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I~~~; I <br />i I <br />~~ <br />~~,~ <br />~~,I, <br />~~ <br />I <br />~. <br />~ I i <br />r <br />I~ <br />II~ <br />t <br />I i <br />~~ ~ <br />If•yoq,h$ve given n ]ease to others for all or part of the ro art state the names of the Iensin <br />panies, partnerships or individuals: p P y' B com- <br />Nnme Dfannger <br />~~ ~ "~ ~ ~~ P. O. Address <br />----------------------- _ __ <br />Is property worked continuouslyt_____,'___~'_ G-___ ___ <br />If work lens been sto ---'-~- <br />~7' -------------- <br />PPed,state when__ __ _ ~ = C~_-_--- -- <br />---- <br />--- ~=~° ' <br />Name, title and address of person in charge of work for you_____________ ~_ ____ ~-~~~ <br />----------- <br />State the character of ore. _ __ _ ~ -_____ <br />----- <br />_ _ _ __ --- <br />State the value of the ore_______1i ~-- <br />No. Employed EfEN E-fYLOYF.D <br />____lfnchineDrillmen S______ A'o.F,mployed <br />~~ for____hourshift. _____Engineers, _ _ <br />--___3lachine Helpers, $______for____hourshift• - $------for____honrehift. <br />----- <br />-____Jfinera, Pumpmen, _ _ $______for____honrehift. <br />- - - $---___for____hourahift. ___ <br />_____Timbermen, _ -Firemen, _ _ $______ror---_hourehift. <br />- S--____for____}~oursliift. _____ <br />-____Trnmmers. _ _ 131ackemiths, _ _ $______for____hourahift. <br />- $----__for____hourshift. _____ <br />-____Ore Sorters, _ Teamsters, _ _ _ $______for____hourahift. <br />- $---___for____hourahift. ___-_ <br />---- Topmen, _ _ Foremen, _ _ _ $______for____lrourstrift. <br />- $----__for____hourshitt. ____ <br />_____Lnborcrs, _ _ -Superintendent, _ $______for____Irourahift. <br />- $----__for____hourshift• _____O~ce Hel _ _ <br />--___:lssnyers, _ _ P. $____-_for____)rourshift. <br />- $----__for____hourslrift. _____ <br />-----Electricians, _ 111rllmen, _ _ $______for____hourehift. <br />---------------- $----__for----hour-ehift• ..----«'ntchmen, _ <br />- - $-_____for____lrourslrift. - $------for____hourehift. <br />//]] ------------'--- - $------for----hourehift. <br />Average somber of men employed this yenr_ ~Y1_^_ <br />Is there a rni11P______ ~_'J/ .~ -` -~'`~`" f ~-Z-L~~r _~~ <br />--- --------- <br />------------------------- --- ------- <br />Name of mill------------------------- -----------~ ------- <br />-----____Location of mill______________________ ~`-_ <br />Character of mill_____`- ________ <br />----------------------------------- ------ - -- --- ------------------------- <br />--------------- ----------------------------------- <br />-------------------------------------------- <br />Cnpncity of mill----------------- -----__---- <br />----------------- <br />Give list of buildings, tramways and other surface imp ovem smell er~eted-\ _~_.__-~ <br />---------------- <br />-------------------------------------- <br />----------- <br />Cost of surface improvements made in 191___ <br />-------------------------------------- <br />Stnte amount and chnrnetor of uadergrouad development: <br />____ <br />Total Development <br />Shnfte ~.~ (___ ~ monnt Doae in 191l~ <br />Winzes ---------------- ----- <br />--_____ft.; coat per ft. <br />------------ft. ~$---------- <br />Drifts ________________ ---------___ft.; coat per ft. <br />-------------it. ' $---------- <br />Crosecuta -------- ----------__ft.; cost per ft., $---------- <br />------------------ft. _ <br />$nve you reported to this department all fatal and son- ft•% coat por ft., $__________ <br />twelve months pr cedia t e - fatal nccideata occurring to workmen in the <br />g, b dnt of this report, ae roquir d by lawt -_____ <br />Rem~rks:__ ~/ <br />_ _ <br />----------- <br />--------- -- - <br /> <br />~iae__.1 ~ <br />---- <br />