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<br />If yoti hove given a lease to others for all or part of the property, elate the names of the leasing com•
<br />panics, partnerships or individuals:
<br />Anme ~ /~llfana er `, .. ,, P. 0.4ddresa
<br />- ---
<br />Is property worked continuously4____/_~_______________________________________ _______________
<br />If vvorl:lins been stopped,stnte tivhen_____________________________________________________________
<br />Name, title and address of pe son in clrnrge of iv rlc for yon_______________________________________
<br />- jo lU___~~/~------
<br />------------------------ - ----
<br />State the ehnraeter o[ or .._ ~?~{~f_cc-e! _ _ ~ec~L~__ f*_c___ _
<br />State the value of the ore---------------------------------------------------------------------
<br />11IEN Ei11YL01'ED
<br />No. Employed
<br />,____il[ncbinc Drillme n, $______for__._hourshift.
<br />~___.l[nchinc Ilclpers , $______tor____hourshift.
<br />_____1lincrs, _ _ _ $______Cor____bourshift.
<br />_____1'imbcrmen, _ _ $______for____hourshift.
<br />_____'1'rmmm~rs, _ _ _ $______for____hourahiCt.
<br />_____Orc Sorters, .. _ $______for____honrsbift.
<br />_____Topmen, _ .. _ $______for____bourshitt.
<br />_____Lnborers, _ _ _ $______for____IrourslriCt.
<br />_____:lssnyers, _ .. _ $______for____hourshift.
<br />_____l:lcetricians, _ _ $______for____liour•sliift.
<br />A'o. Employed
<br />_____Engincers, _ _
<br />_____Pumpmen, _
<br />_____L'ircrnen, _ _
<br />_____131acl:srnitlrs, _
<br />_____Tenrnstcre, _ _
<br />_____Poremen, _ _
<br />_____Supcrintendent,
<br />_____Oflicc IIclp, _
<br />_____itlillmen, _ _
<br />.__.._\Cntchmen, _
<br />_ $______for____houretritt
<br />_ $______for____houralrift
<br />_ $_______`or____lrourslritt
<br />_ $______for____Irourshift
<br />_ $______for____Iroura}rift
<br />_ $______for____honrshift
<br />_ $______for____hourshift
<br />_ $______for____hourshift
<br />_ $______for____hourshift.
<br />_ $______for____hourshi[t
<br />---------------- - - $______for____Irourslrvft. ____ _ $______for____hourshift.
<br />~/ ------------ -
<br />Avernge number of menGpemployed this yenr_'~_f~Q(/_F__tcy_t_-CG4fi _ rd
<br />Is there n mi1I4_______L_~____ ~ 7~-t~.~
<br />Name of mill___~~tiG~D>_~LL,_____________T.ocation of mill_/~t/.L___~3~1z~-~- __ .
<br />Character oC mill______~'//s~-J212._QQl~e__=_ _ !a__Qtc d __(q_dP~ ___-_ _-__-_-
<br />------
<br />-- -----------------------------------------
<br />____________________________________________________________________________
<br />Capacity of mill_ 40 __o p_`y_~,o___- _q*lren was mill erected_~~cou>!_l~CI
<br />Giwge-,l~ist~/Q%f buildings, tram~tw,lays and other surface improvements ~-QZK
<br />-V_C.C_..CG02fiA~le4~_~~[Gt~°~Pi~zLff~ ~// ~ -
<br />- ---
<br />--------------
<br />-- ----------------------------------
<br />Cost o urf improvements mode in 191___ ~(~rs.~, _
<br />State amount and ebnrncter of underground development:
<br />Total Development Amount Done in 197,,~rf
<br />Slrnfta ____~ ~ ov _t __________ft.; cost per ft., $__________
<br />1\'inzes ---------------!~~Gkr~ -----ft.; cost per ft., $
<br />- -----
<br />----------
<br />Drifts ___ -?~_t~______ ~i
<br />-----------it. -----------ft.; cost per ft., $----------
<br />Croascuta ~7 4~___ ___ ~_________ft. _________ft.; cost per ft., $__________
<br />$aee you reported to this department all fatal and non•fntnl accidents cenrring to workmen in the
<br />twelve months preced~i/n~g the/date of this report, as required by lnwt __r~[~~__________ -
<br />Itemnrka:_~.L =_-~t~p_!s[s~~---- -f~-'~ J jl /1 -----------
<br />~f11_&___~f!_z_t___~~_L2~~'L__C-[~4._ ~1iL_27~,QG:--_p{~.`~~_~.c~
<br />Signed---~ ~~s___~-•__~1~___ ~~~-R
<br />----------
<br />Ti e----~fLZfGGL!'L'n-------------
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