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If you have given a lease to others for all or pare of the Property, also the names of the Ieaaiag eom- <br />paaiev, partnerships or individuals <br />1Vamc 1laaager P.O. Addree <br />--------- ---------------- <br />------------------------- <br />Ia property worked continnonslyf____---!! III---- - l_ ,- - ------ -----------~,/~ <br />I If wrrk hzs h<.en Popped, ataLe FF1eII________T/~!v-~ __!~j_~1_--~ ~/!~_i~_ -_-- <br />~" Name, title and addre-as of person in charge of work for yon/---~fl --~a'r.'G~LiY -~fi_ ~~ <br />~~ State the character of are___L'Q!ILl~ --~ - ------------------------- <br />1 State the value c! the ore--llasrx~~(G~v__--_~~!_~'L_---__°-____-- <br />-------------- <br />1dE:`i EMPLOYED <br />No. Employfi No. Employed <br />____1[achine Drillmen, $______for____hon: shift. _____Engineers, _ <br />~___ltachine IIe]pen, $______for____honrshift. <br />_____3finera, _ _ _ $______for____honrshift <br />_____'I'imbermen, _for____honrahift. <br />----Trainmen, _ _ _ $_-----for----honrahift <br />_____Ore Sorter, _ _ $______for____honrshitt <br />_____Topmen, _ _ _ $______for____honrahift. <br />_____Lahorera, _ _ _ $______for____honrahift. <br />_____.laaayera, _ _ _ $______for____honrehift. <br />_____F.lectrician.9, _ _ $______for____honr-shift. <br />________________ _ _ $______for____honrahift. <br />_____Pnmpmen, _ <br />_ $_-----for--_-ho~ahift <br />_ E______for____honrahift. <br />_____Firemen, _ _ _ $______for____hoarshift. <br />_____Rlaeksmiths, for____honrshift. <br />_____Teamsten,_ _ _ S______for____honrshift. <br />_____Foremen, _ _ _ S______for____hoarshift. <br />_____Snperinteadent, _ $______for____hoarahift <br />_____Office Help, _ _ $______for____honrshift. <br />_____Sfillmen, _ _ _ $______for____honrshift. <br />_____Watchmea, _ _ $______for____honrshift. <br />---------------- - - 5----__for____honrehift <br />~~~~ Average number of men emp]oycd thin y ar______ _Y__ <br />_ ___ <br />- - - - --------- <br />I ___ <br />- ------L"~T <br />). ', ~ Ia there a millt_TT-~~ ~- -- ~---- -- --Y--- - -- ------- - - ---------- -- -- <br />Name of mill __!r_'~S~_ ~4~[r--- ~n ----~ ~-~-- - -- - <br />' racier of mil _ ____ __ __ _ _ ____ _ ~ _ _ <br />- ------ <br />~~i - ----~ ~'~ ' -- -_ - -- - ---- <br />-- ~~~ --/LGy - -~ - <br />I• Capacity of mill___________~ _______________~Chen was mill erected?%~~ _____ <br />• f3ive list of haildinge, tramwape and other surface improvements <br />. ~: 1 <br />I Cost of surface improvements made in 191___ _ _ _ _ _ _ _ _ _ $______________________ <br />State amount and character of underground development: <br />Total Development Amount Done in 1913 <br />Shafts -------~------------------ft. ~'~tcu!L_fk; coat per ft., $-----~-- <br />Winzca -----~~ ----------------ft. ----//'•------ft.; coat per ft., $_----~-- <br />Drifta ----~~ f-------------------ft. --- ft.; coat per ft., $---- ~ -- <br />--- <br />--- <br />Croeacuts ---"-~• ~i-------------------ft. ---,/f-------ft•: coat per ft., $-----/ - <br />ffave yon reported to this department all fatal sad nonfatal aeeidente occurring to workmen in the <br />twelve months preceding the date of this report, ae required by ]nwt ___~~ _______ <br />- ----------- <br />Remarka:---------------------------------------- <br />----------------------------------------------- <br />i <br />Z <br />Signed <br />