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<br />I ~ IP yon have given n lease to others for all ar part of the property, stela the names oP the ]easing com-
<br />I I i paaiea, partnerships or individuals:
<br />I '' Name itlanager P. O. Address
<br />I ~
<br />i l I ------------------•---------- ------------------------------ ------------------------ - -
<br />'
<br />I. I
<br />1~
<br />~ ~i, ~ Is property worked continuously4_____ ~ )~' -} -----------------------------
<br />I ~ If work has Ucen stopped, since when_____!__~ L`-.f -.' ° -- ~ ----~/~==--------------------------
<br />r~ Nnme, title and address of person in charge of work for you_______________________________________
<br />~~
<br />! State the character of ore-------------------------------------------------------------
<br />----
<br />~ i ~' State the value of the ore____________________ ____
<br />~,, I -----------------------------------------------
<br />I ~ 3fEN E1l1YLOYED
<br />i ~ ~ No. Employed No. Employed
<br />.. '. a ~___Machiae Drillmea, $______for____hourehift. _____Engineers, _ _ _ $______for____honrahitt.
<br />'~' 4fachine Helpers, $______for____hourehift. _____Pumpmea, _ _ $______for____hourehift.
<br />I~ :~ _____3finera, _ _ _ $______for____hourshift. _____Firemen, _ _ _ $________°or____hourshift.
<br />_____Timhcrmen, _ _ $______for____ltoursltift. _____Illncksmitha, _ _ $______for____houra}iift.
<br />r
<br />_____'prammera, _ _ _ $______for____hourshift. _____Tcamstcre, _ _ _ $______for____hourehitt.
<br />~; _____Ore Sorters, _ $______for____hourehift. _____Foremen, _ _ _ $______for____hourshift.
<br />I, -
<br />_____Topmen, _ _ _ $______for____hourshitt. _____Superintendeat, _ $______for____hourshift.
<br />, , _____Lnborere, _ _ _ $______for____hourehift. _____O~ce IIelp, _ _ $______for____hourehift.
<br />', _____Assnyera, _ _ _ $______for____hourahift. _____Millmen, _ _ _ $______for____hourehitt.
<br />,ii; _____Elcetricians, _ _ $______for____hour•ehift. _____\1'ntchmen, _ _ $______for____hourehift.
<br />'j i I _-- _ _ $______for____hourehift. _ _ _
<br />I -------- ----- ---------------- - - ~ --- -far----hourahift.
<br />I
<br />,I Average number of men employed this year____________________________
<br />" ~, ~~, Ia there n mi]I4------------------------------------------------------
<br />--------------------------
<br />„i
<br />':~. i Nnme of mill-----------------------------------Location of mill--------------------------------
<br />1 II ~ Character of mill---------------------------------------------------------------
<br />' I ----------------------------------------------------------------------------------------------
<br />''~ Capacity of mill_________________________________~phen was mill erected___________________________
<br />Qive list of buildings, tramtvnys and other surface improvements _______
<br />-------------------------
<br />'Il ~~ _________________________________
<br />_____________
<br />__________________________________________ _
<br />Cost of surface improvements made in 191___ _
<br />I - - - - - - - - $----------------------
<br />I State amount and character of underground development:
<br />I Total Development Amount Done is 191
<br />Shnfta -----------------------------ft. • ------------ft.;cost per ft., $----------
<br />~ SVinzea ----------------------------ft.
<br />' ~ ------------ft.; coat per ft., $----------
<br />I i Drifts -----------------------------ft. ft.; cost per Pt., $----------
<br />------------
<br />~ I' Crosscuts _________________________ ft _____ft.• coat er ft.
<br />,, t, ! ,1 ------- P , $----------
<br />$ave you reported to this department all fatal sad son-fatal accidents ocenrring to workmen in the
<br />,, ' I twelve months pseeeding the date of this report, as required by lawf ________________________________
<br />--------t'-R.l -=t'~~r --='
<br />it _________ T___ ______________________________
<br />____________________________
<br />~~ ------------------ ~e--------------------------------------------------
<br />Si d--------------- -------Company.
<br />---------------
<br />---
<br />I ` ' ~~~~ ~ By------~ S~.~s----- -----------
<br />I ~ ~~'I ~ /
<br />(:I;1 'g,
<br />tle------------------------------------
<br />i .~' ~l t~ 'r ~!,
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