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a. ' ~' i j If yon have given a ]ease to others for all or part of the property, state the names of the leasin ilk' I i r paniea, Partnerships or individuals: B com_ 1 ~ I I Name Dlaaager I ~ ~ P. O. dddresa ~I ! '------------------•---------- --------------- j --------------- ' I' --------------- ------------------------ 'il' ' i' ~• ~ ---------------------------- ~ --- I~•. ---------------- -------------- ------------------------ ---- L property worked continuously}______ ~i~ ~ .` ---------------------------------------------- , If work has been ato __ PPed,stnte when___J!_______ _ -------------------------- ' I ' ~ Name, title and address of person in charge of work for you__ __ ('' --- -- -----------------------------------------------~--------------~~- Z- -- rII State the chnrneter of ore__________________________________________ _ / --`- ;'{ State the value of the ore________________ ~- - --- -- -°-- -IEN EDfYLOYED j I No. Employed 1 ~ ! j No. Employed ____lfnehine Drillmen, $______for____hourahift. _____ ~ ~-__3lachine Hel era Engineers, _ _ _ $______for____honrehift. ~ P $--____for____l~ourahift. _____pumpmen, _ , i _ T~,lfiners, _ $;jsO_for_~_hourshift. - $------for____hourshift. ----- ' -____Timbermen, _ Firemen, _ _ _ $______!or____hourshift. , j j I - $--____for____hourshift. i --___Trnmmers, _ _ -----Blacksmiths, _ _ $______for____hourshift. J - $-_____for____hourshift. ~ ___Ore Sorters, _ -----Teamsters, _ _ _ $______fo ____honra ' - $----__for____hourshift. __L__Foremen, _ ~J`t`~' ' -----Topmen, _ _ $______for____hourehift. _____ - - $---°- or----hour shift. I, ~ -____Lnborera, _ _ Superintaadeat, _ $______for____hourshift. - $---___for____hourahift. _____Ofiice Help, _ _ _____Assayers, _ _ $______for____hourshift. - $______for____hourshift. _____ ~~ j ' _____F.lectricinna _ 1lfillmen, _ _ _ $______for____hourshift. - $-_____for____hour-shift. __ ~~ I ~ __ -_Watchmen, _ _ $______for____hourahift. -"-"-' ____for____hourehift. ----- - $---___for____honrehift. ~ { ~ Average number of men em ]oyed this yenr_________________ 'i ~ Ia there nmill}--- ------------------------------------- L~i r I i _____ _________________________ Nnme of mill _____ ~ ---------------- ----------------Location of mill__1~`_`---d'-'l'eft - '~ ~I` chnrneter of mill_____ a^ o - - --- ------------------------ /~~~et%`~Cr L ~ --------------------------- ------------- ---------------------------------------------- Capacity of mill__~!Q_~-y.Le z u-~------------:----------------------------------- ~' l ~. flive list of buildings, tramways and other surface imYprovem all erceted______________ - - - - •1 ~ ~i ', I I' ------------------------------------------- ---------------------------------- --------------------------------------------------- y j'( 1 ~ Cost of surface improvements made in 19f!f_ I• ----------------------------------- ••' ~! State amount and chnrneter of underground development; ~`~ ~ j 'I. ~ ~ Total Development ~;~j ! I; f ~ Slmfts ---------------- Amonnt Done in 1913 -------------ft. ' ~~ ' Wiazes -------------- _ft.; coat per ft., $ Drifts --------- --------------ft. ---ft.; coat per ft. ---------- --------------------ft. ~ $-•--------- 1~~. ~ Croeecnta ------------- - ---- ---_____ft.; coat er ft. Ii ~ Save ------------ft.; cost per ft.. $ r ~ '~~ you reported to this department all fatal and noa- ~I •I ~ ~'' ` I ~ twelve months preceding the date o this re ~~ accidents occ wing to workmen in the ;, ~ • I` '.~ I '~t Remarka:____ . _ Port, as re - d ~'kl 'ti !~~. - -- y law ------ -- ------------ -------- -- - --- - --------- - ---- -- -------------- - ----- - -- ,: ;i l •~~ -------------------------------------------------------- --~1~-- .~~,~ ;~~~.1~ -------- ------- -------- 'i --- i~ ' ~ ~ -------------- ~ b ~ t ~ ~ By------------ ---- ----- - ~~cbm~' '~ .. ~, --- '~ I Title------------------------------------