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~, <br />i <br />1':, <br />~.~ <br />~,~ i.: <br />I,~~ <br />J,li~ <br />If you have given a lease to others for all or part of the property, state the names of the leasing com- <br />panies,~partnersl»ps or individuals: <br />IQame ~lIanager P. O. Address <br />------__ <br />Is property worked continnously4_____ ~~ ______________________ _________________________ <br />---- <br />If work has been sto ~'`"'~ ____~~ ~__ '`~~ <br />PPed,state when------------- - ------Y----------------------- <br />Name title and address of person in charge of work for you_______________________________________ <br />------------------------f------ --------•----------- ------------------------ <br />~4d- e.. ti„ <br />State the cltnracter of ore_____~ ___ ~`_°_•_____~'~J( __ de_________________ <br />.~o - <br />i State the value of the ore__ ~~-_ s!L`~"-~-+r ~ ~4idi~-.i <br />-------------------------- ----------------------------- <br />-IEN Ei11YLGYED <br />No. Employed No. T•.mploped <br />_~_\[nchiac Drillmcn, $3 ~_for_p_hourshift. __~_Enginecrs, _ _ _ $~~-_for_8_hourahift. <br />_~[nchine Helpers, $______for____hourshift. _____Yumpmen, _ _ $______for____hourahift. <br />---- <br />_ ~_.liiners, _ _ _ $`~'-° for_p_hourshift. _____Piremen. _ _ _ $_____ °ar____hourahift. <br />_____Timbermen, _ _ $______for____ttoursltift. _____I31acl:smiths, _ _ $______for____hourshift. <br />_____Trnmmars, _ _ _ $______for____hourshift. _____Tenmstcrs, _ _ _ $______for___..ltoureltitt. <br />_____Ore Sorters, _ _ $______for____hanrahift. _____Poremen, _ _ _ $______for____hourshift. <br />_____Topmcn, _ .. _ $______tor____hourshift. _____Superintendcat, _ $______for____hourshift. <br />_____Lnborers, _ _ _ $______for____honrahift. _____O(nce hIelp, _ _ ______for____hourehitt. <br />___.__:lssnycra, _ _ _ $______for____hourshift. _____DIillmen, _ $______for____hourshiCt. <br />_____I'sleetricians, _ _ $______tor____hour-shift. ____1Cntchmen, _ _ C______for___..hourshift. <br />---------------- - - $------tor--__ltoursttift. _---------_--_-- _ - $------for----honrshift. <br />Average numhcr of men employed this vcar_____ <br />------- -- --- ------- <br />Is thrre n mill4-----------------~?-~----------__-- <br />-------------------------------------------- <br />Nnme of mill ___________________ -~ _~ <br />----------Location of null----------------------------- <br />'-- <br />Chnrnetcr of mill_________________l_ <br />------------------------------------- <br />----------------------------------------- <br />---------- <br />Cnpncit}• of mill_________________________________\~Tlten was mill ereeted___________!~________ <br />Give list of buildings, tramways and other surface improvements _______________________________ <br />---~`~--`-~-'-`-"?-^_ -_!°'/a-..^..~ Vic.-~....1n-...,,_,___ ~a-,_. --- <br />______~___________ ___________________~-y_ <br />________________________ <br />______ <br />Cost of surface improvements made in 191_` _ .98 o n <br />State acnount and character of underground development: <br />Total Development - Amount Done in 191 <br />SltnCte ______~p____ ~'~..~-J__ft. ~~' ~'o ft.• east er ft. °" <br />P ~ $_/o _ _~~• <br />R'inzes ----------------------------ft. ------------ft.; cost per ft., $---------- <br />Drifts ____ ~?`_?! ____t!~...~ / tt ft.; cost per ft., $ <br />---------- <br />Crosscuts ~'~?~!~=_ ___ ~O-o ft• ____________ft.;eost per ft., $ <br />-------- <br />---------- <br />$nve you reported to this department al! fatal and non-fatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, ns required by InwT ____~-O -_ <br />Remarks:----------------------- <br />------------------------------------------------------------- <br />~.. ~. <br />------------------------------ <br />-'~ <br />Signed'~____ 7ii_ ~.~-~ Compagy. <br />By----------------- <br />------------------------ <br />Title----- ~!___-- <br />~"e""3=e~ ------------ <br />r <br />