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If yon have gives a lease to others for all or part of the property, state the names of the leasing com• <br />panies, partnerships or individuals: <br />Name ilfanager P. O. Address <br />- - -- --- - -- <br />------ -- <br />Is property worked continuously4____ __________ / <br />o~ ----------°------------------°------- <br />- --- - <br />If ~vor7: Itns been stopped, state when___________r___________________ _ -___ ____ ________ <br />ATnme, title and address of person in charge of work for you_____/_ 2~~~_ <br />- --- <br />State the character of ore--------------------------~ --' ---------------------------------- <br />State the value of the ore----°------------+~~-~~ =-------------------------------------------- <br />DfEN E111YLOTED <br />r. ~~ <br />II <br />1 <br />(i <br />~I <br />t <br />~'~ EI <br />~~> <br />i ', ;~ <br />~~ <br />I <br />,, <br />~; ~ ~'a~ <br />li. <br />`:, rt <br />i ~{ t.. <br />!~lf <br />No. Employed / iVo. Employed <br />~___llnchine Drillmen, $_-.____for~_hourshift. _____Engincers, _ _ _ $______for____hoarshift. <br />_____llachinc IIelpere, .$______for____hourshift. _____Yumpmen, _ _ $______for____hourshift. <br />_____1[mers, _ _ _ $__for__' hoursluft. _____Firemen, _ _ _ $______for____hourshift. <br />_____Timhermen, _ _ $______for____Itoursltift. _____131ncl:smiths, _ _ $______for____ftourahift. <br />_____'prammera, _ _ _ $______for____ltoursltift. _____Tenmstcrs, _ _ _ $______for____Itourahift. <br />_____Ore Sorters, <br />_ _ $~~_for~'__honrshift. ___._ <br />.Foremen _ _ <br />_ $______for____hoursltift. <br />_____Topmen, _ .- _ $______for____Itoursltift. _____Superintendent, _ $______for____ltoureltift. <br />__-__Lnborers, _ _ _ $______for____Itourshift. _____Ollice IIelp, _ _ $______for____ltoursltift. <br />_____!lssnyers, _ _ _ $______for____houreltift. _____111illmen, _ $______for____hourshift. <br />_____Islectricinns, _ _ $______for_-__Lour-shift. ____R'ntchmen, _ _ $______For____hourehift. <br />________________ _ _ $______for____Itoursltift. ________________ _ _ $______for____honrehift. <br />Accrnge number of men employed this ycar_______ ____l_S___ __________ __-_________-____________ <br />Is there n mi114----- ---------------------------- --------------------- ------------ ------------ <br />Name of mill------- ---------------------------- Location of mil1------- -------------------------- <br />Chnrneter of mill---- ---------------------------- ---------------------- ------------------------ <br />---------------------------------------------------------------------------------------------- <br />Capncity of mill_________________________________R'hen was mill erected___________________________ <br />Qive list of buildings, trnmrvays and otter surface improvementa __________________________________ <br />Coat of surface improvements made in 191___ _ _ _ <br />State amount and cltnrnetcr of underground development: <br />Total Development Amount Done in 1913 <br />Shafts -----------------------------ft. ------------ft.; cost per ft., $---------- <br />Ninzes ----------------------------ft. ------------ft.; cost per ft., $_..-------- <br />Drifts -----------------------------ft. ft.; cost per ft., $---------- <br />------------ <br />Crnsscuta --------------------------g, __---------_ft.; coat par ft., $ <br />$ave you reported to this department all fatal and nonfatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, as require by wf _________ <br />Remarks:___ <br />P ` G--- - - - - ---- -- <br />-------------------~ --" ~ ~L --_ 7~------------------------------------- <br />------------------------------ ------------~--~~-r~ <br />Signs ----1-- -'-----------------------------Compaq. <br />By------------~----~---------=-------------- <br />Title__ ----_-/- ~~ <br />----------------------- <br />