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I{{I{IIII <br />I~ <br />',`.~ <br />~r <br />.1' ` <br />1' III <br />.i . i <br />~.i,, i l ~ <br />,I <br />i' <br />i <br />~. <br /> <br /> <br />~'I w <br />~ ', <br />1; ~I`,'~ <br />``~ <br />,1''t ~~ I <br />kl,'i ~ <br />'.. <br />I I'• ` <br />f~ j <br />[~!' ~I ~i! ~r <br />11 you have given a lease to others for all or part of the property, state the names of the leasing com- <br />panies, partnerships or individuals: <br />- na6m' . <br />Name ~--, ~ <br />P ----:-------~~-----. <br />-77 --- _ <br />-r <br />Is property worked continuauslyl_!__f ° _ ~ ,_ / t ~__ ~ i_tt=_S_'_~ ~x ~ `r ~" " r <br />------ <br />.- rrr.c~. «_ - <br />If work has been stopped, state when"/_`L~--- ~ - ~~a---~°- `=- `--'-""---_~ ~~ ~_~__F t~~ <br />Name, title and address of person in charge of work for you_______~__________(_'_______~-____-____ <br />--------'------°-------- -; ` = ----° o ! c.,-, .---- (u __r~L roc-/----------- <br />--- <br />cL L c c~ c!.__ Q ----------------------- <br />-----'/ <br />State the charneter of, ore__!?-_______ _ [__-- -- <br />,.' 1 <br />State the value of the ore____~______--- ~ -'"' ~ l-"--'--"-~-"-~-`- <br />iliEN E3IYLOYED <br />No. Employed No. Employed <br />1~ _'ltachine Drillmen, $______for____hourshift. . ~'_'_Engincers, _ _ _ $______for____ham•ahift. <br />!~_ _'.lfachine Helpers, $______for____hourshift. _~`_'~_Pumpmea, _ _ $______for____hoarshift. <br />_~~__DSinere, _ _ _ $_3____for_.~~hourehift. .1f-A_Firemen, _ _ _ $_____!or____honrahift. <br />-/~a__Timbertnen, _ _ $______for____hourshift. `1!~ _I3lackamitha, _ _ $______for____hourshift. <br />• //~'__Trammera. _ _ _ <br />--- $______for____honrahift. !~~__Teamsters, _ _ _ $______for____hourshift. <br />__ Ore Sorters, _ <br />/~~--- - $______for____hourshift. c!?° _Foremen, _ _ _ $______for____honrahift. <br />~C ~__Topmen, _ _ _ $______for____honrshift. 'Z~ ~__Superintondeat, _ $______for____honrshift. <br />~l!'__Laborers, _ _ _ $______for____hourshift. G.?__Office Help, _ _ $______for____hourahift. <br />~~D__Aseayers, _ _ _ <br />--- $______for____hourshift. ~:!f_:__DIillmen, _ _ _ $______for____hourshift. <br />/!.___F,lectricians, _ _ <br />$______for____hour-shift. `j2r__R'ntchmen <br />, _ _ $______for____hourehift. <br />---------------- - - $___---for_---hourshift. =---__---- <br />=-y= - - $------for----hoarehift. <br />Average number of men employed this year__~7 _ / <br />__~_ ~_!~-_!'_ `__ ~_ ~ ?f `_'L- ~=~- ~=-~ <br />Ia there a mi114_ ~'~' --------- ---------------------------- <br />Name of mill ___ _1'~- ~ "-~'i<------- - ---- -Location of mill__________________-__------------ <br />Charneter of mill_ <<=~Z_~..`~.L`oL~__ <br />------- --- <br />-------------------- <br />---------------------------- <br />Cagacity of mill________~~_<_'__ ~i~'_ ~! ~ ________When was mill erected ~~~L`_t=~--~.;z~~------ <br />Give list of buildings, tramways and other surface improvcmenta __________________________________ <br />lt,e-* _ c___________________________________________________ <br />---------------------------------------- <br />Cost of surface improvements made in 191f_^_ _ _ _ _ _ _ _ _ _ $__jL_`=___=- <br />Stnta amount and charneter of underground development: <br />Total Development <br />Shafts 1-_v_e'_v_~ __ ~ G~O?-ua*_-e_ft. <br />Winzea - ~~------------~-'-°---~~-----ft. <br />Drifts ---= -----------"------A-----ft. <br />Crosscuts `----------------- ~--___ft. <br />Amount Dona in 19]f3 rf <br />_-! c_o,-_.---it.; coat per ft., $---------- <br />-- <t-`-=-=-ft.; cost per ft., ffi-°-------- <br />~?-°:_=-___ft.; coat per ft., $-_-------- <br />-- ~r_°:_~ __ft.; coat per ft., $---------- <br />$ave yon reported to thin department all fatal sad non-fatal accidents ocenrring to workmen in the <br />twelve months preceding the dote of thi~~re/port, as required by lawf __G2 .__ (~e~_~,_e~:-ee~-___ <br />Itemarka:_ y~<'=`._~~_i_'~=_~----Y~ ~f a-c c .tea lGl/cG~. ~' ~1y~c cGl~ <br />___ ________________________/________________1___ <br />/ , <br /> <br />1. <br />c <br /> <br />