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<br />I If you hove given n lease to others for nl] or part of the property, state the names of the leasing com-
<br />panies, pnrtneral~ips or individuals:
<br />Name ~Innager P. 0. Address
<br />Is property worked contmnouslyP____________n ~'
<br />-F `---'-------------------------------------------
<br />If worl: Las been stopped,stnte ivhcn__________ J__________________________________________ __
<br />Name, title and address of person in charge of worl: ff yoi~ ____________________~_______________
<br />/^/ ~% - --
<br />----------------------~~=J. lGl!rwv~l~l,--.'~~ Q!._.t.<...,,aU-~..~c ~---'~"_L__-/'- i!_'~~ -
<br />State the cl~nrncter of ore-- ~---- ~-_"=-"-`==-'--------------------------------------------------
<br />State the value of lbe orc----------------------------------------------------------------- -----
<br />'~ DIEN EDIYLOYF.D
<br />~ No. Employed No. Employed
<br />I~ I ~ ~-.-_llacbinc Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______for____hourshift.
<br />I ____ \Inebine IIclpers, $______for___hourshift. _____Pumpmen, _ _ $______for____hourshift.
<br />' ~ _ r__.lliners, _ _ _ $~ =_for_~__bonrsbift. _____Firemen, _ _ _ $_______`or____hourshift.
<br />1;,, I ' _____Tirnbcrmen, _ $______for____hoursbift. _____i3laclamiths, _
<br />_ $______For____haurshift.
<br />I _____'Prmnmere, _ _ _ $______for____bourshift. _____Tenmsters, _ _ _ $______for____hourshitt.
<br />_____Ore Sorters, _ _ $___..__for____hourshift. _____Foretnen, _ _ _ $______for____Itourshift.
<br />i
<br />L'l l __..__Topmen, _ .. _ $______for____hourshift. _____Superintendent, _ $______for____hourahitt.
<br />_____Lnborers, _ _ _ $______for____honrshift. _____ORice Help, _ _ $______for____hourshift.
<br />_____:lssnyers, _ _ _ $______for____hourshift. _____D[illmen, _ _ _ $______for____hourehi[t.
<br />_____Electricinas, _ _ $______for____hour-shift. .____\\'ntchmev, _ _ $______for____hourshift.
<br />~~, ~ ---------------- - - $------for----hour shift.
<br />~p ---------------- - - $--____for____hour shift.
<br />~i ~ I i Average number of men employed this yenr____43_x____%s-,________._:-___-: _____________________
<br />~ Is there ii mi111________________________
<br />' Nnmc of mill-----------------------------------l.oi~nlion of mill----------------------------- -
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<br />i i Character of mill____________________
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<br />11 ---------------------------------------------------------------------------------------------
<br />Cupneih~ of mill_________________________-__--_--_\Pben wns mill crected_ _____
<br />'~ i ~ Give list of buildings, tramways and other surface improvements ~~,~ «_c~__ ~,~/,n~c._~.: _0,_2 __„~
<br />~ ------ --~~__~ _c--------------------------------------------- u- /
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<br />` Cost of surface improvements made in 191:__ _Q-~-~-~_ _ _ _ '
<br />I _ _____
<br />Stutc amount and character of underground development: $ /
<br />I ^~ Total Development Amount Done in 191'
<br />- -------
<br />___ft.; cost per ft., $__~______
<br />~ i ------------ft.;cost per ft, $----____--
<br />,~ I Drifts -----------------------------ft.
<br />--__________ft.; cost per ft., $
<br />~.I, I - Crosscuts --------------------------ft.
<br />___ft.; coat per ft., $__________
<br />,~ 13avc you reported to this department all fatal and non-fatal accidents occurring to workmen in the
<br />I ~ twelve months eced~i/ng~thc date of this report, ns required by law} __~! _?_~'__ ,_.~,~~ .-
<br />' I?emarka:_~~ vJ-.xxen4~Qp - -------------
<br />--- a /O
<br />~ ~-¢~ :-- ------- o- - -~ ~ -- --- - -- ---------------
<br />- ---- -~
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<br />~ ~ Signed_(J~_
<br />r~dt_Company.
<br />Title__
<br />__ Gh~ _ -----------~ -----=--
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