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yl. " ~ I <br />l'.~~ i <br />`I I <br />,kk <br />I, ; <br />i il!Ir <br />i <br />~I l <br />a <br />d. <br />I ~ <br />~~ <br />U, ~, <br />c <br />II <br />i <br />9i <br />~' <br />', , II <br />I ~ I ~ , <br />' i <br />.I ,~ <br />E ~' !,: <br />'4 <br />? 1. <br />It yon have given a lease to others tor.all or part of the prpparGy, -state the names of the ]easing com• <br />panies, partnerships or individuals: <br />Name iVinnager P. 0. Address <br />-------------------------- <br />--------------------- <br />Is property worked continuouslv}__~U <br />---------------------- <br />- -------------------------------- <br />work has been stopped, state when___~~±X _ <br />--------- - ______________ <br />Name, title nad address of person in charge of wort: for you____ <br />----------------- <br />_________________________________ C'-..~M <br />-------------- <br />State the character of ore_____ ~ _ ` ~ ~`~`~f`i------- <br />- --- <br />State the value of tl~e ore_ ~ ------------------ <br />-------------- <br />y <br />3fEN E111YLOYF.D <br />A'o. Employed <br />No. Employed <br />____lfnchiae Drillmen, $______for____hourshift. <br />~___3inchine Hel era -----Engineers, _ _ _ $______for____honrahift. <br />P S______for____hoursl~ift. _____Pumpmea, _ <br />_3__3finera, _ _ - $______for____honrahif*_. <br />- $1k ~_for_ `~_hourehift. _____ <br />--___Timbcrmeu, _ _ $___- Firemen, _ _ _ $______!or____honrahift. <br />__for____f~oureliift. _____I3lnekamiths <br />Trammere, _ _ ~ - - $----__for____hourshift. <br />---~- _ $-_____for____hourahift. _____ <br />_____Ore Sorters, _ , Teamsters, _ _ _ $______for____honrehift. <br />- fi______for____hourahift. _____Foremen, _ _ <br />_____Topmen, _ _ _ G___ - $______tor____honrshift. <br />__for____hourshift• ___Superiatenden <br />-____Laborera, _ _ t. - $______for____honrshift. <br />- $-----_for____hourehift• _____ptlice Help, _ _ <br />assayers, _ _ $______for____l~ourahift. <br />'-' _ $______for____hourehift. <br />_____Electricinns -----Illillmen, _ _ _ $_, ____for____hourehift. <br />- _ $______for____hour-shift. ____Watchmen, _ , <br />_ - ¢______for____I~ourshift. <br />--"--_-- - $---___for____l~ourshift. <br />---------------- - $------for----hourehift. <br />Average number of men employed this yenr___~______ <br />Ia there a millf____~,~_ --- <br />------ <br />------------------------------- <br />Name of mill___________________________________1 ocation of mill_______ __ __--___---_-_ <br />Character of mill--------------------------------------------------------------- <br />----------------- <br />Capacity of mill--- ------ ---- -----------------«'hen was mill erected--------------------------- <br />Give list of buildings, tramways and other surface improvements __ _ <br />-- --- <br />------ <br />Coat of surface improvements made in 1911,_ 'Y1t _ _ <br />State amount and cbaracter of under ~~-~~ ~~- LhDpy-i _r` 1 Y t tl <br />------- ------------ <br />ground development: <br />Total Development <br />Shafts ------------------ Amount Doae in 1912'~f <br />-----------ft. <br />~'inzce ___________- ---------___ft.; cost per ft., $ <br />-------------- ft. ---------- <br />Drift9 __[_¢t>s~.----------------------ft. ---- -------ft.; coat per ft., $---------- <br />Croeacnts ___+io_~edy_ -----Sw___-ft.; cost per ft., $_~-- <br />----- ___ <br />$ave you reported to this department ail fatal and nos- ft ' 00~ per ft., $__________ <br />twelve months preceding the date of this re ort fatal accide s ocenrring to workmen in the <br />Remarks:---- p ~ ~ required by ]awf - <br />--~!•+~=.}L~d±____ __~:a_ _ _ Vino-'"-`-- - --- 'K"+l~ <br />_ -- --- <br />_- _ <br />---_---- <br />----------- <br />Sigaed___ _~~~_ <br />n_ <br />______ <br />17t1e_________ __ <br />