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<br />If yon have given a lease to others for all or part of the property, elate the names of the leasing com-
<br />panies, partnerships or individuals:
<br />-.. , jgatge ~„ C anager n P. O. Address
<br />t re iIlinois:;uninb S:laillti:;; :.~,'(.'1~~"~'p
<br />------------------------------ -------- ------ ------------- -----------~I_-_~.
<br />i
<br />Is property worked contiauous$•1______~'v ___________________________
<br />If work has bees stopped, state when___: ~_tN~J _AMV 11~__ _C ~.D 0_______________ ______ _
<br />Name, title and address of person in charge of work for you__ l,~/iw"
<br />- ---- --- =--M~.s~.t,r.
<br />--- -.
<br />State the charneter of ore_~Si~t!~'?-v`"= _~'_ '='" ~~~
<br />- ----- ----w --------------------------------------
<br />.e
<br />- ---
<br />State the value of the ore___:;!r~-_-~___g_ ~?`_=r__ __!_~ r¢_Q__~__ _ _ ~tzs~___
<br />D1EN E1,fYLOYED
<br />No. Employed lv'o. Bmployed
<br />~___Jfachine Drillmea, S______for____hoursl:ift. _____Engineers, _ _ _ $______for____hourehift.
<br />_____3tacl:iae IIelpera, $______for____hoursl:ift. _____Pumpmen, _ _ $______for____hourahift.
<br />..2_Sfinere, _ o'v..S'A?^<%t~?7`6z<%~ourehift. _____Firemea, _ _ _ $______!or____honrshift.
<br />_____Timbermen, _ _ S______for____hourshift. _____131ackamiths, _ _ $______for____hourahift.
<br />_____Trnmmers, _ _ _ $______for____hourshift. _____Tcamstere, _ _ _ $______for____hourehift.
<br />_____Ore Sorters, _ _ S______for____hourshift. _____Foremen, _ $______far____hourahift.
<br />_____Topmca, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____Itourshift.
<br />_____Lnborers, _ _ _ $______for____hourshift. _____Office IIelp, _ _ $______for____hourahift.
<br />_____Asanyera, _ _ _ $______for____hoursl:ift. _____\fillmen, _ $______for____hourahift.
<br />_____Plectricinns, _ _ $______for____hour-shift. ____Wntchmea, _ _ $______for____hourehift.
<br />---------------- - - $______for____}tourshift. // _ $______for____hourat:ift.
<br />Average number of men employed this year____•
<br />-d-~'-------------
<br />--- ----------------------
<br />Is there n mi114--------[16'9_-~--------------------------------------
<br />---------------------------
<br />Name of mill----------------------------------t.ocotion of mill--------------------------------
<br />Chnrnctcr of mill-------------------------------------------------------------------------------
<br />Capacity of mil]_________________ _______________~en was mill erected_________ __________---_---
<br />--------
<br />~ve list of buildiage, trnmwa a and other surface improvements _l C!!~"'*~!____________
<br />----------- ------=y'-'-'-z`-~t'------- -------
<br />Coat of surface improvements made in 191
<br />-------- $---6ys,,.o
<br />State amount and charneter of underground development:
<br />y
<br />Total Development / r{ / a ~
<br />O ~ Amount Done is 191~'y-
<br />Shnfta ___________0_2~___ G ____________ft.;coetperft.
<br />ZVinzca ----------------------- ft. __ft.; coat per ft., $
<br />---- ----------
<br />Drifts _____________~1_~_~________ ft, _2 l~ ft.; cost per ft., $_y_: ____
<br />- -----
<br />Crosecuts ___.~~~ _ __ ____________ft. __ft.; coat per ft., $
<br />$ave you reported to this department all fatal and nea-fatal accidents occurring to workmen in the
<br />twelve months preceding the date of this report, as required by lawt _!_jL_o??.(r ,~,. _ ' - - n
<br />mar s:------------------------
<br />---
<br />-----------
<br />-------------
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<br />Signs --- ---------,/--I
<br />~q, --- -Company.
<br />By----~-6+'-~------'-------------
<br />Title-----~_Q_,e.r-t.Q4-,.,,,i--.
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