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,;: ,
<br />' I 'I ' , If yon have given a lease to others for all or part of the proporty, state the aamea of the lensin
<br />g com•
<br />I' ~' I I ~ i ~, paniea, pnrtnerahips or individuals:
<br />,i ~ ~ I! , ~ I I Nnme illannger P. O. Address
<br />;. .:
<br />I
<br />I ------------------------------ -----------a-,-- - -
<br />I,
<br />Is ro crty worked continuous] 9 ~~4._______________ ~•
<br />~~I P P Y ------ --------------------------------------
<br />~~ I ', If work has been atopped,stntc when___________________________________________
<br />ATamc,titlc and address of person in charge of work for you______________________________________
<br />Ii~ ,
<br />I
<br />! I I~ !1
<br />' 1 II •' ~. State the chnrneter of orc------------------------------------------------------------------
<br />---
<br />' i. I iI i, State the value of the ore--------------------------------------------------------------------
<br />~~~' --'
<br />I I ~' I I 11fEN E~IYLOFED
<br />it I' ~ mployed No.Employcd
<br />1 II No_E:Ifnchinn Drillmen, $______for____bourshift. _____Engincers, _ _ _ $______for____bourshitt.
<br />_____.linchine IIclpera, $____._for____hourshift. _____Pumpmen, _ _ $______for____hourshift.
<br />~ _____llliners, _ _ _ $______for____houraltift. _____Firemen,
<br />f I '' ~ _ _ _ $________°or____hourshitt.
<br />. ~ _____1'imbcrmen, _ _ $______for____bourshift. _____i3lucksmiths, _ $______for____hourshift.
<br />,I
<br />~:
<br />i ! _____~prnmmers, _ _ _ $______for____hoursbift. _____Tenmsters, _ _ _ $______for____ho»rshift.
<br />i _____Ore Sorters, _ _ R______for____bonrshift• Foremen,
<br />' I ----- _ _ _ $______for____hourshift.
<br />i~ 1 ~ _____Topmen, _ _ _ $______for____hourshift. _____Superintcndent, _ $______for____Imurshift.
<br />it I
<br />, i I _____Laborers, _ _ _ $______for____hourshif3. _____Ollice Ilelp, _ _ $______for____hourshift.
<br />II~, f~ ~ _____:lssayers, _ _ _ $______for____hourshift. _____\fillmen, _ $______for____hourshift.
<br />II '~ _____laectricinns, _ _ $______for____hour•shift. _____A-ntchmen, _ _ $_..____for____hoursbift.
<br />I' I -------------°- _ _ $-_--_for____hoursbift.
<br />III ---------------- - - $--__--for---_hourehift.
<br />~~;' Average number of men employed this yenr___________________ _______
<br />' ~"~I ~ Is there n mil]4____~p------------------------
<br />----------
<br />~~ ~ Nnme of mi]1----------------------------------Lncatior. of mill--------------------------------
<br />~,]I , ~ ~ -
<br />I ~ Character of mill--------------------------------------------
<br />•~ I ~~ -------------------
<br />I~ --------------
<br />II ----------------------------------------------- ----------
<br />I
<br />~ ~'\~~' I~~' Capncit}• of mill___________ ______ ______________When was mill erected___________________-_-- ---
<br />i,!~~ lF Give list of buildings, tramways and other surface improvements ________________________ ___ ____
<br />-------------
<br />t j ~ -----------
<br />i Ir ---------------------------- ---------
<br />' Cost of surface improvements made is 191___ _ _ _ _ _
<br />i _ ______________________
<br />~ State amount and chnrneter of undcrgro»nd development: $
<br />Total Development
<br />J Amount Donc is 1917~f
<br />~l, Shafts -----------------------------ft. ------------ft.;coat per ft., $----------
<br />' I ~ i R'inzes ----------------------------ft.
<br />~ ' ' --------____ft.; coat per ft., $_..________
<br />' Drifts -------------------------°- ft.
<br />' ~',~ ' I~ - ------------ft.; coat per ft., ffi-----
<br />Crosscuts ___________ -----
<br />'~ ---------------ft.
<br />~j r ' i ___ft.; coat per ft., $______
<br />i
<br />`i ~ ~ $nve you reported to this department all fetal and noa•fatal accidents ocenrring to workmen in the
<br />' .: i twelve months preceding the date of this report, as required by ]nwt _______________________ ___
<br />Itemnrke:____________ 1
<br />-------------
<br />-- ---
<br />---
<br />- ------------------
<br />~~ - _
<br />~' I ~; ~~---- -- -------
<br />- ---
<br />I I ------------------ ---
<br />f ~ -------------- - ------i-------------------------
<br />-----
<br />~~ I, t , -----------------------
<br />i . ~ ~ . ~ i ' i By---------- ~ -
<br />i --
<br />~ ~ ~,4,; Title------------------------------------
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