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<br />If you have given a lease to others ,i^,e,}l,.eir gi°.thQ ~+ro~t~~.,,,,state the names of the leasing com-
<br />panie~, partnerships or individuals: - }``.
<br />l`l~me MaPpB¢r
<br />-- ---
<br />Is property worked continuously4________ _________ _ _ "',
<br />If work has been stopped, state when_ ___ _ _ _
<br />-- -- - ~-
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<br />;'' Name,, title and adc~reps oP pe;ion }n oharge of work foryou_:
<br />-- -------- - --- ------
<br />State the character o$:ore _____ ______
<br />t;% State the value of the.are________ __ ______
<br />MEN EMPLOYED
<br />No: Emghxyed No. Employed
<br />' ~_. _11~acliine Dri'llmeh, $___---for_---hour shift. --Engineers, _ _ _ $__-- -for____~1
<br />____~4lachine .Helper-s, $------for----hour shift. -----Pumpmen, - _ $---_- fox----hour shift.
<br />____ Miners, _ _ _ $_~____far __hourshift. _____Firemen,
<br />- - - - $- for____henr shift.
<br />_-__Timbermen, _ _ $.__.__for _ hour shift. _. _Blacksmiths,
<br />- $___< foi•___-hour shift. ',
<br />_ __ Trammers, _ _ _ $_ ____for__ hour shift, __ __Teamstera, _ _ $___,__~for____hour shift.
<br />_ ___Ore Sorters,- _ _ $______for__ _honrshift, _ _ Foremen, _ $______for____hourshift. ~
<br />_ __ Topmen, _ - _ $ _ _for_ _hour shift. _ _Sn grin
<br />- R r9ix&fopt, _~_y--_'for---_hourshift.
<br />_, Laborers, _ _ ,_ ~______for____hour shift. - , .Office Help,
<br />_ _ $_____ for ___hourahift.
<br />_ :Assayers, _ _. _ $______for_ _hourshift. _____Millmen, _ _ _ $______for____honrshift.
<br />_ __ Electricians, _ $ __ _far____hour-shift. _____Watehmen, _ $______foi____hour shift.
<br />---- -- -- -- - - - $ __ __for_ _hourahift. _ _____ _ _ $ _____for_ -.laovT~ehi~t,,
<br />Average number of men employed this year_ _______
<br />Is there a mill4_____________ -
<br />----- - - -
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<br />Name of mill- __ _____ --Location of mill _.____
<br />-- -- - -
<br />a. ------ ------- - -._,.
<br />Character of mill_______
<br />-- ----- .------` ---- -T -
<br />Capacity of mill __ __ _____ ___aghen was mill erected- _ _____
<br />Clive'list of buildings, tramways and other surface improvements ___ ____
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<br />-m ,.-_
<br />Cost of surface improvements made in 191-- ------ -- ---- ------- _-- -__ -
<br />State amount and character of underground development:
<br />To£al Development Amount Done in 1913 p
<br />Shafts -= ----------------------ft. ------ft.;-coat per ~t.,$------
<br />` ----
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<br />Wmzes :-- --. ------------------ft. ----ft•;cost per i't; $----------
<br />-----
<br />Drifta ---=-• - ~--- -----~•
<br />- ----- __ _ft.;;coat per„f
<br />Crosscuts - -- - -- .._---------ft. __ ft.n-coat ~.er ft, $ --=--- ..
<br />$ave you reported to this department all fatal and non-fatal accidents aceurring tc workmen in the
<br />twelve months preceding the~da^te o~f this report, as required by law4
<br />Iizmarks - ~'~"'''-} 1~x,~g, a tiJ~. 1_s__ cu ---~ =-- -
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<br />Signed ----C - - ~f~..
<br />5 r- ~-
<br />'Title------------ -- ------ ------ -- --
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