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~f 1 i l If you have given n ]enae to others for all or part of the property, state the names of the leasing cam- <br />j I panics, partnerships or individuals: <br />' Nnme -Ianager P. O. Address <br />I~'' <br />~II' ~~ Is property worked continuously9_~_E!_°___________________________________________________ <br />ll If work hna been stopped,atRLC when___________________ __ ~_~_ -^^~~~ ~__ <br />A~) Y ' Nn title and nd`~ es~,o~,person in-charge of work for u ~ ~ ~~Z=v~% --------__-- <br />i ~ G ~C~r ~~ a// (rye ~ ~ '----' - <br />------------------------f ---------~~ ---~°-~- fi ~---------------------- <br />State the chnraeter of orc_ ~' _ G ~~ C'tiS~~'_____ ~L-~ <br />--Y------------- ~ ------- ~/ ~T_____ <br />' ~~I'~~f ,,. ~ ~ oo i' V ----------------------- <br />„ State the value of the are___ ~______ ~_______.~i2____I____ <br />`II ~ ------------------------------------ <br />li i~ 11fEN );-1YLOYFD <br />Ire !! No.1'.mployed No.1•;mployed <br />so <br />i I ~/_\fuchine Drillmen, $_ ~__for_~_hourahift. _~__);nginccra, _ _ _ $,1.,__for_~_hourshift. <br />1 , ` Ij ~ __~__Alnchine IIelpers, $_3`_r°_for_~_hourshift. _____Pumpmen, _ $______for____hourshift. <br />_____1lincra, _ _ _ $______for____hourahift. _____Firemen, _ _ _ $______5or____honrshift. <br />k j _ $______for____hourshift. _____I3lnchsmithe, _ <br />_____Timbermen _ . _ $______for____hourshiCt. <br />~i' I .. _ Y_'I'rnmmcrs, _ _ _ $~~ _for_B _honrshift. _____Tenmsters, _ _ _ $______for___..hourshift. <br />{,~I ;' ' _____Ore Sorters, _ _ $______for____honrshift. _____Foremen, _ _ _ $______for____hourshift. <br />~ i _____Topmen, _ _ _ $______for____bourehi[t. _1 _Superintendent, _ $.2?f_°_for____hourshift. <br />'. Laborers, _ _ _ $______for____hourshift. _____Oflice IIclp, _ _ $______for__.._hourspift. <br />~ j ----- <br />_____Assnycrs, _ _ _ $______for____hoursl~ift. _____biillmen, _ _ _ $______for____hoursliift. <br />~, I _____Pleetricinns, _ $______for____hour-shift. _____~~'ntchmen, _ _ $______for____hourshift. <br />,; - <br />' ---------------- - - $--__--for__--hourshift. ----------____-- _ _ $---_--for----honrshift. <br />i l <br />j Average number of men employed this year__~____________________________ _.._ <br />1 i ~~ <br />~ Is there a m;117------ 1~_~--------------------------------------------------------------------- <br />Name of mi11___ J______________________Location oC mill--------------------------------- <br />I~>j chnraeter of mill------------------------------------------------------------------------------- <br />~L~I -----------------------------------------------~---------------------------------------------- <br />Capacity of mill__________ __________________\Vhen was mill erected___________________________ <br />----- <br />Oive list of buildings, tramways and oCrfnce Lprovementa __~~_~~~n-__~~_ <br />~7~._, --- - -- <br />,, 7 ----- <br />----- <br />' YY <br />l~Y-a-~... ` ----------- -------------'~-- <br />Cost of surface improvements mode in 191! _ _ _ _ _ _ _ _ _ $_f OHO (J U__________ <br />1( State amount and chnraeter of underground development: <br />Total Development <br />Shafts -----`~S~ ------------------ft. <br />Winzes l%er= A-!~=_~es---`3~Q~------ft. <br />5 <br />Drifts ----------------=z•~~ ~ -----ft. <br />Crosscuts ---------_-- J ~?-7~______ft. <br />Amount Done in 191 <br />---~0____ft.; coat per ft., $_(D__°__°___ <br />------______ft.; coat por ft., $_..________ <br />--__`L?_____ft.; coat per ft., $__s~_o <br />_Lt~ _____ft.; coat per ft., $_lQ_._°____ <br />$nve you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />~I twelve mont~hs~preeeding tho dntePf th's report, as required by ]nwt ________ <br />Iiemarks:_C!ciK~_Il------~-- ------- ---------------------=-``--= =- ---------------- - <br />------- ----- <br />I -------------- ------------------ <br />1 ~_ ------ -----~lrl~ <br />Signed .~__---- 1/, <br />G - - -- <br />Title------------------------------------ <br />