I
<br />~ 1.' you havz gicen a lease to oihen for alI or part of the property, state the names of the leasing eam-
<br />~ panes, partnerships nr indivirlnal.9:
<br />Vane
<br />ylaaager
<br />P. O. Address
<br />_ ~s-G:~- ' -- ----- -------- - --- ------- --
<br />..r~' o ;
<br />to r.r,p~:rty wqr?:yd continr„u.91??~t12J~~LGG~~!'G~f/1l~ .~L9~~~~a/JJ/~9/~~y~T
<br />f.' 1-n,-~:: 1: t.9 F.n~^ .9'n'~parl. yta;? whenlll~l/~l1~~ ~~~~__ /yiJ'.?~,c __..~J :CJ~i
<br />.`;zr.:::. ri:I~e and addrass r,t ;,arena in ehar a of worn for coa__ J i>L/..//~weV.~Jx~Y__y
<br />(f ~
<br />..'..,rr...,r r` r- ~SOY/J..(i/~G~ -/%1~11~i/i3" ~Q~i~..~~ua.~'~
<br />~~,
<br />,~.~, j ~ l
<br />~i
<br />I
<br />(~
<br />~'~ (~
<br />I
<br />1
<br />!I i
<br />_ __ _
<br />i 3fE'.v' ESIYLOYF.D
<br />~o N,er~lny-ed Vn. F.mploced
<br />_ 1(a,~kir>^ I)rillmen, ? __for__ -hnurshift. ___-_F.ngincers, _ _ _ $______for__.._hourshift.
<br />_ 'Lv:;.in~: IL:Iprrs, $-____fnr.. __hnurshift. _____Pumpmen, _ _ S-_____for____hourshift.
<br />0
<br />!.(in^.rs, _ _ _ $,~_ -_fnr_~_hnur shift. _____Firemen, _ _ _ $_____ °or____honr shift.
<br />"(~u.v~~:rmen, _ ?__- ___fnr____hnur shift. ____/_faacksmiths, _ _ $______for____hour shift.
<br />?. 'fn:nrneev,~P-~c::~_'$-3s0_for-O__hnurshift. __1_Teamsters,_ _ _ $_.~_°_~for_~hourshift.;,~!•:e•'
<br />r, r„ Sorh,rs, <•_- .. _fnr____hmtr shift. -----Foremen,
<br />_ _ _ $______for____ltourshift.
<br />7n;~m" - __Supcrintendent, `~
<br />n, $_-.__-fnr____hourshitt. __ _ $y~or_ __hnurshift.
<br />(.:~I~,~rr.rs _ ____-.fnr____hmtrshift. _____Oflice Help, _ _ $______for____hourshift.
<br />''•~`~~'-':r:a, ~ fnr____hourshift. _____Sfillmen, _ _ _ $______for____hourshift.
<br />Itilr~r~i rir•i:na, _ $_ ____for___hmtr-shift. ._.__\Catchmen, _ _ $______for____hour shift.
<br />- _ _ $______for____Imurshift. ________________ _ $______for____hourshift.
<br />~ :r;r,•~r ninnher of men nmplnyrd this vrar. __~_~~~~._v_•~_~,~~i1~„~/ _.~-_-._-_----_
<br />~~ ~J /
<br />------
<br />~ - r ; --- --- 7_^--Lrn•ation oC m~-------------------- -
<br />^.nuu• of mill ~-_~ //_~~.-:/ i ill ~al~G pZo1tG~= -__.1%I~S/eC~fv~~"~1
<br />Chnra r•I~•r• of mill_ _
<br />---------------------------
<br />---- y----- -- ----- ---
<br />t':~p;,,.ilcnimill~2a.~~i~---D~.L~7~--------~1'tenwnsmi--------l~~i%~~~i-----~------- U
<br />- I ]l~ rcareered 1tts~G~k¢''!f ~~/ r
<br />(lie~•. Ic.t of Luildin(s, trarnw1nys and othrr surface improvements (2s1~_
<br />.~ = y O Q .
<br />o r ~ s~ : ~ t ~' , ~„ oac%,r. Hotl?.r_. rticil~ . ~ ~
<br />Co:;t nl' nnrfnrc impmvemenls made in ]97_-_
<br />- - - - - - - - - $----------C-----------
<br />til;it~ :wn~unl :nul character of underground development: /~
<br />'I'utnl llevclnpment .fr,o,.oa,/!'(, nar/'/,/9/3.,~o>~f~`9 /9~"r
<br />°f'f"~ ~ --ount Dons in l~d3f.
<br />_-. ---- et.; cos per 0
<br />~---
<br />------------
<br />~~•i""'' l ~ 0_ ft. Ct.• coat er ft. $
<br />rn~n:: 3_LQQ--tt. ------------ ~ n _..--------
<br />/~~~~~ -`rr~ ---~~-e~ _ft.; coat per ft., $__________ `
<br />I;rnsvi•utsJM~1O?~y„--__--~_ f Ofz__tt. ~)i:~C~
<br />t.~.nr,,~.,: w, - - ~ 0 0 ~C ---- yf,,t{-.(c er t.;
<br />llne~• you repm'ird to this department nl fatal and non•fntal n~ideAte o c r~ rlcmea in ttte
<br />I tvol¢c mnnlhs preceding the date of this report, ne required by ]nw} __~ ~~~~-yam
<br />Ranutrlcs: - -- -----
<br />---
<br />~--~ ------ c---
<br />--_-~1~~4G7~t~i
<br />4w e~~E~~'r[-1?~ ----------------- -------------------
<br />Cvr~~i.ut~ may/ =~,~4f/1~,^:~~ ~ .I1Zf~~~-----
<br />-" - ---
<br />~- ,~= =~r=r _
<br />//~~'"'' ---------~/j----y-~-- ----------
<br />Sigaed~(~~~~~ t=f /y/ii~~ +' •Com an
<br />~$ r~r~~ ~ P y
<br />-=------ -- -
<br />Title----~yt-~i~'!tf' •F/2~i-~---------
<br />- ./:
<br />!: __
<br />
|