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~- <br />i, ~ <br />' If yon have given n lease to others for all or part of the property, state ilia names of the leasing com• <br />~~ ~ paniea, partnerships or individuals: <br />!i ~ ~ Name J[nnsger P. O. Address <br />I~ <br />r. <br />v <br />'~ <br />'I <br />i <br />i ~. <br />II fi <br />I. ' <br />i! <br />r i~ ; <br />~I ~ <br />Is property worked continuous]y4--------------------------------------------------------------- <br />If work has been etopped,stnte when_____________________________________________________________ <br />Name, title and address of person in clmrge of work for yau_______________________________________ <br />State the character of ore----------------------------------------------------------------------- <br />State the value of the orc----------------------------------------------------------------------- <br />DIEN EDIYLGTF.D <br />No. Employed No. Employed <br />~___illnchinc Drillmen, $______for__.._hourshift. _____Engivccrs, _ _ _ $______for____honrehift. <br />-____llnchine IIelpers, $______tor____hourshift. _____['umpmen, _ _ $______for____hourahift. <br />_____Jfiners, _ _ _ $______for____hourel~ift. _____Fitemen, _ _ _ $______for____hoursl~ift. <br />_____Timbcrmcn, _ _ S-_____for____hoursl~itt. _____Elacksmitt~s, _ _ $______for____hourshift. <br />_____frammcrs, _ _ _ $______for____hourshift. _____Tenmstere, _ _ _ S______for____I~oural~ift. <br />_____Crc Sortcra, _ _ $______for____haurshift. _____Foremcn, _ _ _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____hourshif[. _____Juperintcadent, _ $______for____hourshitt. <br />_-_-_Lnhorere, _ _ _ $______for____hourehift. _____G9ice Ilelp, _ _ S______for____hourshift. <br />_____:lssnyers, _ .. _ $______for____hourshift. _____\[illmcn, _ _ _ $______for____hourshift. <br />_____l'slectricinns, _ _ $______for____hour-shift. ____R'atchmcn, _ $______for____hourshift. <br />---------------- - - $____--for---_],oursliift. _---------____-- _ $-___--for---_haurehitt. <br />Average number of men employed this yenr_____________ <br />------------------- - -------------------- <br />Is there n mi119_----------------------- <br />----------------------------------------------------- <br />Name of mill-----------------------------------i.ocntion of mill-------------------------------- <br />Chnractcr of mill-------------------------------------------------- <br />--------------------------------------------- --------------------------------------------- <br />-------------------------------------------------------------------------------------- <br />Capncit}• of mill_________________________________«lien was mill erected________ <br />------------------ <br />Give list of buildings, tramways and other surface improvements __________________________________ <br />--------------------------------- <br />----------------------------------------------- <br />Cost of surface improvements made in 191___ _ <br />State mnount and character of underground development: <br /> Total Development Amount Done in 1913 <br />Shafts -- --------------------------ft. ------------ft.; cost par ft., $---------- <br />~1'inzes -- --------------------------ft. -----------ft.; cost par ft., $---------- <br />Drifts ___ _________________ ___it.; cost er ft. <br />Crosscuts --------------------------ft. <br />----------__ft.; cost per <br />ft., <br />$-----___-- <br />$nve you reported to this department all fatal and nos-fatal aceideats ocenrring to workmen in the <br />twelve months preceding the date of this report, se required by ]awt ______ <br /> <br />Remnrka:----- <br />------------------------------- <br /> <br />---------- ________ <br />- <br />------------------------------- <br />-------------------------------- ___ <br /> <br />--- <br />--- _______________ <br /> <br />--------------- <br />--------------- <br />Signed----------------------------------------Company. <br />By------------------ <br />