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~` <br />~~ <br />i <br />iII <br />it I <br />~I <br />I <br />44 ~ i <br />fF`'~, ~, <br />I ! I <br />I <br />I <br />i <br />~, <br />li <br />I 1 ~I <br />f ~ <br />~ ~ ~~. <br />~! <br />II I I, <br />i <br />I ~ i <br />I• ~. <br />I ~ { <br />I I <br />I~ I' <br />~~,I ~' , l <br />If <br />,. I <br />~~~~~ ,. <br />,I 1 I~I <br />t <br />i~lli i , <br />;'(i <br />`l, iI <br />I r I ~I~l~a <br />IP you have given a ]ease to others far all or part of the property, state the names o4 the ]seeing com- <br />paaiea, partnerships or individuals: <br />Name Diaaager P. O. Address <br />------------ -------------- <br />IB property worked coatinuoualyi_____________________________________________________--_Y_-_- <br />Ii work has been stopped,etnte when__________ <br />------------------------------------------ <br />Name, titlo sad address of person in charge of work for you_____________~_ <br />State the character of ore______ ~~LLVE !~L!/LL'ti --- <br />State the value of the ore_________--~- __-~-_----_-___ ------~------------'-------- <br />----------------------------------- <br />MEN EDIYLOYED <br />No. Employed No. Employed _ _ <br />____Tlachine Drillmen, $______for____hourshift. <br />-----Engineers,- _ _ $______for____haarehift <br />~___llfncl~ine Helpers, $______for____hourshift. <br />p _____Pumpmea, _ _ $______for____hourehift. <br />a~__Dlinera, _ _ _ $_~~°far_1L_honrshift. _____ <br />_____Timbcrmen, _ _ Firemen, _ _ _ $______!or____honrahift. <br />$---___for____l~ourshift. _____T;lackamitha, _ _ $______Por____hourehift. <br />_____Trammcrs. _ _ _ $______for____hourshift. _____ <br />_____t)re Sorters, _ , Teamsters, _ _ _ $______for____honrahift. <br />- ¢______for____hourehift. _____Foremen, _ _ $______for____honrahift. <br />-----ToPmcn, _ _ _ $__----for----hour shift. ----- <br />_____Lnborera, _ _ Superintondeat, _ $______for____hourahift. <br />_ $______for____hour shift. _____OtBce Help, <br />_____Asenyera, _ _ - - $---___for____hourehift. <br />_ $______for____hourahift• ____ 11lillmen, _ _ <br />_____F,lectricians, _ _ $______for____hour-shift. - $------for----hour shift. <br />_____~Vntchmen, _ _ $______for____hourshift. <br />---------------- - $------for----hour shift. ---------------- <br />Average cumber of men employed this enr____ $'-----for____hourshitt. <br />Is there n mill4--------- ~Z4------y ~-------------------------•-- <br />Nnme of mill--------------- -----------------Location of mill---- --_-- -------------_-_---- <br />Charneter of mill_________ <br />Capacity of mill_ ___ _______ ___ _______________~'Phen was mill erected-- _---_--_--_------__----- <br />Oivo list of buildings, tramways and other surface improvements .~i.~~dj - <br />---------- -- <br />- /J-- <br />i~HU ~ / <br />------------------------ _ ------------ G stc' ' <br />---------------------------- --------- ----------------- <br />- ----------- <br />Coat of surface improvements made in 191--- ----------------------~----- <br />State amount and character of uadergrouad development: $ -----'--'" <br />Total Development <br />Shafts _____________ _ ___ _ _ ft . .Amonat Done in 191~.,y,~~ <br />Wiazcs ----------------------------ft. -`---=-=-ft.; coat per ft., ffi-_~•~_~~ <br />Drifts ______ ---------___ft.; cost per h., $_.-____ <br />1 7G -~-------------ft. <br />Crasecuta ________ - ~~-___ft.; coat per ft., $_~1_ <br />r_.f ~ -----------ft. <br />----- ---ft.; coat per ft., $---------- <br />ave you reported to this department all fatal and non-fatal accidents occurring t orkmen in the <br />twelve months preceding the date of this report, as required by laws __~~t~_- ~~_-CIS~1~ <br />Remarks:------------- <br />---------------------- -------------------------- <br />--------- ------------ <br />------ <br />i" <br />Title----~ 2C r----------------------- <br />