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<br />~~ <br /> <br />' If you have given a ]ease to others for all or part of the property, state the names of the leasing com- <br />pnnies,~lartaerehipa or individuals: <br />' Name 11lnnager P. O. Address <br />--------------- <br />------------------------------ r <br />----------------------- <br />~/ - <br />Is property worked continuously9_=l_ ______ _ ,3 j~_ _ ~~~ ,w <br />- ---- ----- t <br />--- --- <br />If work has been sto "- <br />PPed, state when_____ _ _ _ __-_~ ~~, LY/~ <br />i~ Name, title and address of person in charge of work for you___________ <br />i <br />r ----- _ ---------°--'- <br />State the character of ore___ ___________________- _ <br />------------ <br />State the value of tlto ore------1~ ~-. `1~_v`~ _ <br />``1 ----- - Y_--v---------------------- ---- <br />I'f i1fEN E\IYLOYED <br />No. Employed No. Employed <br />ltachinc Drillmen, $_~`~for_~_hourshift. _____Enginecrs, _ _ ______ ___ <br />/-_lfnchiae Ilclpera, $_~s for_~_hourshift. _____Pum men, $ for -hourehift. <br />~ P _ _ $______for____hourshift. <br />-____Bfinera, _ _ _ $______for____ltoursltift. _____Piremen, <br />Timbernten, _ _ , - - $-------`Oi----hourehift. <br />--'-- $-_____for____hourshift. _ <br />~~ f3laclsmiths, _ _ $3 r'_for~'_hour shift. <br />_____'frammrrs... _ _ $______for____ltoursltift. _____Tenmsters, _ <br />_____Ore Sorters, _ , - - $------for____hourshift. <br />- $______for____hourahift. _____Foremen, _ _ <br />-__Tapmen, _ - $------for____Itouraltift. <br />=_ _ - $--____for____Itourshift. =~c_Superinteadont, _ $_,3,K`for_8_hourshift. <br />___Lnborcra, _ _ $______for____hourshift• ___OR'icc Ilclp, _ <br />___.Assnyers, _ _ _ $______for____hoursltift. _____1lfillmen, $---"--for____hoursltift. <br />__ I'Ic tricinns, _ - - - $------for____hourahift. <br />-'-' - $---___for____ltour-shift. <br />--.__1\'ntchmen, _ _ $______for____hourshift. <br />"" ~" - $.~ ~-°_for_ ' _hour shift. <br />~-_-- _ "--°------- _ $--____for____honrshift. <br />Average number of men em 99ved this ycnr_____ _ <br />Is there a mi117_______~!!Ytr ,. _-____~~ -~-~`----"' - <br />---------------- <br />- nme of tail1---------------------------------~-Location of mill-------------------------------- <br />Cltnrnetcr of mill________________ - <br />Cnpneity of mill______ ________ _________________R']tcn ~vna mill erected__ ________________---_-___-_-_- <br />Give list of buildings, trnmtvnys and outer surface improvements _____________ __ _ ___ __ <br />------------ <br />--------------------------- _______________ <br />---------------- _____________ <br />Cast of surface improvements mode in 101,3_ -f ~/~' _ _ ---'---'- <br />State amount and etmrnetcr of underground development: <br />Total Development <br />S}tnfts __________________ Amount Done in 101~'~ <br />-----------ft. ------------ft.;cost per ft., $---------- <br />tiVinzea _________ <br />------ <br />------------- ft. ------------ft.; coat per ft., $-'--------- <br />Drifts __________~ rj r/ <br />_- ---------------f t. ------------ft.; coat per ft., $ <br />Craascute -----'~'-~-----------h• ---------- <br />---~~C~__ft.; cost par ft., $__~~d~ <br />$avo you reported to this department all fatal and non-fatal accidents ocenrrin to~vorkmen in the <br />twelve months precedin t`ie da of this report, ae required by lawt ___ <br />-------------.e~YL-------------------------~r---- -- - --~tL.t/~ - - -~ <br />------------ ---- - - ---- 1 <br />--- -- - <br />+ --------- Bned__----- <br />- ----- <br />- --- --------------- <br />/1/ v y~ iwlf/f2vLG Si _ _~-~2~ ~- <br />/f y <br />q -_ m`paDy ~ <br />~h~ GG ~ Title_______-----~zl~x--,}~ /~ <br />/~^ <br />~/~ • ! v <br />