|
_ .. .. ri~...f Aaeembl
<br />s mewu•.
<br />Yorth, or
<br />be liable
<br />each pry
<br />eha4be
<br />MINE REY'®~T.
<br />_Pieese date ~veeh o1e{m bslonpinp to GompsnY or pnfuP• _ i90 ? j-
<br />~j~jy~~' ~j_ _ _ PL s
<br />Give name of HN EpIp~OYED. _Cnln.,- -
<br />fill in nevMuny-gg tae side end sipn roPON• ,.~..w~
<br />FlII out blunt on oPP _ _ _ -Eery +='-'- ~-T - _ -
<br />T_ ' 'i'
<br />i 9
<br />BUREAU OF MINFS.STATE OF COLORADO. ~2
<br />E L WtliTE. Comtnbsioner of Mines.
<br />Denver. Colo. ?'~;,:
<br />/~ rdanee with the above section, I submit rey~ fo~~~~.0 3~`~
<br />~ Name of claim or claims- - - - - A y /~y~ ./`Cr L`~~ J ~c
<br />,_
<br />----- --
<br />I
<br />>~ ~J - -
<br />'`°"': ^.~t"~`'Qi'^~O~K'~cae-7a•~-,:-~s-~~~~n~~Z9~-~L~--G,s'"`-~O' _ ------ i
<br />- cation_ - T -_Connty_-- - ~ /
<br />--- -
<br />-----
<br />,/ - - ---
<br />- ?,lining District:!- - - - - - - - - - - - - - - - " -. ;
<br />---- -
<br />Owner or owners and address_ _ ~" _ _ _ _ _ ~ ~
<br />_ --- .
<br />--- ~ -- -
<br />. - ~Fe ~'= ~~- ~~ - _ _ _ SIs INCOaruseman.l ~- o'° _ - - -p°r share. .
<br />' shaIOS, at $ - -
<br />Name of-0ompsny-----
<br />--------
<br />Capital stock----r~-'~~'- ~- ~`~"~~ -- ,~
<br />-----President,-- ~ cr. o.nn~argga
<br />---
<br />-- - - - - ~ --Secretary, -- ---
<br />r~,
<br />----- - .
<br />-----
<br />- -~rr~'
<br />----
<br />---` -`--- __Manager, ---
<br />____-_
<br />_____ - __
<br />____ ~~____-_._______ ~R~g/.~~'L%~ is
<br />- - - - r Supenntendent, _
<br />~.r~g __-- __ _
<br />_ ---
<br />.~Gr~--~"_" __-o ._~_. -
<br />------ _ ----- - - r - -
<br />--_ --_--~ __ -7y
<br />- ___
<br />r _ f~7G~iy""" ". i
<br />IRaeOd t0 __________ _ y-eI _ ___
<br />_ __ ~ i~
<br />Work in charge of---- __ - cr. o. annaasga
<br />_.--
<br />__--- ---- -- s
<br />---- ---=--- it~• - -- - - -- _1 ---
<br />_._-
<br />continuonslyl--~- _ _
<br />worked .- - -- - __ ----190--- i,
<br />---- Is property _- -- -- --
<br />-------- ---- r.r
<br />_______ ______-_ '3.
<br />' Commenced work-=-- _"------__
<br />--
<br />Stopped work--=----------------------- ~~YED ~ ::
<br />- --- 1VfEN ^..
<br />rnPwrao. $ ,~a_4for~~_hour shift. ,
<br />N ~'_Engineere, for _hour shift.
<br />----- n,.ernPtorco: men,$-----for_---hourehift. pumpmen,- $---
<br />'--11Lacbine Drill -- $----_for_---hour shift.
<br />_Machine 73elpers, $-----for__--hour shift. ~ Firemen,. ~"_honr shift.
<br />__ fox----hourehift. ./-B~,egsmithe, -$s~`-'-,for-
<br />- '- /~_Miners, " $- for__-hour shift.
<br />- $,~¢,?~cfor_8__honr~hift $___--
<br />---- ~--Timbermen, _ hour shift. ~=--Teamsters, - for_---hour shif~~~
<br />,f _ _Trammers, hour shift. ~ -Foreman, - $ /~ or!?_`~lour ahxEt•
<br />_ $_ ~~y, for- ~ - ~ -Superintendent, r
<br />,~_ -pro. pssorters, $ moo: _ or ""_``~i~
<br />-'$,__,_for_-.--hourehift. ~-Offieehelp, for:---hour shift.
<br />" - ----Topmen, fos_---hour shift. - . $-----
<br />- $----- ~ _.~lillmen, for----hour shift.
<br />--_-Imboxers, - for.---hour shift,...:- , $-----
<br />ere,.. - ----- ~
<br />"J-- -_--
<br />Ae~y ------`--
<br />for.__.hour sh
<br />-- 9veraga number of man employed for the year 190/°-,,-------
<br />(ovsn.)
<br />~,~~ •~~,
<br />p4yM1Rj~'~~ir~AY ZI 'e`fi J r .f".i. }' .r_ .~.
<br />r ~ ~.~~~,
<br />'~{abe,of,'Cotorado. Approved April 10.:1903: ' `
<br />,u or,Pei'gone-operating anymetalllferotiemina, mill or~memllnrglcal '"
<br />.::,,-......,~r.m the BnreanoY,Minea_sn••ds Tttiee leof each year, together
<br />a or lessee is charges o. ~ ••- -+.an~ mining distncy wgnu ~• ,
<br />i operated'tho namorof theconnty~
<br />~q indirectly, the same beingolassontthe PTO°Ssione of hie sect o
<br />Theneceesary blankgm carry ..
<br />mmlesionero4 Mines: eTg~p or.corporation, operdtiag
<br />or leseee,whethewho Yails to comp 9 with the provigio oevided shall
<br />ant inth~a state, 00.00 for
<br />d guilty of a misdemeanor, andwhen nototherwige p
<br />> dollars (S~•~) nor more than three hunvdt any Provial0on hweof,
<br />day after convtctioa of failure to comp y _
<br />shed accordingly.
<br />a geParnw .,,.....-
<br />
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