|
It yon have given a ]ease to etluere for nll or part of the property, state the names of tho leasing com•
<br />~~ I I ii ~ ' panies, partnerships or individuals:
<br />I~y j ~I ~
<br />I Name Dlnnager P. O. Address
<br />++
<br />
<br />I,I
<br />'III ~:, I
<br />i .IIp218 ---------------- ---------- ------------------------------
<br />~
<br />I
<br />I~ ~ Is property worked continuously9___~._vtoZ'k_sttlring_bhe_ ~SS~~E8}`.__________________
<br />~ ~
<br />k
<br />. • If work has been stopped,state when---------------------------------------------- ---------------
<br />,
<br />~~
<br />i
<br />
<br />Name,titlc and address of person in charge of work for you_______________________________________
<br />
<br />~~
<br />I ~) 1 -------------------°--`----- -
<br />
<br />State the charncter'of ore----------------------------------------------------------------------
<br />i
<br />~~I~ ~
<br />, ~ ~ ~ State the value of the ore_____________________
<br />I
<br />!l I
<br />I I
<br />11~N EIIIYLOYED
<br />' I I I No. Employed No. Employed
<br />'~
<br />~
<br />~ _.._1llnchine Drillmcn, $______for____hourshift. _____Engmccrs, _ _ _ $______for____hourahift.
<br />i
<br />
<br />i I
<br />.., ~'
<br />_____itinchinoHelpers, •$____:_for____honrehift. _~___Pumpmen, •• _' _ $______for____hourshifi.
<br />' '
<br />I _____1lfiners, _ _ _ $______for____houeshift. =~iremon, ' `"'~ ~_ $_____ °or____hanrehift.
<br />~. _____Timbermen, _ _ $______for____hourahift. _____illnekemithe;"-~ _ $______for____hourehift.
<br />'.
<br />' _____T;nmmers
<br />, _ _ _ $______for____hourahift.
<br />_____TeagrgtFr@, .
<br />_•
<br />_ $_____cfor__!„hotlyehift
<br />
<br />i ,
<br />,
<br />i; ~
<br />~,
<br />,
<br />,
<br />.
<br />I
<br />~ „ ~ ~ i I _____Ore Sorters, _ _ $______for____hourshift. _____I'oremen, _ _ _ $______for____hourshift.
<br />I ~
<br />,~ _____Topmen, _ _ _ $______for____hourahift. _____Supcrintendent, _ $______for____hourshift.
<br />,
<br />i I
<br />_____Laborcra, _ _ _ $______for____hourehift. _____Of£~ee Help, _ _ $______for____hourehift.
<br />
<br />~
<br />~! _____Aaeayers, _ _ _ $______for____hourahift. _____:lfillmen, _ _ $______for____hourabift.
<br />,
<br />;,
<br />i I 'a ___Electricians, _ _ $______for____hour•shift. ___~Vatchmen
<br />-- - _ _ $______for____hourshiR.
<br />i I
<br />' III
<br />I
<br />~ ________ _ _ $______for____hoursliift. ________________
<br />for
<br />hoursl~ift.
<br />-------- -
<br />I II
<br />~ ___g-_ --
<br />Average number of men employed this year____________________________
<br />
<br />~,l,~l
<br />~ ----
<br />------
<br />Is there a mil14--------------------------------------------'--------------------------
<br />-
<br />~
<br />f: ~ -
<br />Name of mill-----------------------------------Location oC mill---------------------------------
<br />l
<br />~ll ~
<br />' Character of mil]--------------------------------------------------------------------
<br />~ ~ I ~
<br />I
<br />_______________________________________________..___________________
<br />II
<br />
<br />~;'~ ~ ___________________________
<br />_________________________________________
<br />Capacity of mill---------------------------------~Pluen was mill erected-------------_-------__--__
<br />,~ ~ ~
<br />
<br />
<br />I ~ Give list of buildings, tramways and other surface improvements __________
<br />-----------------------
<br />---------------------------------------------
<br />----------------------------------------------°-
<br />~I ;~ ----------------------------------------------
<br />Coat of surface improvements rondo in 191___ _
<br />_ _ _ _ _ $- __
<br />I I ~
<br />' _
<br />State amount and ebarnctcr of underground development
<br />I
<br />' i I ~ Total Development
<br />Amount Done in 197~'~
<br />',~:
<br />~ Shnfte -----------------------------ft. ------------ft.;coet per ft., ffi-----
<br />-----
<br />i
<br />~ ! ~ tiVinzes ----------------------------ft.
<br />------------ft.; cost per ft.
<br />$----------
<br />,
<br />I
<br />~
<br />~~ ~ ,
<br />Drifts -----------------------------ft. ------------ft.; coat per ft., $----------
<br />t
<br />~
<br />,' i~: Crosscuts ----------- --------------ft. ------------ft.;coet per ft., $----------
<br />1 ~ ', ii
<br />~
<br />' have you reported to this department nll fatal end non-fatal accidents orcurria to;workmea !nr•~S.
<br />g
<br />I
<br />' , .: - . _
<br />twelve months preceding the date of this report, ae required by ]nwt __
<br />•
<br />
<br />
<br />t
<br />
<br />i ~ ~ ________
<br />_
<br />_ _
<br />• _S._~~~T Y J
<br />~ _..~
<br />marka:---------------------------------------------------------------------
<br />-----------------
<br />'d, 'I ----------------------------
<br /> -
<br />
<br />~~ j 'I -------------------------------------
<br />;r. L
<br />
<br />~~~ 'i ~i Signed_ Th9_~O
<br />~
<br />9~tOSI3Yi__Ciny
<br />
<br />,,
<br />i ~
<br />!GG
<br />i~ ,
<br />1
<br />I' ~I Title____
<br />'~ r
<br />•`~; ~'l ~
<br />i nt „E ti`
<br />
<br />r
<br />
|