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If yon have given a lease to others for all or pert of tl:e property, atnte the names of the leasing com- <br />panies, partnerships or individuals: <br />Name llinnager P. 0.6~ddreea <br />Is property ~vorl:ed continuously4__~~___________________ <br />If tivork has Ucen stopped, state when!~~~sr!_•~ire~!s._ ~~z ~r--~9.f~• ------------------------ <br />----- <br />-J- --~-~--------- <br />Name, title and address of person in charge of work for you_( _ ~ t• <br />--- ~- ha2a-1!cd!c~ _ <br />_'/!,"-t.C2..s~~~r~~z~ra~c~L___2~-z_~/~__~~ll~_Ck~e__Irta•~~~..[ <br />State the character~~ of orc«~~~u~.~2~'~ .______ ^ ____ <br />/~~ pp ,,~~ /~ J-~-,~I ---------------------- <br />State the value of the ore__-____L.G(Grtsti~__~Ir_k r-~_~l~.Fi.~r J~ <br />3fEN E111'LOYED <br />No. Employed No. Employed <br />lfachine Drillmen, $_._--_for_--_hourshifL _____Engincers, _ _ _ $______for____bourahift. <br />_ ___Btaehine Helpers, $______far-__-hour shift. _____Pumpmen, _ _ $______for____hourshift <br /> <br />_J___\Iinera, _ _ _ $______for____houral:ift. . <br />_____I~'iremen, _ _ _ $_______`or____I:ourshift. <br />Timbermen, _ _ $______for____l:oursl:ift. _____iil::eksmitl:s, _ _ $______for____I:oural:ift. <br />'frnmmers, _ _ _ $______for__.._houral:ift. _____Teamstcrs, _ _ _ $______for____hourshiCt <br /> <br />_____Ore Sorters, _ _ $______tor____hourshift. . <br />_____I'oremea, _ _ _ $______for____Lourshift <br /> <br />_____Topmen, _ _ _ $______for____hourshift. . <br />_____Superintendent, _ R______ <br />for____hourshift <br /> <br />___.._Lnborers, _ _ _ $______for____hourshift. . <br />_____OfTicc IIcI _ _ <br />p, $______for____hourel:ift. <br />_____Assayers, ._ _ _ $______far____hourshift. _____\fillmen, <br />- - _ $-_____for____hourshift <br /> <br />_____Eleetricinns, _ _ $______for____hour-shift. . <br />____\1'ntchmen, _ _ $______ <br />for____hour shift. <br />---------------- - $------for----bourshift' <br />_ _ _ $______for____hourahiCt. <br />--------------- <br />1lverage m:mhcr of mea employed this <br />en <br />~ < <br />y <br />r_ <br />i_n <br />Is there n tnill~~ rr[<_---'------------ <br />- -__ <br />----------- <br />- <br />----- <br />Nnme of mill---------------------------------- ------------------------------------------------ <br />-Location of mill----- <br /> <br /> <br />hnrnetcr of mill_______________________________ ------------------------- <br />--- <br />____ <br />-------------------------------------------- <br />Capacity of mill_____ ________ _________________ _\1'hen was millerceted -_-_---_-------_--_-__--_- <br /> <br />dive list of huildings, tramways and other surface --- ------ r ----------- <br />J„r. <br />improvements _ <br />J <br />`= <br />~ <br />~f <br /> <br />---------- __ <br />_ <br />_ <br />` <br />~ =-------- <br />------------------------------------------------ <br />----------------------- <br />---------- <br />Cost of surface improvetncats made in 1'J1___ _ <br /> <br />~ <br />_ _ _ _ _ <br />State amount and character of underground development: $ <br />~-~~ <br />Total Development <br /> <br />Shafts Amouat Done in 1'J13 <br />-----------------------------ft. <br /> <br />\Vinzes <br />--------____ft.; cost per ft., $____ ____ <br />------------- ---------ft. <br />------ <br />Drifts ____=~ <br />~• <br />~ <br />y ------------ft.; cast per ft., $-- ~ ----- <br />_ <br />-- -- - <br />- <br />---------rt. <br />Crosscuts ____rJ~_____ft.; coat per ft., $__~_____ <br />__________________________ft. ____________ft.; cost per ft., $__ <br />_ <br />EInve you reported to this department all fatal and nonfatal nccident <br />i <br /> <br />twelve months preceding tho date of thi a ccurr <br />ng to work en in tho <br />/ <br />~ <br />_ <br />s report, na requir~d by ]aw-t-~ <br />Q' _ A~ts~4s_~.L?C~ -------- <br />----------------------------------------------- <br />--------------------------------------------- <br />Sig o~(,sX__Company. <br />-- ~~ <br />