,i ~
<br />r '~ It yon have given n ]sane to others for all or part of the property, state the names oP the leasing com
<br />
<br />Ili .
<br />pnniea, partnerships or individuals: -
<br />I I Name Manager P. O. Address
<br />----------------
<br />
<br />~
<br />I -------------- ----------------------------
<br />Is property worked continnously9-_---ls_z_;_~S1U_ c~,! ~__ .!:,j-----------------
<br />
<br />~~ ° ---------------
<br />If work has been stopped, state when-_ <„~ ~'-•^' ~ " l ~~ i
<br />
<br />~ --------------------
<br />Name, title and address of person in charge of worlc for you
<br />~~
<br />~
<br />::rs1r
<br />t1js1
<br />j•~
<br /> _
<br />__
<br />~_
<br />_
<br />~_
<br />; n^~r;,,~_
<br /> ~__~_...[~__! Q______
<br />
<br />
<br />II _____
<br />J~~~LC1r1.1~ __________________
<br />I State the value of the ore_______L%0;__(_~_ _L ~_~'.;___„(:y ~(_(; _i
<br />__CZ=L----------------------------
<br /> iVfEN EiS1YLOYED
<br />I ~j j No. Employed
<br />No. Employed
<br /> ____illnchine Drillmen, $______for____hourahift. _ ---Engineers, _ _ _ $______for____hourahift
<br /> .
<br />-___Machine Helpers, $______for____hourshift.
<br />___Pumpmen, _ _ $______for
<br />hourshift
<br /> -
<br />____
<br />.
<br />__+3__Tlinera, _ _ _ $__~___for__tl_hourehift. ---Firemen _ _ o
<br />- ffi---____or____honrshift
<br />
<br />
<br />' .
<br />_____Timbermen, _ _ $______for____hourshift. _____Blacksmithe,
<br />_ _ $______for___
<br />haurahift
<br />
<br />
<br />li
<br />I
<br />' _
<br />.
<br />Trammera, _ _ ,
<br />----- _ $______for____hourahift. _____Tenmstera
<br />, _ _ _ $______for___
<br />hourahift
<br />.
<br />
<br />
<br />' ~
<br />_
<br />.
<br />___
<br />Are Sorters, _ _ $______for_= `_hourshift. __~_ "
<br />-Foremen
<br />$
<br />_=
<br />f
<br />f~
<br />
<br />r , _ _ _
<br />__
<br />___
<br />or_
<br />__hourshift.
<br />-----
<br />Topmen, _ _ _ $______for____hourahift. _____Su erintendent
<br />P _ $______for
<br />hourshift
<br />
<br />,,
<br />I ' ____
<br />.
<br />_____Lnborera, _ _ _ $______for____hourshift. _____OtRcc Iiclp,
<br />- - $------for_
<br />hourshift
<br />1
<br />II
<br />t
<br />~ ___
<br />.
<br />-____Aaeayera,
<br />- - - $---___for____hourehift. _____itlillmen, _ _ _ $______for
<br />hours}tift
<br />
<br />t ~
<br />i ____
<br />.
<br />-----Electricians, _ _ $______for____hourshift.
<br />-. ~_
<br />~\ntchme
<br /> _
<br />n, _ _ ¢__i_(._for _ ~.~,::C,
<br />_ _ $______for____houraltift.
<br />r
<br /> __
<br />_
<br />I ~ Average number of men employed this yenr______.~: __
<br /> ____
<br />-----------
<br />Ie there n millt----------------------~~
<br />1; --------
<br />Nnme of mill--
<br /> ---------------------------------Location of mill
<br />
<br />~III~i i
<br />I -----------------------
<br />Chnrnetcr of mill------------------------------------------------
<br />{
<br />l~r
<br />,;, ----------------------------------------------------------- -----------------------------------
<br />Capacity of mill___
<br />
<br />~.
<br />`
<br />_____
<br />_______________ _ ___~phea was mill erected-- ____ ___________________
<br />Give list of buildings, tramways and other surface i
<br />'
<br />
<br />I (.Ir
<br />mprovements ___
<br />~1'_r_;r~ ~•___kC ^_ti=
<br />i (~(G.~, _
<br />~,.
<br />- ~ ---------
<br />-------------=='
<br />'
<br />'
<br />=
<br /> .,
<br />~
<br />_
<br />------
<br />-- c_i
<br />~
<br />r ~ Coat of surface improvements made is 19~___
<br />----
<br /> _ _ _ _
<br />State amount and character of underground development: $---1•'S'`L1.!'1tCr______
<br /> Total Development
<br />r~ ! Amount Dona in 191$ ~
<br />Shafts __
<br /> _______________
<br />------------ft. ft.; coat per ft., $----------
<br />------------
<br />inzea
<br />
<br />' ~
<br />'~ ~ ' ----------------------------ft.
<br />__ft. • c
<br />Drifts __ ~lal ---------- oat por ft., $-.--_--_---
<br />
<br />''`
<br />t; ------------ -__ft. 71'x'_ --_ft.;coatperft., lU.GU
<br />Crosscuts _=~1-
<br />$----------
<br />~
<br />~ ------------------ ----- --
<br />___ft. _(_I ___ft.; coat per ft., $ 1~ _~~(~
<br />$avo
<br />,~ you reported to this department all Patal and non-fatal accidents oecnrring to workmen in the
<br />twelve months precedin
<br />th
<br />d
<br />~
<br />.,
<br />' g
<br />e
<br />ate oP this report, ae required by laws __~_d__ ,•~~-_-_-_--
<br />Remarks:-----------
<br />----
<br />
<br />.
<br />li -----
<br />--------------------------------------
<br />________-____
<br />Ir s i
<br />
<br />
<br />r
<br />, ~~LI ________________________
<br />_______________________________________
<br />__________________
<br />---------------------------------
<br />---------------
<br />1' ~
<br />t"
<br />i'1t: r --
<br />--------------------------------------------
<br />----------------------------------------
<br />
<br />~ I ----
<br />Signed---= IIB ___P. x7i~:e
<br />__I_J-
<br /> _
<br />___Com t
<br />=-
<br />Title--- _ECY = i l:r.:;,
<br />-------------------------
<br />
|