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'~ ~ f ( i It you have given a lease to others for all or part of the property, elate the names of the leasing com• <br />ponies, partnerships or individuals: <br />r <br />Name 11lanager P. O. Address <br />i <br />i , -------------------• <br />I, <br />----------- ------------------------------ ------------------------------ <br />------------------ <br />i <br />III Is property worked continuouslyf___~il.~~------------------------------------------------ <br />1 ---- <br />,l 1, <br />If work hoe been stopped,stnte wben------------------------------------------------------------- <br />4 ~'~ ~ Nnme,titlc and address of person in charge of work for you_______________________________________ <br />I it ~ -------- <br />State the character of ore_ _____ <br />I pp- -- -~--- - ---- ---- ---------------------------- <br />State tl+e value of the ore___ _________ __ ~--~-------------------- <br />I i --- <br />I 1 AIEN EAfYLOYED <br />1-; No. Employed No. Employed <br />III a-__Alnchine Drillmen, $~~~_for_~hourshift. _____Engineers, _ _ _ $-_____for____hourehift. <br />j;l _____alncl+inc Ilclpers, $______for____bourehift. _____Pumpmen, _ _ $______for____hourahi[t. <br />,I ~~o <br />It _~__3[mers, _ _ _ ~for_ _hourahift. _____Firemen, _ _ _ $_______•or____hourehift. <br />I Timbcrmen, _ _ $______for____honrshift. __l_i3hicksmitha, _ _ $3°_°__for_~_hourshift. <br />I ~,f ' _ Trammels, _ _ _ ° o <br />~_ $a~____for~_hourshift. _____Tenmstcre, _ _ _ $______far____Itourahift. <br />~, _____Ore Sorters, _ _ $______for____hourshift. _____p'oremen, _ _ _ $______for____hourshift. <br />I' _____Topmen, _ _ _ $'_q_____for_ r_,_hourshift. _____Superintendant, _ $______for____haurahift. <br />1I _~__LnberCTa, _ _ _ ~t1.°_°~_for_7t_hourshitt. _____Ofiice Ilelp, _ _ $______for____hourshift. <br />i ~j ___--Assayers, _ _ _ ' _ -' _ _ _ $~~_for_ <br />$______for____hourebift. ~ 'Ifillmen _hourahift. <br />i _____Electricinns, _ _ $______[or____Iwur-sl+ift. _____~Vatchmen, <br />_ _ $______for____hours}+ift. <br />' ( ---------------- - - $____--far__--hourahift. --------------__---- _ $ ----- for--- hour shift. <br />'II`I I Average number of mCe~n e~m~p~loyed this year---t~__----- _--_-- <br />I ~` Is there n mil~l/i,~'`-__t7n___`--------- L,~''__//e ---------------------------------- - <br />FI~ ~ Name o[ mill /-0~-7~1_L`_~.~?1_~li !~_Location of mill__~~d__±~'__1~~5-~!~!~~--- <br />+ C/harnetcr f mill_ ~___ _ _ _ __ __ __~~ _ <br />I - - ------- -- --- ~ <br />-- ---- - --- ----- ------ <br />' - -- <br />Capacity of mill______~D__~aL,!_ _~ Vhen was mill steels ~~1_~~l_______________ <br />I' ~ Oive list of huildinge, tramtanye and other surface improvements -----~~~'„~!~' n' - ' <br />a.i <br />I' _____________________________________________________________________________________________ <br />Cost of surface improvements made in 191 _ _ ~- <br />-~ - - - - - - - - $~d.~n_o---------- <br />j' State amount and character of underground development: <br />t <br />Total Development n Amount Done in 191 <br />~ / <br />Shafts :___lGS ___ y'~_•~-r,_pt. <br /><y"/- •'---ft. • coat per ft., $I~C_~'~-- <br />Nivzee~ _~Gc} __________pt. ,/(,. ~r_~( _ft.; coat per Yt., $~A ~ <br />qq ~~ ~ --- <br />--- <br />Driftt~raS <br />/ -- ------------------ft. -----ft.• cost er It., <br />{,' ~ Crosscuts 1_~Q_ /~f ~ p $ <br />y""'' ------------tt. ------------ft.; cost per ft., 8---------- <br />I' $ave you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, as required by law! __ ~-(~_ <br />Remarks:---------------------------------------- <br />---------------- <br />----------- ---- <br />----------- - ------ - <br />------- <br />Signed-----_ _m-,-- _-- _ Company <br />- <br />i"' <br />t, y. Y------------------------- - <br />i~I ~ _ ---------------- <br />rr <br />----- --- <br />~~ j 1~--' <br />~p A l 1 I <br />