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<br />If you hove given n lease to others for all or part of the property, state the names of the leasing com•
<br />ponies, partnerships or individuals:
<br />Name Mnnnger P. O. Address
<br />- ----
<br />Is property narked continuously4--_ h?.b----------------------------------------------------
<br />I[ work has been stopped,stntc when-------------------------------------------------------- ----
<br />Nnme, title and address of person in charge of work for you_______________________~_~__t~_______
<br />Slntc the character of ore- - --- --------- ------._ <s•~_A.+~..x~s.~+i__cr-~i,tt...~__. -_ --
<br />Stntc the value of the or~'_.,~._$~0~_~A---___----------------------°---_-_---__---------
<br />\fEN E:1fYLOPED
<br />No. Employed A'o. Employed
<br />__ linchinc Drillmen, $__..___for____honrshift. ..____Enginecrs, _ _ _ $______Cor____hourahitt.
<br />_____.linchinc Ifelpers, Q______tor____Lourshift. _____pumpmen, _ _ $______for____hourshift.
<br />_=---IIfinera, _ _ _ $______for____hourshift. _____I•'iremen, _ _ _ $______for___~~ourshift.
<br />Timhcrmeq _ _ c______for____hourshift. _____illac];smiths, _ _ $______for____hourshift.
<br />_____Trmnmrrs, _ _ _ .$______for____hourshift. _____Tenmstcrs, _ _ _ $______for___..hourshift.
<br />_____Cre Sorters, _ _ $______Cor._"_hourshift. _____Foremen, _ _ _ $______for____hoursliift.
<br />_____Topmen, _ _ _ $______for____Lonrshift. _____Supcrintendent, _ $______for____hourshi(t.
<br />_____Lnhorets, _ _ _ $______for____hourshitt. _____OlTicc IIclp, _ _ $______for____hourshift.
<br />__._ ~lssnycrs, _ _ _ $______for____Lourahift. _____3fillmen, _ $______for____hourehift.
<br />_____tslcetricinns, _ _ v______Cor___hour-shift. ____._\1'ntchmen, _ _ $______
<br />for____Lourshift.
<br />---------------- _ $______for____hourshift. ________ __ _ $______for____hourshift.
<br />Average number of men employed this ycnr_______________________
<br />1s there n mill;__~_ -"--
<br />------------------------- -------------------------------
<br />----------- -- -
<br />ame of mill-------------------------------.__Lacaliou of mill__----------------------------
<br />Clmrnctcr of mill___________________ --
<br />______________________________________________________________________________
<br />-
<br />npncity of mill_________________________________~1'hcn n•ns mill creeted____________ _________ __
<br />Give list of buildings, trnmwa}•a and other surface improvements ______________________
<br />--------------------------- _________________________________
<br />----------- ----------
<br />Cost of surface improvements made in 19]___ _ _ _ _ _
<br />State amount and dmrnctcr of underground development $
<br />Total Development Amount Done in 1913
<br />"-" _ft.; cost per ft., $
<br />R'inzea --------------------------- ---------
<br />ft. ------------ft.; coat per ft., $-..--------
<br />Drifts ------------------------
<br />_____ft. ft.; cost per ft., $
<br />Crosscuts -------------------------ft. ------------ ----------
<br />-----_______ft.; coat per ft., $__________
<br />fines you reported to this department all fatal and son-fatal nccideats occurring to workmen in the
<br />twelve months preceding the date of this report, na required by lawf ~~_
<br />Remarks:----- ~ --- ------------------------
<br />---- 4-^--------_~ Q
<br />CLJl4i ~ ---~--------
<br />- --------------
<br />- --------------
<br />-'C-
<br />Signed__________ _ _ Companl•
<br />By------'- -
<br />Title---------------------
<br />
<br />
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