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If yon have given a lease to others far ell or part of the property, state the names oP the lensing com- <br />paaiea, partnerehipe.or individuals: <br />Name Dfanager P. O. Address <br />-------------------- ----------------------- <br />------- ------ <br />Is property worked continuouslyl__. ~: 1______"~,, ?1-t~-.~c.- <br />---- ------------------- <br />IF work leas been atopped,etnte when _____________________ ~-~-"'-- <br />Name, title and address of pereov in charge of work fot yeu__:_L_ ~~~4,4_~-<-z, <br />T-= ~-- <br />-------------------- _ -' G ~~------- <br />~------------ -~---- =`J-=~--~~-~ <br />State the character of ore_____ '-'------- <br />_ ----~-- <br />State the value of the ore________~ _LL'_ ------------~-"-'---'-------- <br />-- i "~ ~>p <br />---------------------------------------- <br />]<IEN E3fYLOYED <br />No. Employed No. F.mplayed <br />~,~t'_iSfnchiae Drillmen, $______for_ff__hourahift. _____Enginccrs, _ _ ___ <br />' l .~.._il[achine IIelpera, $______tor_rY__hourahift. _____Pumpmen, $ ---for____hourshift. <br />c,_c_.__Dfiacrs, _ _ - - $------for____hourahift. <br />Y _ $______f°r_Y__houreliift. _____I'iremen, _ _ <br />_~__Timbermen, _ _ - $------_'or____honrahift. <br />$______for_~y_houraliift. _~__l;lackamiths, _ $______for____hourehift. <br />-.~__Trnmmere, _ _ _ $______for_~hourei~ift. <br />_~__Gre Sorters, _ , - -----Teamsters, _ _ _ $______for____hourehift. <br />- $______for_~ hour shift _____Foremen, _ _ <br />--___Topmen, _ $-----_for____hourahift. - $------far____hcurahift. <br />----_Superintendent, _ $______for____bourabift. <br />--___Lnborera, _ _ _ $______tor____hourshift. _____ <br />-.~ _Aasnyera, Office Help, _ - $______for____houreliift. <br />- - - $--____for____hourahift. _____llfillmen, _ _ <br />_____Electricinns, _ $______for____hour-shift. - ffi______for____l~ourehift. <br />---__~Vntchmea, _ _ $______for____hourahift. <br />----"---------- _ $______for____honrshift <br />Average number of men employed this yenr_____ <br />Is tl~cre a millf____ ~ ----~----'-'--'------ <br />--------------------- <br />--------------------------------------- <br />ame of mill-----------------------------------Location of mill--------------------------------- <br />Charneter of mill_______________________________________- <br />------------------------------ ---------------------------------- <br />Capacity of mill___ ___________ _________________`Vhen tuna mill erected________--________-____-___-___-___-_-__ <br />Give list of buildings, tram~vnya and other surface improvements •_~____ <br />--" C c-a.-. Lv- <br />State amount and ebnracter of underground development: $ ~~ 4t+ <br />I Coat of surface improvements made in 191_~-------------------------------------"" -'-------- <br />l <br />~' <br />~: <br />Total Development <br />Shafts ___f ~l5- Amonat Doae in 191$~- <br />~Vinzes __~ (1 _ ------------ft.; cost per ft., $__________ <br />+~ -- -------------------ft. <br />Drifts --_! c~ ~ ------------ft•; coat per ft., $_.._------- <br />~y---------------------ft. <br />Crosscuts __~11j`~-~--------------ft. ------------ft.; coat per ft., $---------- <br />$ave You reported to thin department all fatal and son-fatal accidents occurring to, workmen in the <br />twelve months preceding the dote of this report required by awi ___ ~~~ <br />---- - <br />--------------- - ------~c _ `_z~ _ <br />--------------------- - <br />---------------- <br />------- ---------- <br />--------------- - <br />. .~ <br />.• <br />Signed=~~ L c_~~-1t ___ .[:~G.~r?.~t~ - <br />C__ - ----°--- -- Company. <br />Title______ <br />