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<br />It yon have given a lease to others for all or part of tho property, state the names of the leasing com-
<br />panies, partnerships or individuals:
<br />Name 11lnnager P. O. Address
<br />-------------- - -
<br />fJ~ ,[ ~~ //~~ --- ---
<br />Is property worked continuouslyi____ ~l_(I_'1/___6!~'___~_________
<br />----
<br />If work ]ms been etopped,atnte wl~en_____________________________________________________________
<br />Name, title and address of person in ehnrge of work for you_______________________________________
<br />Stale the ehnrneter of o~e_____________________________________________________
<br />-------
<br />State tl~e value of the ore___________________________________________________________
<br />itfEN E141YLOYED
<br />No. Employed A'o. Employed
<br />____.l[nchinc Drill men, $______for____hourehift. _____Enginecrs, _ _ _ $______for____honreliift.
<br />____3facliine Helpers, $______for____hourahift. _____I'umpmen, _ _ $______for____hourehift.
<br />_____lfiners, _ _ _ $______for____hourel~ift. _____Firemen, _ _ _ $________°or____hourshift.
<br />_____Timbermen, _ _ $______for____I~ourahift. _____I3lackamiths, _ _ $______for____Itoursliift.
<br />_____'frnmmera, _ _ _ $______for____haurehift. _____Tenmstcre, _ _ _ $______for____liourehift.
<br />_____Cre Sorters, _ _ $______for____hourahift. ____Foremen, _ .. _ $______for____hoursbilt.
<br />Topmen, _ _ _ $______for____hourahift. _____Superintendent, _ $______for____Itourshift.
<br />_ ___Lnhorera, _ _ _ $______for____hourehift. _____O1Bce Help, _ _ $______for____hoursl~i[t.
<br />_____~ssnyera, _ _ _ $______for____hourahift. _____111illmen, _ _ _ $______far____hourshift.
<br />_____lilectricians, _ _ $______for____hour-shift. -____R'ntchmen, _ $______Por____hourshitt.
<br />---------------- - - $__----for_---hour shift. ----------____-- _ - $------for----honrshift
<br />
<br />Average number of
<br />men employed this year_____ ~Q
<br />yt{~ .
<br />Is there a mi119_--_ -- ~ -Q!'-------------------- .
<br />----
<br />Nome of mill-----------------------------------Location of mill--------------------------------
<br />Chnrncter of mill------------------------------------------------------------------ ------------
<br />----------------------------
<br />--------------------------------------------
<br />----_-
<br />npacity of mill---------------------------------When was mill erected--------------------_---- _
<br />C3ice list of buildings, tramways and other surface improvements _________________________
<br />------------------------
<br />-------
<br />---------------------------
<br />-----------------------
<br />oet of surface improvements made in 191___ _
<br />State amount and charnetcr of underground development:
<br />Total Development Amount Doae in 1913f
<br />Shafts -----------------------------ft.
<br />-------_____ft.; cost per ft., $__________
<br />~Vinzea ----------------------------ft.
<br />-------_____ft.; cost per ft., $__________
<br />Drifts -----------------------------ft.
<br />------------ft.; coat per ft., $----------
<br />Crosecuts --------------------------ft.
<br />----------__ft.; cost par ft., $----____--
<br />$ave you reported to this department all fatal and nos-fatal accidents acenrring to workmen in the
<br />twelve months preceding the date of this report, as required by laws _______________________________:
<br />llemarka:_________ ,
<br />~ lIO l/hwMs iw A' N _ ~-_A___________
<br />~~~~~. ~
<br />Signed__ _ _ _ _ A!1r_s~ry __Company.
<br />-------
<br />]3y ~~_ ~ -- -~----
<br />Title___ a''YIiL~_~~-_
<br />
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