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<br />If yon have given a lease to others for all or pa_ rt of the property,` fate the names o,~{{ the leasing com•
<br />ponies, partnerships or individuals: ~ ~~~ cyle~(- x2Ad(,r
<br />Name iyLanager P. O. Address
<br />----------------------------- ----n--A--_----------------------
<br />Is property worked continnonslyt____!Ltl~__ _
<br />. /1~-~- --JJ------ ~--~-,-t.--------/--~-,~-~--Q-- --------f-------
<br />If work has been stopped, state'when----Vie-s`-.~S9e~'S._-`-`-~'--y-n~E!:~A%'-~ --p'-.~'- -
<br />Nnme, title„and.nddreas of perso ~n chnree of work fo yo~ __N_9=~~~_aCC__
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<br />State the character of ore_--"~,'~~~~--~i~'~+~'1-- ---------------------------
<br />State the value of the ore__ ~.1}~.or_~~_'~~~`_~_~_ ~__~_~~ ~e!`_~_~____________________
<br />iSiEN Eb1YL0YED
<br />No. Employed No. Employed
<br />~'L??"Ulfnchine Drillmen, $______for____hourahift. ~taYSl.Engineere, _ _ _ $______for____hourahift.
<br />~?^_i_D[nchine Helpers, $______for____hourshift. ~jZe'!"4Pumpmen, _ _ $______for____hourebift.
<br />_~i_Miners, _ _ _ $_~[or$'_hourahift. (jliav_K~..I'iremen, _ _ _ $_____ °or____honrehift.
<br />f}'}~SY`LTimbermea, _ _ $______for____hourahift. (yl.!>,ti_I3lneksmitlis, _ $______for____honrehift.
<br />/jQar_i_Trnmmers, _ _ _ $______for____hourahift. QLa:+cC.Tenmetera, _ _ _ $______for____hourahift.
<br />~1~~-_Oro Sorters, _ _ $______for____hourshift. ~d_Foremen,
<br />_ _
<br />_ $______for_ __hourehift.
<br />~?F.Y_~f.._Topmen, _ _ _ $______for____hourshift. //yy~~,~,,,"~~~
<br />'it(1r_k.Superinteadent, _ ~-~~._ [or_~~'_honrshift.
<br />(hoti_-t.-_Laborera, _ _ _ $______for____hourshift. nn~^,~~II"-'•Office Hel
<br />~~`` P, -
<br />- $______for_- _hourehift.
<br />ry~r+:~i~__Aaenyera, _ _ _ $______for____hourehift. _ 1<lillmen
<br />~ !. _ _
<br />_ $______for____hourshift.
<br />~o?~t.~_F,leetricinna, _ _ $______for____hour-shift. __ Watchmen
<br />-
<br />- $-----_far____hourahift.
<br />---------------- - - $______for____hourehif
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<br />~llmas~.Q~eaY?~.ty _ $3~9for$_honrshift.
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<br />Average number of men employed this ycnr____Q1~lJCSi,~,__________
<br />-----
<br />--------
<br />
<br />IB there n milli---~e[T-------------- ----------------
<br />--------
<br />
<br />Name of mill ___ _CY1~4Y
<br />~-~ ---------
<br />----------- ---------------------------
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<br />_________-
<br />Charneter of
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<br />i~,------ ------------------------ -----------------------•
<br />------------------- --------------------------------------------------~--~,--~- " ~~~~7~--~~
<br />Capacity of mill-- -4.~Q,r_fYt,ov~t____________\Vhen wne mill erected__/L_a1~~/_
<br />------
<br />Give lis'~ings, t~ r~ways and other aurfaee improvem nta - - '~~-wa.~ c~!ty_6--
<br />------------- ---
<br />---------------------------------- --------------
<br />----------- ---------------
<br />• .,
<br />Coat of surface improvements made in 191 _
<br />State amount and character of underground deve]opment:
<br />T,~~otppal~ ~Defelopment Amount Done in 191~7~
<br />Shafts __ld~t>~t~ __~1~____--____ft. ___--------_ft.; cost per ft., $------__--
<br />Winzea __Q q~qY_~-----------------ft. ----t~-------ft.; cost per ft., $----------
<br />Drifts __ ~`4"Q------------------ft. ,[~____ft.; coat per ft., $.l_Q_ ~~
<br />~-y '- ,' ~+ge1~~q~t~Yt(Yl.Q~-_Y Z.Q_.__tt. _ _ t.; coat par ft., $ T__
<br />V ~'~~a/4~e~..... on. ?ltr.1. 4/8'0 ,¢~ f7dnM+e..,..cw 9rl.,.,. j'0t~
<br />Dave you reported to this department all fatal and non•fntal accidents ocen 7
<br />/~~~~~~,, g to workmen is ~jJhe ,~
<br />twelve months receding the date of this deport, as required by lawt _~YX._~_1~r~G
<br />.~
<br />Signed__ t~,p~vh„89nG~~mPanY
<br />By-- -~~--._~i..~.~~ ----------
<br />~ r ~- 0,
<br />Title----(!-~~~4'C11~^^~`
<br />
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