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It yon have given a lease to others for all or part of the property, state the names of the leasin <br />panies <br />art <br />hi <br /> <br />, p <br />ners <br />ps or individuals: g com- <br />Name liLnnager P. O. Address <br />----------------- <br />------------------------------ <br />~j/ ---- <br />Is property worked continuouslyt_____~~!~.U~-4~ G~Q~i <br />__ <br />---------------------.._ <br />If tivork has been ato d state when________________ -- <br />PPe <br />--- -----------------------"-' <br />---------------- <br />Namc, title and address of person in charge of work for you___ - -------------------------- <br />_ <br />State the character of ore-____c________~ ~ <br />_ <br />State the value of the ore-------- <br />-------------------------------------- <br />'~r, <br />---------------------- <br />MEN E11fYLOYED <br />No. Employed <br />Na. Employed <br />____llLnchinc Drillmen, $______for____hourahift. <br />_____Eagineers, _ _ <br />$ <br />f <br /> <br />____ilLacliine Helpers, $______for____}iourahift. <br />-----~°'P1°en _ <br />______ <br />or____honrehift. <br />> - <br />---__llLinera, _ _ <br />_ $______for____hourahift. _____Firemen - $______for____hourahift. <br />, _ _ <br />--___Timbcrmen, _ _ $______for__ <br />hourshift _ $______~or____hourahift. <br />__ <br />. _____ <br />Blacksmiths, _ <br />_____Trnmmers, _ _ _ $ <br />f <br />_ $______for____hourshift. <br />______ <br />or____hourshift. ___-_ <br />_____Ore Sorters, _ , Teamsters, _ _ <br />- ¢ <br />f <br />_ $;_____for____hourahift. <br />______ <br />or____hoursbift. _____Foremen, _ _ <br />-----Topmca, _ _ <br />_ $______for____hourahift <br />- $-----_for____liourehift. <br />. _____Superintendent <br />_____Lnborera, _ _ ~ - <br />_ $______for____hourshift <br />$------for____honrehift. <br />. _____Oflice Help, _ - <br />--___Assayera, _ _ _ $______for____hourshift $______for____honrshift. <br />. _____ <br />__Electricinna, _ _ ~ bfillmea, _ _ _ <br />_-- ~_ _ _ _ _ _for_ _ _ _hour-shift <br />' <br />$______for____hourshift. <br />. <br />.____R <br />atehmen, _ _ <br />----'"-'---- _ $______for____hoursl~ift. <br />---- - <br />$______for____hourahift. <br />---------------- - <br />Average number of mea employed this $-_----for----honrahift. <br />year________________ ______ _ __ <br />Is there a mill4-------------- _ <br />--------------------- <br />------------------------------- <br />------------ <br />nme of mill---- ----------------------- <br />-------------------------------Location of mill--------- <br />Chnracter of mill------------------------------------- ------------------------ <br />Capacity of mill _ - <br />- <br />_ <br />____ ____ _____________________~ en wne mill erected____ <br />Oive list of buildin <br />s <br />t ___________ <br />_ <br />- <br />- <br />_- <br />g <br />, <br />ramways and other surface improvements _____ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />------------------------------------------- <br />• Coet of surface improvements made is 191 ---------------------- <br />___ _ _ _ <br />State nmouat and character of uaderground development: <br />$ <br />Total Development <br />Shnfte ____ <br />Amonnt Done in 1913 <br />_________________________ft. <br />------------ft.; coat <br />Winzea -----~- <br />~ per ft., $--- <br />-- <br />- <br />---------------ft. ------- <br />------------ft.; cost <br />Drifts _________ per ft., $ <br />_ <br />----------------- ft. , <br />------------ft.;coat <br />C4osecnta ------- <br />per ft., $--- <br />-------------- <br />_____ft. ___ft.; coat <br />$ave you reported to thi ------- <br />per ft. <br />s department all fatal and son-fatal accidents oconrring to workmen in the <br />twelve months preceding the awe of this report <br />, se regni d by ]amt __________ ___ <br />rl li! <br />• ___J___ <br />___ ~~ <br />Bigaed---~ ~So.~~llt- / <br />_______ <br />B ~~1 /a/~c~,~_ <br />y------------ - - -~ <br />---- <br />Title--------------- <br />