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If yon have given a lease to others for all or pert of the property, elate the names of the leaning oom- <br />paniea, partnerships or individuals: <br />Name <br />Manager <br />No. Employed <br />_____Engineers, _ _ <br />Ie property worked continuouslyt____~ _ ___ ___ <br />If work has been etapped,atate when__~~__~~ ____fl~_ Y________________ _____________ _ <br />Name, title and address of person in chnrgcC6f work for you____________________________~__ <br />------------ - ----------- <br />State the character of ore. _ __ <br />,- -- <br />- ---- -- ---- - --------- <br />--------------------------- <br />aQ <br />State the value of the ore____ J~:_ ___ ___ ___~(jQ~_________ ___ _ _ __ <br />---------- <br />1LLEN E)+1YLOYED • <br />No. Employed <br />_ilfachine Drillmen, $_~ ~for_~ <br />hour shift <br /> <br />~~ _3inchine IIelpere, _ <br />. <br />$s~ -_for <br />~ <br />hourshift <br /> _ <br />_ <br />. <br />_____Dliners, _ _ _ $______for____hourshift. <br />_____Timbermen, _ _ $______for____hourahift. <br />__~_Trnmmera, _ _ _ $,~`~for_~_hourshift. <br />_____Cre Sorters, _ _ $______for____hourahift. <br />_____Topmen, _ _ _ $______for____hourehift. <br />_____Lnborera, _ _ _ $______for____honrel~ift. <br />_____Assnyera, _ _ _ .$______for____hourahift. <br />PI t . . <br />_____Pumpmen, _ <br />_____Firemen, _ _ <br />_____Blacksmiths, _ <br />_____Tenmaters, _ _ <br />_____Foremen, _ _ <br />_____Superintondent, <br />_____Of6ce IIelp, _ <br />P. O. Address <br />_ $______for____hom~ehift. <br />_ $______for____honrehift. <br />_ $______!or____honrehift. <br />_ $-_____Por____hourshift. <br />_ $______for____hourehift. <br />_ $______for____hourehift. <br />_ $______for____hourahift. <br />_ $______for____hourehift. <br />_____1lfilimen, _ _ _ $______for____hour shift. <br />_____ . ec r~emns, _ _ $______for____hour-shift. .____R'ntchmea, _ $______for____hour shift. <br />---------------- - - $---___for____hourahift. __ _ $______for____honrehift. <br />3 ------------- - <br />Average number of men employed this year___l~=c'~_________-- <br />Is there n millt____ _ <br />--- -- -- ------------ <br />----- --- <br />ame of mill ____ `-- / p <br />--- ---- -------------------Locntion of mill_ ~~;__'L_L_+.c_Q1~d ~ ~ L°y~/ <br />-- <br />Charneter of mill____________~ ______ ~..,~ ?2_ ~o-.,-~ <br />--------------------------------~-V---- <br />----------------------------------------------------- <br />---------------------------- <br />---------------------P------------------------------------ <br />Capacity of mill____.(et_CS__ _ _____________ _~p}ien was mill erected_ ~t _~p/.~ <br />---- <br />- - ---- <br />Give list of bui] inge, trnmwn and other surface im rovementa ____ <br />~ -------- -- a'-`-`-`-o'a~- <br />------- <br />------------------------------------------- <br />------------------ ---- <br />- ------- -- <br />Cost of surface improvements made in 191 _ ~s-~ cz~F ~x~ m' •-S yh- <br />- - - - - - - ~`----- ------- ---- ce G <br />State amount and character of underground development: <br />~To°tal D.e./velopment <br />Shafts tcs-~-2-~_~I___y`_~o-a----------ft. <br />Winzce ---------------------- ft. <br />------ <br />Drifts __ ~ ~0 ~ ______ __________ft. <br />Crosscuts _f~~__________ ar <br />dmonnt Done in 191 <br />---_________ft.; coat per ft., $__________ <br />----------__ft.; coat per h., $----____-- <br />__ L/!o O___ft.; coat per ft., $_ G1 __ <br />----------__ft.; coat par ft., $----____-- <br />gnve you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />twelve months preceding the date o4 this report, u required by lnwt ___ <br />---------------------- <br />marka:---------------------------------------- <br />---------------------------------------------- ---------- <br />Signed_C!!_C!Til_~ ~Lyywc <br />-------- --~ ----DiomPRRJ~ <br />$y--~ -- <br />Title-- -S.~t-t.t/-j¢'~fu,l ~~ <br />