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1 I~ <br />f <br />i <br />~~ <br />~~ <br />II ~ I I, <br />} <br />~` ~ <br />I ~ . <br />1f qon have given a ]ease to others for all or part of the property, etato tl~e names of the leasing com• <br />ponies, partnerships or individuals: <br />Noma bfanager P. O, Address <br />------- <br />Is property worked continuously4_______XN1 ~------------------------------------------------- <br />If work hna been stopped,stnte ~vhen_____________________________________________________________ <br />Name, title nod address of person in charge of work for you_______________________________________ <br />State the character of orc----------------------------------------------------------------------- <br />Stnte the value of the ore-----------------------------------------°--------------------------- <br />bfEN Eb1YLOYED <br />No. Employed No. Employed <br />~___,lfnchinc Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______for____honrehitt., <br />_____biachine Helpers, $---___for____hourehift. _____Pumpmen, _ _ $______for____hourehift. <br />_____bfiners, _ _ _ $______for____houral~ift. _____Firemen, _ _ _ $______for____hoarshift. <br />_____Timbcrmen, _ _ $______for____lioursl~ift. _____i3luckemitha, _ _ $______for____hourshi[t. <br />_____'1'rammera, _ _ _ $--____for____}~ourahift. _____Tenmstera, _ _ _ $______for____hourahift. <br />_____Ore Sorters, _ _ $______for____hoursliift. _____Foremea, _ _ _ $______for____I~ourehift. <br />_____Topmen, _ _ _ $______for____}mnrshift. _____guperintendent, _ $______for____honrshift. <br />____..Lnborers, _ _ _ $______for____houraliift. _____Oltice Help, _ _ $______for____hourshift. <br />_____:lssayera, _ _ _ $______for____hourshift. _____blillmen, _ $______for____l~ourehift. <br />_____Plectricinns, _ _ $______for____hour-shift. _____\Vntchmen, _ $______for____hourshift. ' <br />---------------- - - $--__--for----hoursliift. ___------____--_ _ _ $_-----for----honrahift. <br />Average number of men employed this ye~r______ -,.~~~ <br />~, /.~Cil~_-•_ <br />1e there n mi114---- ----° ---------------------- 1 <br />------------- <br />-------- <br />-- <br /> <br />Nnme of mill------ <br />-----------------------------Location of mill-------- ----------------------- <br />----------------------- <br />-- <br />Charactcr of mill___ ______ <br />--------------------------------------------------------------------------------------- <br />Cnpncity of mill_________________________________~Vl~en ~vns mill erected___________________________ <br />(live list of buildings, tramways and other surface improvemcnts __________________________________ <br />------------------------------------------------------------------------------- <br />------------------------------- <br />---------------------------- <br />---------------------- <br />Coet of surface improvements made in 191___ _ <br />State amount and character of underground development: <br />.Total Development <br />Shnfta -----------------------------ft. <br />tiVinzes ----------------------------ft. <br />Drifts -----------------------------ft. <br />Crosscuts ___________ ~. <br />$ave you reported to this department all fatal-and non-fatal accidents <br />twelve montha~ceediag t}~ date of thibrep~tt, ns regniytd by lawP ____ <br />Amount Done in 1913 <br />----________ft.; coat per ft., $__________ <br />____________ft.; coat per ft., $__________ <br />-----_______ft.; cost per ft., $__________ <br />------______ft.; cost per ft., $__________ <br />~['~_'__ <br />Signedj~~_'_L_~_-_Q_ <br />By-- <br />ring to workmen in the <br />4- <br />------------rj------- <br />