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<br />I! yon Lave given a lease to others for all or part of the property, state the names of the leasing coc•
<br />Parries. partnerships or individuals:
<br />Name 3lanager P. Q Address
<br />-- -- ---------------
<br />
<br />Is propem, worked continnonsl: t__,~L4----- --------------- ---
<br />
<br />--------------------- -------------------
<br />--- -
<br />--------
<br />I1 work has been stopped. state. when-------------- --------------------- -----------
<br />
<br />
<br />came, title and address of person in charge of_wor - ---------
<br />----
<br />F< Par yoni •_ ~:_~%.~-~`_-~_~ _
<br />
<br />' ~____ _
<br />- ---
<br />--------
<br />
<br />State the character of ore___ E _d-~,t.t:~L~ ____1-
<br />~_-_~_~ _ -----------------
<br />--
<br />State the valve of the ore_~_C__t~_ ~,~,~u•~-_z.~c,._r---------- --------------
<br />-------------------------
<br />/ 3fEN E1>PLOFID
<br />No. Employed No. Employed
<br />..~ _1[acfiiae Dn'IImen, 8 ~=tor~_honrshift. _ 1_Engineen $~'~f
<br />~
<br />h
<br />
<br />~_ 1lachine Helpers, $_3~_°_forl _honrshift. , _ _
<br />_____Pnmpmen. _ _
<br />or_
<br />_
<br />ourshif:.
<br />_ $______for____honrshift.
<br />_____3linen, _ _ _ g______for____honrshift. _____Firemea, _ _ _ $______for____honrshift.
<br />_____Timbermen, _ _ $______tor____honrshift
<br />L
<br />'~ _____Blacksmiths, _ _ $______for____honrshift.
<br />f
<br />_Trammen, _ _ _ g_s_,
<br />for lr _honrshift _____Teamste
<br />n, _ _
<br />_ $______tor____honrahift.
<br />-____Ore Borten, _ _ $______for____hoarshift _____Foremea, _ _ _ g______far____hoarshift.
<br />_____Topmen, _ _ _ g______for____honrshift. _/___Snperintendeat, _ $rs~ for
<br />-3onrshfft
<br />
<br />_l__Laboren, _ _ _ ~'y°p_for_P_bonrahift.
<br />_____Office Hel
<br />P, - _
<br />.
<br />- S______for____honrshift.
<br />-----=dyers, _ _ _ $------for----hoar shift ----_Slillmen,
<br />- -
<br />- $______for____hocrshift
<br />
<br />_____Electricians, _ _ $______for____honr-shift.
<br />_____t<-atchme
<br />n, - .
<br />a______
<br />for____hoarshifi.
<br />- ,
<br />---------------- - - g------for----honrshift. ---------------- 8
<br />for
<br />hoar shift.
<br />Average number of men emploced this year__f_~ --------------
<br />~
<br />'
<br />Is there a mill7_____1?9
<br />------------------
<br />- ---- -- --_--
<br />----
<br />--
<br />------
<br />------------------------
<br />Name of mill-----------------------------------Location of mih----- ---------- ---
<br />
<br />Chaneter of mill---------------------------------
<br />------------------------------- ---
<br />-----------
<br />---------- -------------------------
<br />
<br />-------------------------
<br />Capacitc oP mi11-----------------------------
<br />____~hen was mill erected_______________
<br />------------
<br />ice list of buildings, tramwapa and other surface improvements Z?cr.=ci
<br />~_~_~ / t ---- ----------
<br />_ _ ~t`~.
<br />--- ~-+- ~- `-~~- t - -
<br />~. .. ~ ~ i
<br />~~- ---'-v.•-------------------------
<br />ik
<br />1
<br />~.,
<br />' -------------------
<br />Cost of surface improvements made in 1916 _ r
<br />- - - - g_y Q-Pl:-9-~------
<br />State amount and character of tmdergronnd development:
<br />Total Development Amount Doae is 191~.~-~-e~<
<br />ShafU -----------------------------ft ft; coat
<br />~7 ------------ Per it, $----------
<br />Winzes _~"--D---------------------ft. _----------_ft.; coat er ft
<br />P ,$----------
<br />Drifts _I _:y O.1~_______ __________ft. _--------___ft.; cost er f
<br />P t-. $----------
<br />G`rosscata --------------------------~ ----------__ft., coat er ft
<br />P ,$----------
<br />$ave you reported to this department all fatal and non-fatal accidents occarriag to workmen in the
<br />twelve months preceding the date of this report, as required by lawf ~~~_~.~.-ct.4..e.c~ _.
<br />------------------- -
<br />marka:-------------------
<br />$igned_~_'fr_-44-~nr t~~~ %( _Compszly.
<br />By----~-Iy1 iJ~_ 1=l'-----------------
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