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<br />rlerrr Jtlrp fPlmrr,
<br />flrr name of eneh elnim Fdoxvlnv to l:OrmrxnY or croup,
<br />illl In cnrclulty--~1IiN IiA11 Lt)Vlib,
<br />nll rvm hlxxk nu nppanlle dde and xlvn report.
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<br />13UR1•;AU OP' bIIN);S, STA'1'i; OP' COLORADO.
<br />T. It. IIonnllen, Commisaionnr of i\linea,
<br />Denver,.Colorndo,
<br />Sir: In nacordanco with tho uLovc section, I eubutit report na follows:
<br />Nmne of claim or elnlms__________________________ __
<br />-___ -- 7--- - - ~ _ _
<br />--- ------------
<br />------ -- ------ -- ---- -----------------------------------
<br />- -- =---------------------------------------
<br />~. ..
<br />_______________________ ______ _______ _if __________ __
<br />_____
<br />__________________________
<br />Location ----------------------------------- ------------
<br />Diining District --------------------------------- County -----_-~~- -- ~---- ~~i"'
<br />__ _____ _ __ _,et
<br />Owner cr owners and nddrese----------------------------------------------------G-/-----------
<br />y :. .
<br />------------------------p-~----------'----------------:-- ------------------------------------
<br />Namc of Compnny______1S?_'~P~__-_u_-_-_~_x~l_~__±/__~Zta.,.u-,,,~_ ~d
<br />---------------------------P -------
<br />(IP ^morpornted)
<br />Capltnl Stock----°-------------------------------------- ahares,at $------------------ cr ahnro.
<br />(I'. 0. Address)
<br />--------------------------------------I'rceident, ------------- -----------------------
<br />-------
<br />r,
<br />~______________Seeretnr
<br />----------------------- yr-------------~-
<br />----°-------------------------------Dinnager, -----------------------------------------------
<br />r
<br />------------- -- -------------------Superintendent ----------------°-----------------------
<br />--- u
<br />Leased to -------------------------------------------------------------------------------------
<br />(P. 0. Address)
<br />\3fork in charge of-----------------------------------------------------------------------------
<br />----------------------------------------------------------------------------------------------
<br />Is property worked continuously4_______________________________________________________________
<br />Cotnmeneed work -----------------------------------------------------------------------~ 191---
<br />Stopped work --------------------------------------------------------------------------~ 191---
<br />DiEN )J)1iPL0Y);D
<br />No. Pmployed. ATO. );mployed.
<br />_____Alachine Drillmen, $______for____hourshift. _____I3ngineers, _ _ _ $______for____hourshift.
<br />_____]1lachine Helpers, $___-__for____hourshift. _____Pumpmen, _ _ _ _ $______for____hourshift.
<br />_____Dliners, _ _ _ _ $______for____hourahift, ____S'irernen, _ _ _ _ $______for____hourshift.
<br />-____Tivibermen, _ _ _ $______for____hourshift, _____Blacksmitha, _ _ _ $______for____hourshift.
<br />
<br />-____Trammere, _ _ _ -•
<br />_ $______for____hourshrft.
<br />_____Teatnsters, _ _ _____for____hourshift.
<br />_ $_
<br />_____Ore Sorters, _ _ _ $______for____hourahift, _____Foremen, _ _ _ _ $______fm•____llourshift.
<br />_____Topmen, _ _ _ _ $______for____hourahift. _____SuPerintendent, _ $______for____hourahift.
<br />_____Lahorers, _ _ _
<br />_ $______for____hourshrft,
<br />_____Office help, _ _ _____for____]IOUrshift.
<br />_ $_
<br />--___Assnyera, _ _ _ _ $______for____hourslrift, _____11lillmen, _ _ _ _ _ $------for____hourshift.
<br />---- f r hotirsllift. -------------------- - $------for____llourshift.
<br />Average number of men employed for the year 191__ _, -----------------------------'
<br />Character and value of ore-------------------------------------------------------
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<br />(Over.)
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