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i <br />I <br />i <br />i. <br />~: '', <br />e <br />i <br />~~ <br />~, <br />~ I <br />' ~ <br />I <br />n <br />If you hate given a lease to others for all or part of the property, elate the names of the loaning com- <br />panies, partnerships or individuals: <br />/~ Name Dlanngcr P. 0. Address <br />~1~13-------- --- ------------------------- -------------------------_ . <br />Is property wor]:ed continuously4___ ~!f'!'---------------------- -------------------------------- <br />If work has been stopped, state when___~_~=^^~'!-''- jq~`3- <br />- >---- ,~/ <br />Name, title and address of person in charge of tivofilc for you____s/X?!?^_~ _______ _ __ ____________ <br />State the chnrneter of ore- 13..Q.R____"~--------------------------------------------• <br />State the value of the ore----_Gt.Q/_'+!b~-_5-~4<.-'-r.><---------='-=--------------------------•--- <br />DfEN EBIYLOYF.D <br />No. Tmployed <br />____.lfachine Drillmen, $______for____hourshift. <br />~___linchinc helpers, $______for____hcurshift. <br />_____Dfinere, _ <br />_____1'imbermen, <br />_____Trnmmere, _ <br />_____Ore Sorters, <br />_____Topmen, _ <br />_____Lahorers, _ <br />_____:lssnyers, _ <br />_____Plcetricians, <br />---------------- <br />No. !•:mployed <br />_____)rngincers, _ _ <br />_____Pumpmen, _ <br />_____Firemen, _ _ <br />_____i3lucksmiths, _ <br />_____Tenmsters, _ _ <br />_____Foremen, _ _ <br />-____Superintendent, <br />_____Office help, _ <br />_____Dfillmen, _ _ <br />_____~1'ntchmen, _ <br />---------------- - <br />_ $______for____honrehift. <br />_ $. _____for____hourshift. <br />_ $________°or____Itourshift. <br />_ $______for____hourahift. <br />_ $______for____houraltift. <br />_ $______for____}tourahift. <br />_ $______for____ltourehift. <br />_ $______for____ltouraltift. <br />_ $______for____Itcurshift. <br />_ $______for____Itourahitt. <br />_ $______for____hourshift, <br />_ $______for____hoursltift. <br />_ $______for____hourehift. <br />_ $______for____]toursltift. <br />_ $______for____honrshift. <br />_ $______for____ltoursltift. <br />_ $______for____hourehi[t. <br />_ $______for____hourehift. <br />_ $______for____hour-shift. <br />_ $______for____hoursbift. <br />Average number of men employed this year_______________________________...___________________-_ <br />~ Is there a mi11Y------------------------------------------------------------------------------ <br />i Name of mill----------------------------------Location or mill-°--_--------------------_--_-_- <br />Character of mill-----------------------------------------°-------------------------------°---• <br />f ------------------------°-------------------------------------------------------------------- <br />~' Capacity of mill_________________________________When ivns mill erected___________________________ <br />Give list of buildings, trnm~vnys and other surface improvements __________________________________ <br />I Cost of surface improvements made in 191___ _ _ _ _ _ _ _ _ _ $_:'/r111~___________ <br />~ State amount and charneter of underground development: <br />I <br />Total Development Amount Done in 197~'~ <br />Sbnfts ----------------------------ft. ------------ft.; coat per ft., $---------- <br />~ Winzes ----------------------------ft. ------------ft.; cost per ft., $---------- <br />Drifts -----------------------------ft. ------------ft.; cost per ft„ $---------- <br />r,. Crosscuts ________ _______ft.; coat per ft., $__________ <br />il6 ------------------ft. ----- <br />~.~ Have you regorted to this department all Yatnl and non•fatnl acciden~t/s/,p~centring to workmea in the <br />t twelve months preceding the date of this regort, ae required by lawt _- !!~~'___________ <br />' Remarka:_ <br /> <br /> <br />