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<br />part P P~3S
<br />iii ~ If yon have given a ]ease to others for all or of tho ro elate the names oP the lensing com•
<br />' I panics, partnerships or individuals:
<br />I' ~ ~ ~ Name if[anager P. O. Address
<br />~~ I ------------------------------ ------------------------
<br />I .. , ~ i, Lov~t~,
<br />------
<br />i --------------------(U-/--------- ------------------------------ ------------------------
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<br />~~ Is property worked continuouslp9__sY_rr~'-4__
<br />~. ~ '; If work has been stopped, state when__ wv_4?-!%v___ ~ ~ y ~_,~_~_____________ _____________._
<br />~ , Nnmc, title and address of person in charge of tivork f you________________________________
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<br />State the character o[ ore _~ ~rr-x*s__4!~u?~.!4~f~!~ _ .~~e.a-~,
<br />State the value of tllc ore____1e 34F_~ `~ /_J`______________________________________________
<br />11fEN E311'LGYED
<br />No. Employed No. Employed
<br />____ilfnchiae Drillmen, $______for____hourellift. _____Engineers, _ _ _ $______for____honrehift
<br />____Binclline IIelpere, $--____for____llourshift. _____Pumpmen, _ _ $______Pot____hourstli[t.
<br />_____Sliners, _ _ _ $______for____Ilourallift. _____Firamen, _ _ _ $______!or____hourshitt.
<br />_____Timbcrmcn, _ _ $______for____llourallift. _____T3lneksmiths, _ _ $______for____hoursllitt.
<br />_____Trammcrs, _ _ _ $______for____hourallift. _____Tcamsters, _ _ _ $______for____hoursllift.
<br />_____Gre Sorters, _ _ $______for____llollrshift. _____roremea, _ _ _ $______for____lloursllift.
<br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____lloursllitt.
<br />_____Laborere, _ _ _ $______for____ilourellfft. _____011'ice Ifclp, _ $______for____Iloursllift.
<br />_____ASSnycrs, _ _ _ $______for____llourellift. _____:llillmen, _ _ _ $______for____Iloureliift.
<br />_____EICCtTIClan9~ _ _ $______for____110nr-8111ft. ..____~~•atChm Cn, _ _ $______fo[____lIOnC Shlft.
<br />---------------- - - $------for----lwurshift• ----------------
<br />$
<br />for
<br />hourehitt.
<br />//~~
<br />Average numher of men employed tllia year___ 7~_ ------------------
<br />_ =
<br />Ia there n mi119__ Z!~ ________
<br />
<br />----------------- --
<br />
<br />-------- °
<br />-----
<br />---
<br />------
<br />
<br />
<br />Name of mill-----------------------------------L -------------
<br />
<br />ocation of mill-------- -------------------
<br />-- ---
<br />-----
<br />
<br />Character of mill--------------------------------
<br />--------------------- --------------------
<br />------------------------
<br />Capacity of mill____ ______ _____________________Wllen tvns mill erected-
<br />.-- ---__=~/
<br />Give list of buildings, trnmwnye and other surface improvements _rc?_G
<br />------------------------ ------------
<br />--------------------------------------- -
<br />Coat of surface improvements made in 191 _
<br />- - - - - - - $- !LI!-Lih/ --- -__
<br />tote amount and cilarneter of underground development:
<br />'t'otal Dece'opment _ ~ Amount Doue in 19~
<br />~ Shafts ___!___Y_i~~___ =/rzfywf,~~~ft.
<br />---- - h.; cast per ft., $_______---
<br />Slinzca ------------- ft.
<br />---------------
<br />- ~ '. =-__ft.; coat per ft., $-.--_____--
<br />Drifts?tr ___ 7'~.4~1,z______-___ ft. ~
<br />'`~----- - ------------ft.; coat per ft., $----------
<br />rosecute _______________________
<br />t<Inve you reported to this department allf fatal and son 1'' ft.; coat per ft., $________
<br />-fatal accidents ocenrring to wor n in the
<br />twelve months recediag the date of thus report, ae required by law} _~Q~__ 71,L'vt~f~
<br />Remarkn:__~_~_ _~_~~_ YLvrIQ iP ~,,.~.I _ .. _ P ._.. • ---:- ---Gi!"~----
<br />-----
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<br />Signa/.Lc,`t--` =- '- --~~_~ - `~~ --Co°tpsnJ.
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<br />Title__---__---- _
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