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IS yon have given a lease to others for all or part-of tl~e property, state the names of the lensing com- <br />panies, partnerships cr individuals: <br />Name Dfanager P. 0. Address <br />,.~'~ <br />------- ------------------------------ ------------------------------ <br />L property worked continueuslyt___________~Fn_ <br />If work has been stopped, state whea_________ l _ /3__ <br />Name, title and address of person in char a of work for au_______________ <br />g y ----------"~----------- <br />------ <br />----------------- <br />State the character of ore____ - <br />State the value of the orc__1r~3~?=!__~wtw__~`= _-,(- -_- _ "- <br />DiEN EDIYLOYED <br />No. Employed `jir.a-~.~.2_ No. Employed <br />____Dfnehine Drillmen, $______for____hourehift. _____Engineers, _ _ $______for____hourahift. <br />---- <br />Dfaohiae Helpers, $______for____houraliift. _____Pum men, <br />P _ _ $______for____houraliift. <br />_____Dfiaere, _ _ _ $______for____hourahift. _____Firemen, _ _ ~ <br />_ $_______or____hourahift. <br />_____Timbermen, _ _ $______for____houral~ift. Blacksmiths, <br />----- _ $______for____hourshift. <br />_____'frammera, _ _ _ $______for____hourehift. _____Teameters, _ <br />_ _ $______for____hourahift. <br />_____Ore Sorters, _ _ $______for____hourehift. _____Foremen, <br />_ _ _ $______for____hourshift. <br />____ Topmen, _ _ _ $______gor____hourshift. _____Su erintendent <br />P _ $______for____honrahift. <br />_____Laborera, _ _ _ $______for____hourahift. _____OfHce IIelp, <br />_ _ $______for____hourahift. <br />_____Aasnyere, _ _ _ $______for____hourahift. _____Dfillmen, <br />_ _ _ $______for____hourahift. <br />_____Electricians, _ _ $______for____l~our-shift. \Vatchmen, <br />----- <br />_ _ $______for____hourshift. <br />---------------- - $------far----hourahift. _ <br />---------------- - $--_---for---_houreliift. <br />Averago number of men employed this year_________~_-- ~ <br />Ia there a millt________ <br />----------------------------------------- <br />Name of mill________ ___ __et~,,.~ <br />_______________Location of mill____ <br />Character of mill________ -----~------°----------'-- <br />-------------------------------------------------------- <br />Capacity of mill------------~-~-~p -~ _ ~-------------------------------------------------- <br />~_`_~___! f__\Vhen was mill erected______f~ __ ___ _ <br />Oive list off bui~ldi~~tram~vnys an ther surface improvements __~-/e <br />- " ~"~i--~ ~ ----,----- --- '~~.--- -- ~ - <br />___ --- <br />Caet of surface improvemeate made is 191 _ _ _ _ _ <br />State amount and character of underground development: $ -~-_~_ <br />Total Deve]opment Amount Doae in 19].2 ~f- ~- -- , <br />Shafts -------------l~~----------ft. ~ <br />-------_____ft.; coat per ft., $__________ <br />Winzea ----------------------------ft. <br />---------___ft.; coat per ft., $_..________ <br />Drifts _____~ooo <br />- -------------------ft. <br />------------ft.; coat per ft., $---------- <br />Croeacute -----------`--------------ft. <br />Have you roported to this dopartment ail fatal and non-fatal accidents o earring f t ' workmen in the <br />twelve months prec ding the date oP this report, as required by lawt ______________ <br />,.: <br />Remar --------- <br />------------------------------------------ <br />~'J~ --- -- - ~ ------Company. <br />By----'-=-~ <br />/-l ------ ------- <br />TiUe---------°-~'" - <br />------ <br />----- ------- <br />