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E f <br />I <br />il` <br />alil <br />l~ <br />~,~~ <br />I ~'~ Ifj <br />i <br />fi <br />f~ <br />P' ~ <br />~~I ' <br />i <br />~. i <br />If you have given a lease to others for all or part of the property, state the names of the leasing com- <br />~ ' panics, partnerships or individuals: <br />• I' Nnme Manager P. O. Address <br />' i. <br />~~~ <br />'I' <br />-. <br />Is property worked continuouslyt________ _______________________ <br />~'~j~ --------------------------- <br />~ If work has been stopped, state when____el_~fi_f~t-_.___1_-_ ~ ______1~~~ <br />________________________ <br />Nnme, title and address of person in charge of work for you____________~____________________ <br />-------- <br />--------------------- <br />~ State the character of ore____-~ _ __yY.y~~__ ~_ _____ <br />+ • State the value of the orc____~_ y~ ~ <br /> <br />~I MEN E111YLOYF,D <br />C6 No. Emplo}•ed No. Employed <br />~ ~ .___dfnchine Drillme n, $______for____hourshift. _____Engineers, _ _ _ $______for____hourshift. <br />~~, _____\tnchinc Hclpcrs <br />y , $______for____hourshift. _____Pumpmen, _ _ $______for____hoarshift. <br />_h__Miners, _ _ <br /> <br />+ _ $_.$___for_~hourshift. _____Firemen, <br />- _ $______for____hourehift. <br />~ _1___Timbcrmen, _ _$_~cfor_~_I+ourshift. _____£llaclsmiths, <br />_ _ $______for____hourshift. <br />_____'I'rnmmers, _ _ _ $______for____1+ourshift. _____Tesmsters, _ _ _ $______for____hourehift. <br />__..Ore Sorters, _ _ $______for____hoursl+ift. _____Foremen, _ <br />_ <br />_ $______for____hourshift. <br />_____Topmen, _ _ <br />~ _ $______for____hourshift. _____Supcrintendent, _ $______for____hourshift. <br />__-__Lnborers, _ _ _ $______for____hourshift. _____OtRcc IIclp, _ _ $______for____hourahift. <br />_____:lssnpcrs, _ _ _ $______for____hoursl+ift. _____\[illmen, _ _ _ $______for____hourshift. <br />_____Rlectricinns, _ _ $______for____hour•shift. _____\tntchmen, _ $______for____hourshift. <br />---------------- <br />i _ $______for____hourshift. ________________ <br />- _ $______for____honrshift. <br />I <br />+~ <br />I <br />~~fs f + C <br />Average number of meu employed this yenr_____.~ <br />----------- <br />s there a mi114------------m~----------------------------------------------------------- <br />Nnmc of mill-----------------------------------Location of mill--------------------------------- <br />' Character of mill------------------------------------------------------------------------------- <br />Capncit}• of mill______ __________________________~~*hen was mill erected _____------____------_---- <br />/ -------- <br />n•e list of buildings, trnmwnve and other surface improvements ____ ``/ <br />_ ._ _ <br />----lr`-O. _ L~,Q'_-- ~ ~.-Win'--~ Q C~^-,~~f.~~-~i~ -------------- .. <br />- ------------------------- <br />---------------------------------------------- ___ <br />-- ------------------------ ------- <br />Cost of surface improvements made in 191___ _ _ _ _ _ _ <br />State amount nad character of underground development: $ <br />Total Development Amount Doue in 1913 <br />Shafts -----------------------------ft. <br />-------_____ft.; cost per ft., $__________ <br />R'inzes -------- ------------------ft. ------------ft.; cost per ft., $_..-------- <br />Drifts -------~~~-----------------ft. -----~j`--- <br />- ft.; cost per ft., $_~.______ <br />Crosscuts -------------- --_ft. __________--ft.;cost per ft., $----____-- <br />$ave you reported to this department all fatal and aon•fatal accidents occurring to workmen is the <br />twelve months preceding the date of this report, as required by InwT _______________________ <br />Remarks:-------- ~ ------------------------------------------ <br />---------------------------------------- <br />Signed_________ <br />-------- <br />---------- Company. <br />~` I . ; Title-----___-- <br />t~ • f <br />.! <br />