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If yon have given n lease to others for all or part of tlto property, atgte tl~e names of the leasing com- panies, partnerships or individnnla: t ~ Name 11Ianager P. O. dddreas ----------------------------- ------------------------------ ------------------------ - Is property worked continuouslyl_______Y`L.________________________ -- --------------------------- _s~a-- If work has been stopped, state when_______ ~-,.= ___ __5 ' ~ k1_u__v=~__s_+~--_~t c__,\ Nnmc,title and address of person in cltnrge of work for you________________ __________________ ~'~ c i. t E .~ ~ , ... _______________________________________ ~______.__________________'_ U--~o stn a ~-` '1 l--t--- -------------------- ~ State the character of ore---------------~ _ 0.~~.c2 ~ ~ -5----------_--------------------_----- State the value of the orc_____________Y1_e~__u~___4'!=^_4~c~~~___Lt~_!2~~ L __r~.-~ _' 1 ~1fEN ESfYLOYED No. Employed No. F,mploycd ____Machine Drillmen, $______for__-_hourshift. _____Engineers, _ _ _ $______for____hourshift. ~-F`-\Inchine IIelpere, $______for____hourshift. _-___Pumpmen, _ _ $______for____hourshift. r 1[inera, _ _ _ $__;,z~-_for____hourahiCt. _____Firemen, _ _ _ $_____ °or____hottrshift. _____Timbcrmen, _ _ ^~______for____hourahift. _____i3lacksmiths, _ $______for____hourshift. ~ _____'I'rnmmers. _ _ _ $______tor____hourshift. _____Tcamsters, _ _ g______for____hourshift. ' _____Ore Sorters, _ _ $______tor____honrshift. _~_-_Foremcn, 1~ _~ _ $_!['~_for____honrshift. _____Topmen, _ _ _ $______tor____hoursltift. _____Sttpcrintendeat, _ $______for____l~oursl~ift. _-___Lnborers, _ _ _ $______for____hourshift. _____OlTice IIelp, _ _ $______for____I~oursliitt. _____Asanyers, _ _ _ $______for____hourshift. _____llillmen, 1 - - - $-----_for____I~ottrahift. 't _____Electricinns, _ _ $______for____hour•ahi[t. ____~\'atchmcn, _ _ $______for____hourshift. I ---------------- - - $--_---for_---hourshift. ---------___---- _ - $------for----hourshift. Avcrnga number of men employed this ycnr____\_t,~______1 _ '--~ l l~ r~ ~*~•-~ < <• ~ ;~ Is there n mi114-------------~-~`-'------------------------------------------------°--------- Name of mill-----------------------------------Location of mill------------------------------ -- Charneter of mill____________________ I ---------------------------------------------------------------------------- ---- npacity of mil1_________________________________\Yhen was mill erected___________________________ Oive list of buildings, tramways and other surface improvementa __________________________________ f, ~t i t i~ ~~ ;. ,~ ; ;I I ~ I '. I~~ ---------------------------------------------------------------------- ----------------------- ------------- ----------------------------------------------- Cost of surface improvements mode in 191__'_ _ State amount and character of underground development: Total Development Amount Done in 1918, Shafts -----------------------------ft. ------------ft.•coet er ft. P > $---------- ~Vinzes ----------------------------ft. __ _ _ --- ft.; coat per ft:, $_._________ Drifts ------~ y-~ ~-~--~-O-i=`------ft. ~ m i G'lA__~ 1nw = Crosecuta --------------------------ft. -- --------____ft.; cost por ft., ----_--_-- $nve you reported to this department all fatal and non-fatal accidents occurring tpp warkmen in the twelve months preceding be date of this rep rt, as required by ]awf ___~~,= ____ __ \J~~~__~i~__.~ C ~ ~. Remarke:__ ~ ~ ~. ,... TL6 -- -----------------`-- --tin--- ~ ---- ~~-=~-'^ q (3nn_ tr~--~ ..._ : --- - ~`^-===',-4 _~ -=---=~ -0-='---i j ail ~ ~!U o : ~~~u~• o h 1 __1_0_1__ ____~._ ?~-o.._..._~.aa _________~__ ,•1 r•l ____________________ ________________________________________________________ Signed_~)u ~~: ,l-,. , t;u~,_~ _ --- ompany. i I /] Title____'!j_ _ ~. N: