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~'~, ~~' <br />If yon have given a lease to others for all or part of the property, state the name o \ieasing com- <br />~ i ~ panies, partnerships or individuals <br />~ Name )tanager P. . Address <br />f !I <br />-------------------- ------ t. <br />1 ' - -------------- <br />-- <br />---- <br />Is property worked continuouslyt_____________________________________________________ <br />' ~ IY work has been stopped, state when_________________________________________________ <br />Name, title and address of person in charge of work for you_____________________________ <br />r' <br />---------- <br />State the character of ore_________________________________ <br />I State the value of the ore--------------------------------------------------------------- <br />------- <br />~ ~ I ~fEN E~IYLOYED <br />•~ No. Employed No. Employed <br />~ ~[achine Drillmen, $______for____hourahift. _____Ea avers, _ <br />i -`~~ 67 _ _ $______for____honrshift. <br />' ~___ltachine fIelpers, $______for____honrshift. _____Pnmpmev. _ $______for____hoarshift. <br />1 <br />fl 1 _~_S[iners, _ _ _ $a_`_'_for_~_hourshift. _____Firemen, _ $______!or____hanrshift. <br />~~ _____Timbermca, _ _ $______for____hourshift. _____f3lacksmiths, _ $______for____hoarshift. <br />j _____'Prammers, _ _ _ $______for____hourshift. _____Teamsters, _ _ $______for____hourahift. <br />_ _____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ $______for____hourshift. <br />__ _ Topmea, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____honrshift. <br />_____Laborers, _ _ _ $______for____honrshift. _____Office Ilelp, _ _ $______for____hourshift. <br />_____ASSayers, _ _ _ $______for____hourahift. _____Slillmen, _ $______for____hourshift. <br />_____Electricians, _ _ $______for____hour-shift. _____R'atchmea, <br />_ _ $______for____hourshift. <br />---------------- - $------for----hour shift. ---------------- <br />_ _ $______for____honrahift. <br />Average number of men employed this year____~._ <br />7s thrre a mill t-------------------------------------- <br />-- <br />Nnme of mill----------------------------------Lxation of mill------------------------------- <br />-- <br />Character of mill------------------------------------------------------------------------------- <br />i <br />i ----------------------------------'- <br />I --------------------------------------------- <br />~, I Capacity of mill_________________________________When was mill erected___________________________ <br />c Give list of buildings, tramways and other surface improvements _______________ <br />1 <br />---------------------------------- -------------------- <br />' ~' Cost of surface improvements made is 191___ _ _ _ _ _ _ <br />' ~ State amount sad character of underground development: $ <br />Total Development Amount Doae in 191 <br />Shafts ------------------------ ---ft. <br />_-- ------------ft.; coat per ft., $---------- <br />~ Wiazce ------------------15 ------ft. ------------ft.• coat er ft. <br />Drifts ~ P , $_.._L.0__ _` <br />II --------------------~0-----ft. ft.; cost per ft., $---~- <br />' ~ ------------ ~O <br />--- <br />Crosscuts ----------------~"~ -----ft. ------- <br />_____ft.; coat per ft., $___(~ <br />~ ~ ! $ave you reported to this department all fatal and aon•fatal accidents occarring to workmen in the <br />,r f twelve months pr ediag the date of this report, as required by ]nw} ____~a~ ~.~_ <br />. ~~ Q / <br />t ' -- --~`-~et~~----° <br />~ ~ Signed----____-- <br />-- -~ <br />lf ;: ~ ~~ -~ -----------Company. <br />' 7 <br />r, <br />I a By-- ~ ~7. <br />i a' ,' ;' <br />~ ; <br />I i ~ Title------_~ o ~1( <br />