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I If yon h~ve given a lease to others for all or part of the property, state the names of the leasing Coto. <br />panics, partnerships or individuals: <br />Name .llannger P. O. Address <br />Is property worked continuously 4_____________________________________---------------------- <br />'-- <br />If work lots Ueen stopped, state wlloa________________________________________________________ __ <br />1ame, title and address of person in charge of work for you____________________________________ _ <br />--------------------------- <br />State the character o£ ore____________________________________________ __ <br />State the value of the a•e___ <br />11fEN E3fYLOTF.D <br />~A'o. Employed No. Employed <br />~_._.llachine Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______far____haurshift. <br />_____~(achinc Ilelpers, $______tor____hourshift. _____Pumpmen. _ _ $______for____hourshift. <br />_____Jfiners, _ _ _ $______for____hoursltift. _____Firemen, _ _ _ $_______for____hourehift. <br />_____Tirnbcrmca, _ _ $______for____hourshitt. _____Blaclsmiths, _ $______for____hourshift. <br />_____'f'rammers, _ _ _ $______for____hourshift. _____Tenmsters, _ _ _ $______for____hourshift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____ltoursltift. _____Supcrintendeat, _ $______for____]toursltift <br /> <br />_____Lnborers, _ _ _ $______for____Itoursltift. . <br />_____O(Ctce IIelp, _ _ S______for____JtoursltiCt. <br />lssa}-crs, _ _ _ c______for____hour shift. _____Jlillmen, _ S______for____hour shift <br /> <br />_____Islectricinns, _ _ $______for____hour-shift. . <br />____A'ntchmen, _ _ $_....___for____hourshift. <br />---------------- - - $------for----hour shift ------------_--- _ $-__---far----hour shift. <br />Average number of men employed this <br />ear <br />y <br />_______ _________________ _ <br />Is there a mil]?_____________________ <br />------- <br />----- <br /> <br />ame of mill----------------------------------- --------------------------------------- <br />------ - <br />Location of mill ---- <br /> <br />~ Character of mil]________________________________ ----------------------------- <br />______ <br />-------------------------- <br />------- <br />Cnpncity of mill <br />----------------------------------------------- <br />_________________________________\Vhen vvns mill erected <br /> <br />Give list of buildings, tramways and other surface i ___________________________ <br />m <br />r <br /> p <br />ovements _________ <br />------------------------- <br />------------------------ <br />------------- <br />Cost oC surface improvements made in 191 ________________________ <br />____________ <br />___ _ _ _ _ _ <br />State amount and character of underground development: $ <br />T 1 Development <br /> <br />u- <br />Shaft <br />~' ~ Amount Doae in 1913 _;.~ <br />_ <br />________________ <br />`- -___ft. <br />'inzes <br />~- <br />_ft.; cost per ft., $_ ' _`__ <br />----------- <br />_____________ <br />---------------ft. <br />DriCta _ <br />_ <br />------------ft.; coat per ft., $_..-------- <br />____: <br />__ <br />CL08SCntB _~~_ '' ~ "' ____________ft.; cost per ft., $________ _ <br />~---~-" -----------ft. <br />$nve port reported to this d ------------ft.; cost per ft., $---------- <br />epartment all Pala] and <br />twelve months preceding the date of thi non•fatnl nccidenta_ occurring to workmen in tl:e <br />s report, as re <br />Remarks:------------------------- <br />------------------------- gtared by InwT ________ __ ____ __ <br />----------- <br />---------------------------- ------------- <br />-------------------- <br />,~ <br />C/v 1---------------------- <br />~~~~~ <br />----------------------- <br /> <br />