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l If yon havo given a lease to others for all or part of the propor4v,-state the names of the leasing com-
<br />paaies, partnerships or individuals:
<br />1 ! Name binnager P. O. Address
<br />~ i
<br />,: I ______ ______________.____
<br />~ ~ Is property worked goatinuoualyf___:al,,.--------------------------~:----~----------------------
<br />1;'Ili~; 191.1. t 1'.,
<br />If work has been stopped,state whcn-------- -------------------------------°--------^----------
<br />+ ~ Name, title and address of person in charge of work for you--__..:~__F..._:;::I =`,_2~-=LL-ii_':L:1L____
<br />f ---- ---------------
<br />I ------------------ z `-•---'--~-~--------------
<br />State the character of ore---=_L_____~ ~ U _. _-------- --'----------------°-----------------------
<br />,1 State the value of the ore__,:u_.!'~_iL:_~-------------------------------------------------------
<br />MEN EbIYLOYED
<br />~ No. Employed No. Employed
<br />~ ____llachine Drillmen, $______far____hourshift. _____Engineers, _ _ _ $______for____homshift.
<br />~___blachinc IIelpers, $______for____hourehift. _____Pumpmen, _ _ $______for____hourahift.
<br />__~?_blinera, _ _ _ $__ __for_~_hourshift. _____Firemen, _ _ _ $________°or____honrshift.
<br />_____Timbermen, _ _ $______for____liourahift. _____Blnekamitt~s, _ _ $______for____hourshift.
<br />_____Trammera, _ _ _ $.._____for____hourshift. _____Tenmstera, _ _ _ $______for____hourehift.
<br />_____Ore Sorters, _ _ $______for____hourshift. __ ~_Poremen, _ _ _ $__6___forl~__hourahift.
<br />_____Topmea, _ _ _ $_____-for____hourahift. _____Superintendeat, _ $______for____hourahift.
<br />_____Lnhorera, _ _ _ $______for____hour shift. _____Olf~ce help, - _ $______for_-__hourahift.
<br />_____Assnyers, _ _ _ $______for____hourahift. _____lllillmen, _ _ _ $______for____hourahift.
<br />~ _____i'slectricinns, _ _ $______for____hourahift. _____\Vntchmen, _ _ $______for____hourshift.
<br />~ ---------------- - - $-___--for----hour shift. ---------_---_-- _ _ $_-----for----hour shift.
<br />Average amnbcr of men employed this yenr_ x~~ ,~ ____;:(';~~,______________.______________.._______
<br />' Is there n mi114------~`1~-----------------------------------------------------------------------
<br />Name of mill___________________________________Locntion of mill_______________________________--
<br />Character of mill----------°-------------------------------------------------------------------
<br />----------------------------------------------------------------------------------------------
<br />Capacity of mill_________________________________\Vhen vas mill erected___________________________
<br />Oive list of buildings, trnmtivaya and other surface improvcracnta __________________________________
<br />r-.. ,,~..... - - _. ., ,..-..~.,
<br />'--- ---j ~-=-~---''-~-------------------------------
<br />Cost of aurfnce improvements made in 191___ _ $___.;z~~i_.1_l__________
<br />~ State amount and character of underground development:
<br />1
<br />Total Development Amonnt Doao in 1913 ;: i ~]'.?:
<br />Shnfta -----------------------------ft. ------------ft.; cost per ft., $----------
<br />~ Winzea --------------
<br />-°-----------ft. ------------ft.; cost per Pt., $_..--------
<br />~~, Drifts -----------------------------ft. ------------ft.; coat per ft, $----------
<br />,,
<br />i. Crosscuts __________________________it. ___________ft. coat ar ft. $__________
<br />- s P ,
<br />~ $avo you reported to this department all fatal and nonfatal accidents occurring to workmen in tho
<br />l twelve months preceding the date of this report, as required by lawt _____I~_'_' . '~_'_'
<br />`'(. Remarks:---------------- -- ----- ----- - ---------------
<br />f~ _• - - ------ - ------- ---- --- --------- -
<br />------------------------ ~t`-rt ,"i f',,'; of ?lt ;7If1i.;~ 51:;Cis 1911 /: iD ','-I..J. i1UT
<br />-----------------
<br />~;
<br />I, ---------------------------------------------------------------------
<br />~~' ~ I
<br />'~~,'' - Signed==1~_;u~'~~}~Ijl/:'~Q4~et~__4f_ OPJ,:di°~~jbontpanr.
<br />,it, BY-u+1.x.7------ ----
<br />- ----- - ------
<br />``~1
<br />i l Title------~ri._.~ CE?i~_"f~P.~-----
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