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If ybd'17ave given n lease to others for all or part of the property, state the names of tho leasing com- <br />panics, Partnerships or individuals: <br />Name DIanager P. O. Address <br />Is property worked continuously l--------------------------------------------------------------- <br />If work hnsbcen stopped,stnte~vlicn------------------------------------------------------------- <br />Name, title and address of person in clmrge of work for you_______________________________________ <br />State the character of ore---------------------------------------------------------------------- <br />State the value of the orc---------------------------------------------------------------------- <br />)1fEN E111YLO1ED <br />No. Employed No. Employed <br />____Blnchine Drillmen, $______for____hourshift. _.___T•.nginrcrs, _ _ _ $______for____hourehi[t. <br />_____.1[achine IIclpers, $______for..___hourshift. _____[umpmen, _ _ $______for____hourshift. <br />_____Dfincrs, _ _ _ $______far____hourshift. _____I'iremen, _ _ _ $_____ °or____hourahift. <br />_____Timhcrmen, _ _ ~______for____hoursl:ift. _____T3hicl;smiths, _ _ $______for____honrshift. <br />_____Trsmmera, _ _ _ $______for____l~oursl~ift. _____Tenrnstcrs, _ _ _ Q______for____ltourshift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hourehift. <br />_____Topmen, _ . . _ $______for____hourshift. _____Supcrintendent, _ $______for____hourshift. <br />__..__Lahorcrs, _ _ _ r______for____hourshift. ____..Oilice IIclp, _ _ $______for____hourshift. <br />_____.hsssyers, _. _ _ $______for____hourebift. _____\Iillmen, _ _ _ $______for____haurshift. <br />_____laectricians, _ _ $______for____hour-shift. ____\Catchmcn, _ _ S______for____hourshift. <br />---------------- - - $____--for----hour shift. ----------____-- _ _ $-----_for___-hour shift. <br />Average number of men emplo}•ed this ycnr.______________________________..__.___________._______ <br />1s tbcrc n milll-------------------------------------'-------------------------------------- <br />Namc of mill---------------------------_-----_Locatioa of mill--------------------------_-__--- <br />Charnetcr of mill------------------------------ ----------------------------------------------- <br />---------------------------------------------------------------- <br />Capacity of mill_________________________________R'hen was millerceted___________________________ <br />! Give list of buildings, trnmwaye and other surface improvementa __________________________________ <br />---------------------------------------------------------------------------------------------- <br />Cost of surface improvements made in 19]___ _ _ _ _ _ _ _ _ _ $______________________ <br />State amount and character of underground development: <br />~~ <br />,I I Total Development Amount Done in 1'J13 <br />Shafts -----------------------------ft. ------------ft.; cost per ft., $---------- <br />~~' «inzes ----------------------------ft. ------------ft.; coat per ft, $---------- <br />!j~ I Drifts -----------------------------ft. ------------ft.; coat per ft., $---------- <br />Crosscut~ --------------------------ft. -----------_ft.; coat per ft., $----____-- <br />$nve you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />' twelve months preceding the date of this report, as required by ]nwt ________________________________ <br />~i Itemarka:-------------------------------------------------------------------------------------- <br />---------------------- <br />Signed----------------------------------------Company. <br />By------------------------- <br />Title____ <br />