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1/12/2009 10:55:08 AM
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11/18/2007 12:15:28 PM
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If yon have given a lease to others fot all or part of the property, elate the names of the leasing com- <br />panies, partnerships or individuals: <br />Name Manager P. O. Address <br />--------------- ------------------------------ <br />-------------- ------------------------------ <br />Is property worked continuoualyt____________________ ___ __ __________ <br />------------ <br />If work has beau atopped,atatc when_____________________________________________ <br />Name, title and nddre person in charge of work for y u___ <br />---1 <br />- --v - - - - - ---- - -- <br />-------- -- <br />State a chnrneter of ore__ ,/__ - ~ ~wcy _-_ <br />State the value of the ore/_~__~-y'j__~r~ <br />MEN E111YLOYED <br />No. Employed ATo. Employed <br />____lllacliine Drill meu, $______for____hourehift. __ <br />~_Engineera p <br />~ <br />~ <br /> <br />_____11lnchine Helpers, $______for____hourehift. <br />~_lfincre, _ _ a f <br />-~ <br />$ <br />`Ifo <br />~ h , _ _ <br />_____pumpmen, <br />- _ <br />_ __ <br />far_O._honrahift. <br />- $------for____hourehift. <br /> <br /> <br />__I _Timbermen, - <br />. <br />r <br />ourshift. <br />pp <br />_ _ $,!''~r__forp <br />hour shift _____Firemen, _ s <br />- $-______or____hourshift. <br /> <br /> <br />_,?==Trnmmere, _ _ <br />. <br />oo <br />_ _ $~,_~_-_for11__haurehift. _ ___131nekamitha, _ <br />- <br />__yTeamstera <br />_ <br />_ $____ for____hourahift. <br /> <br />f <br />Q <br />$~ <br />____ Ore Sorters, <br /> <br />! _ _ $______ <br />for____houraliift. <br />-v , <br />- <br />_____Foremen, _ _ or_ <br />~F-- <br />- <br />__hourehift. <br />$ <br />fo <br />h <br /> <br />__t <br />__Topmen, _ _ <br />_ $~3_for_~_hourehift. <br />_~__Superintendent _ <br />_ ____ <br />r__ _ <br />ouret~ift. <br />`~ <br />~ <br />~ <br />_____Lnborere, <br />- _ _ <br />$______for____hourehift. <br />_____OfBce Hel -~-for- <br />- $ <br />-hourehift. <br /> <br />_____Asanycre, _ _ <br />_ $______for____hourehift. p, _ <br />_____ <br />~fillmen _ $______for____hourahift. <br /> <br />_____Eloctricinns, _ <br />_ $______for__ <br />hour-shift , _ _ _ $______for____hourahift. <br /> <br /> <br />-'-------------- __ <br />. <br />_ $-_____for____liourahift _____Watchmen, <br />- <br />_ $______for____hourst~ift. <br /> . _ <br />'--------------- <br />_ $-_____for____honrshift <br /> <br />Average number of <br />men employed this year___~ t _.!!_a*~.rc~ . <br />s tlicrc n mi114 ~".Q ----------- <br />------- -- ------------------------------ <br />------------------------------ <br />ame of mill -------_-- --------- <br />-------------------------Location of mill------------------ <br />Chnrneter of mill_____________ --------------- <br />Capacity of mill____ ____________________________When was mill ereeted____ _____ ________---_---- <br />(#ive list o buildings, trnmw p -------- <br />ye and o er surfaco im vements _ __ <br />'k - -- ------ <br />--- - -- <br />- -1rt~n.SY. - - - <br />-- - <br />-~-- _ lLll~C.iFl.~.c.. _ __ ~..~~ ----- <br />-- - - A ~----- t 1-- ---+--------- <br />---------------- _____________ <br />------------------- <br />oat of surface improvements made is 191___ _ _ ----- - <br />- ---- <br />State amount and chnrneter of underground development: $ <br />Total Development <br />Shnfte __.~_~Q_ Amonnt Done in 1912' <br />-------------------ft. - ---ft.; coat per ft., $---------- <br />Winzes ---- -------- <br />--- q <br />---------------- ft. ------------ft.;coat er ft. <br />Drifts ----- ~-~ Q p ~ $-..-------- /800 <br />--------------ft. ------------ft.; coat per ft. <br />Croeacnts ---1-~-~-~--------------h• ' $--------- <br />$ave p p ------------ft.; coat per ft., $_________ <br />you re orted to this do artmeat all 4atal and non-fatal accidents aconrring to workmen is the <br />twelvo months preceding the date of this report, ae required by lawt __ <br />Remarks:------------------------------- -- --- ---------------- <br />---------------------------- ------------------------------ <br />Signed_ <br />
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