Is property worked continuouslyi_4R s~ st+_! ~!~~---------------------------- <br />If work has been atopped,stnte when__________________________ _ ____________ __________ <br />- -- ---- <br />Name, title and address of person in charge of work for you_ ~~,~~~~o~^'_ S' <br />_________________________ ______________/_____.____________ J _ _________________________ <br />State the chnrneter of or _ _ ~~ __-- ____-- _ cc[~~ . -"~, auc./ <br />- - - --- -- <br />State the value of the ore_~ ~!~.rC= _ ~__ (1~s~'/_z_ _~__~_ary_tr ~~'-_____ <br />••---~bfE//N E14fYLOYED <br />No. Employed No. Employed <br />____liaehiae Drillmen, $______for____hourahift. _____Engineers, _ _ _ $______for____hom•ahift. <br />____111nchiac Ilelpere, $______for____hourshift. _____Pumpmen, _ _ $______for____honrahift. <br />_____,llinera, _ _ _ $______for____hourehift. _____Firemen, _ _ _ $______!or____hourshift. <br />_____Timbermen, _ _ $______for____I~ourshift. _____Blneksmitha, _ _ $______for____hour shift. <br />_____Trammera, _ _ _ $______for____hourahift. _____Teamatere, _ _ _ $______for____hourshift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____l~ourahift. <br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____honrshift. <br />_____Lnborers, _ _ _ $______for____hourahift. _____O11ice Help, _ _ $______for____hourshift. <br />_____:lasnyere, _ _ _ $______for____hourel~ift. _____1llillmen, _ $______for____l~ourahift. <br />_____Electricinns, _ _ $______for____hour-shift. _____tiVntchmen, _ _ $______for____hourahift. <br />---------------- - - $-__---for----hour shift. -------------_-- _ $--__--for----hanrehift. <br />_ ~ <br />Average number of men employed this yenr~2?` ___ _•~'?~ °~/rr /~ ~ <br />Is there a millT_~______________________________ <br />--------------------------------------------- <br />Nnme of mill-----------------------------------Location of mill--------------------------------- <br />Charncter of mill----------------------------------------------------------- <br />-------------------- <br />------------------------------------------------------------------------- <br />Cnpncity of mill---------------------------------~phen was mill erected--------------------_---_-- <br />(}ivc list of buildings, tramways and other surface improvements ______________________ <br />Cast of surface improvements made in 191___ _ <br />- - - - - - - - $f_!~?bc!_~cc~~_ <br />State amount and character of underground development: <br />Total Development Amount Done in 191 <br />FiS'e~00a/ CONC/~Ei G" <br />Shnfta __d_'22'___________ /b•~.r ____ft. ____________ft.; cost per ft. <br />S~Tinzes __________________300--___ft• ___--ft.•cost erft., <br />------- P $---------- <br />Drifts .ao 0 0----------~06 ° ---ft. '~"~v,"_~o °-----ft.• cost cr ft. r^ <br />-~- - ~ P <br />~------ <br />Croascnte __________________ !Co ___ft ____________ft.;coet per ft., $ <br />$ave you reported to this department all fatal and non-fatal necident~ oecnrring to workmen is tha <br />twelve months preceding the date oP this report, as required by lawt ~~~!!e` <br />------------- <br />Remarks:-------------------------------------------------------------------------------------- <br />------------------------------------------ <br />-------------------------------------------------- <br />--------- -"G / --Comp~nJr. <br />By--- --- --------- ~~. <br />i ---r--------°_-___--__ <br />Title----- --- <br />