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If you have given a lease w others for all or pa+'t of the property, ~~ the lames of the leasing com. <br />ponies, partnerships or individuals: <br />2:ame )Tanager F.O. Addraas <br />' '------------------------~- -J -------------- <br />Ia ProPe~' wori:en ronnnaonslet_-_--_---_ ~'d <br />If wpr): `as t~sn atoPfxd, stoic when---------------------- _ <br />tiame, t~:le and address of person in charge of work for you_ ~~~-!~ <br />-------- <br />State :he character of ora_~.~trf-.••1_ -U_c~~ --------------------------- <br />,,.~~-J ,.~-------------------------------------- <br />State the value of ibe ore---~~~i--~1d~~1.t-------------------------------------------- <br />?1fEN ESIPLOYED <br />No. Employed moo. LmN,uyru <br />____~fachiae Dn'llmea, $______for____honrehift. _____Engiaeere, _ _ _ $______for____hotsahift. <br />~___3fachiae Helpers, $______for____honrahift. _____Pnmpmen, _ _ $______for____honrshift. <br />ra <br />_____lfinere, 2c _ 3`-~~---for_ __hourahift. _____Firemea, _ _ _ $------far----honrshift. <br />_____Timhermen, _ _ $______for____honrshift. _____Blackamitha, _ _ $_____-for____honrshift. <br />_____Trammers. _ _ _ $______for____bonrahift. _____Teamatera, _ _ _ $______for____hoarsbift. <br />_____Ore Sorters, _ _ $______for____hoarahift. _____Foremea, _ _ _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____hourahift. _____Superiatendmt, _ S______for____hourshift. <br />_____Laborers, _ _ _ g______far____honrahift. _____Ot>ice Help, _ _ $______for____honrshift. <br />_____dseayera,. _ _ _ $______for____hoarehift. _____~fillmen, _ _ _ $______for____hourahift. <br />_____F.lectricians, _ _ ffi------for____hour-shift. _____Watchmen, _ _ $______for____honrahift. <br />---------------- - - $__----for----hourahift. ^-~-~°--~-~--~------- - - $------for----hoar shift. <br />Average number of men employed this pear-----°~-!_'(/_7lll.--------°°-------------°-------- <br />Ia there amilli--=-------7~0~.--------------------------------------------------------------- <br />' Name of mill___________________________________Location of mill______________-__---------------- <br />Charneter of mill--------------------------°---------------------°--------------------------- <br />Capacity of mill---------------------------------~Vhen was mill erected--------------------------- <br />f}ive list of buildings, tramways and other surface improvements __~'E*R__~_SS+r~mJy-~G~i, <br />Coat of surface improvements made in 191___ _ _ _ _ _ _ _ _ _ $---------------------- <br />Stnte amount and character of underground development: , <br />1 <br />~ ~i <br />~ ~;' <br />` ~~ <br />}', ~~ 1 <br />1 '~ <br />i~l <br />Total Development 9monnt Done in 191 <br />Shafts .2.0 ~r~~~ ~s'~____ft. ____________it.;eost per ft., $_____-__-- <br />Winzce ----------------------------ft. ------------ft.; coat per ft., $---------- <br />Drifta -----------------------------ft. _______---__ft.; coat per ft., $-------° <br />Croesents ----°------_--°----_--_ft. __--------__ft.; coat per ft., $---------- <br />$ave yon reported to this department all fatal and non-fatal accidents erring to workmen in the <br />twelve months precedin the date of this report, as required by lawt __ _ __ ry~~?-2Q~______-- <br />Eemarka:---~-~ -_~_~__~e~e!-'Y-'°`a--G~ervi"-e!'=`=1--i9ie.----- -~_C.!_f ~itx_~tt~J <br />~//M.~ - - r-_ <br />$igned_~_L^-J~_~~2fLYii~'rsa.~~~!_~/_C _OompagY• <br />H~-"'_'~i ~ --- - - - - <br />Title------------~~='-s-------------- <br />