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<br />~~ i <br />If you have given a lease to others for all or part of the property, state the names of the leasing com- <br />~ panics, partnerships or individuals: <br />Name 11lanager P. O. Ad ens <br />J ~~ <br />k•. <br />------------------------------ --------------- -------------- ----------'-~Gx- - <br />------------------------------ <br />U. Is property worked continuoualy4___~3_______________________________________________________ <br />If work has been etopped,stnte when------------------------------------------------------------- <br />' Nan;y~ le and address o p~raon in oifarge of tiv k for yo __ _________________ <br />---- <br />'---°- -=---- ----- r - ------------ - ------------ - <br />Sj84e he character of ore__.LLLtiti%~._~Z~~~ ~~ ~ ~;_<~_Sc~~1'~ <br />~~~ y <br />`~ <br />State the value of the ore__y2lL~w__L~"' ~ c2c_ 's7I °i <br />__ _~_~ __.__ ___R__~_ __,.r____________________ <br />~~ >fIEN Ei+1YLOYED <br />~ No.//Employed pp'' No.Employed <br />_I_hfachine Drillmen, $__~forP___liourahift. _____Engineers, _ _ _ $______for____hourahift. <br />_ ___Mncliiae Helpers, $______for___ hour shift. _____Pumpmen, _ _ $______for____hourehift. <br />:-G/__D[iners, _ _ _ $~_for~hourahift. _____Firemen, _ $_______°or____hourshift. <br />_____Timbermen, _ _ $______for____hourshift. _____illackemitha, _ $______for____hourahift. <br />_____Trnmmers, _ _ _ $______for____hourshift. _____Tenmstere, _ _ _ $______for____hourshift. <br />_____Ore Sorters, _ _ $______for~ourshift. _____Foremen, _ _ _ $______for____hourshift. <br />__~Topmen, _ _ _ $_,L~for __hourahitt. _____Superintendent, _ $______for____hourshift. <br />_____Laborera, _ _ _ $______for____hour shift. _____ORlce Help, _ _ $______for____honrehift. <br />_____Assnyers, _ _ _ $______for____hourshift. _____llfillmen, _ $______for____hourahift. <br />_____Eleetricinns, _ _ $______for____hour-shift. _____Wntcl~men, <br />_ _ $______for____hourehift. <br />---------------- - - $-___--for_---hour shift. ----------____-- _ _ - $ ----- for----hour shift. <br />Average number of men employed thin year__ _ _________ ______ <br />Is there a mi114__..,- ~f_C___________ __ _________ <br />Name of mill-----,~LI7-------------------------Location of mill---!C_11----- -------------------- <br />Character of mill= / ~------------------------------------------------------------------------ <br />-------------------a ------------------------------------------------------------------------- <br />Capncity of mill__ti~ _~' 1..~___________________R'hen was mill erected__~--_-_-~______ <br />(live list of buildings, tramways and other surface improvemente __________________________________ <br />------------------------------------------------------------------------------ -------- <br />----- <br />Coet of surface improvements mado in 101..,'-~- _ _ _ _ _ _ _ _ _ $___~~t2_~~~_ <br />State amount and character of underground development: <br />Tots} Develo went Amount Dono in 1912' <br />Shafts ----.~f'1~'______________ft. ______-~ ft.; cost per ft., $-_-~ -- <br />ZVinzes - --------------------------ft. --------~_ft.; coat per ft., $---------- <br />Drifta __ ____~(,2_.~_~7__ __ft. _________/__ft.; coat per ft., $____/_ f <br />o~~ --- <br />Crosacuta __________.______________ft. _______x:__ft.; cost per ft., $___y,t____ <br />$ave you sported to thin department all Patal and non-fatal accidents <br />twelve months preceding the date of is repor~' u r~egw~r~ed by Inwi _ <br />Remarks:------------------ --~cs~a~-~_tlL_¢_=PLC <br />---~ ~~~ <br />g to workmen in the <br /> <br /> <br />Title------- `? ----------------------- <br />