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~; i , 1 elate the ell or Part of the property, f names oP the leasing com- or If yon have given a lease to others , ponies, partnerships or individuals: P. 0. Address _ . ~t~' 1 .. ~ ' ~ Name Dfanager ____ __ __ _ ___________________._- ,t ~~: I', 'i` ______________________________ ______________________________ _____ ~__________________ Is Property worked continuouslyi-------------------------- °--'------- _________________________ -- ------ - i~~i.l, If work has been stopped, state when------------------------------------ - ----------------- , ;. . Name,title and address of person in charge of work or you______________ ______ ------------------- State the charneter of ore------------------------- ----- ----- t . ~' State the value of the oro____________________ ~' ISSN Ei1f YLOYED No. Employed ~' No. Employed _____Engincers, - _ haurshift. for $ ill _ $______for____honrehilt. ~ ~ I' ____ ______ men, __Jfachine Dr Pumpmen, _ liachine IIelpere, $______for____bourehift, _____ _ $------for____hourahift. 1 ~i ~___ for____hourehift. _____Firemen, _ _ _ $____- `or____hourahift. i _ _ Q______for____hourshift. _____I3lucksmiths, _ ____Timbormen, _ , _ $____--for____hourshift. 1~. ~ _ for____hourshift. _____Teamsters, _ _ _Trnmmcra, _ _ _ $____-- _ $------for----hourshi[t. I ~ __ _____Ore Sorters, _ _ $______for____hourehift. _____Foremen, _ _ _ $____--for____hourshift. ~ ~ _____Topmen, _ _ _ $______for____hourshift. _____Superintendcat, _ $______for____hourshift. ~ '' for____hourshi[t. _____Oftice 7lelp, -----Laborers, _ _ - $------ _ $------for____hourshift. t ' I _____ASSaycrs, _ _ _ $____--for____hours}~ift. _____itfillmen, _ _ _ $____-_for____hourahift. _____Electricinns, _ _ $_____-for____hour•shift. _____\Vntchmen, _ _ $______for____hourshift. +; I ~~ ---------------- - - $---- -for----hoursbift• ---------------- - - $------for----honrshift. ~ Average number of men employed this year---------------------------- ------------------°---`- • i Is there a mill i------------------------------------------------------ -------------------------- Name of mill-----------------------------------Location of mill- charneter of mill------------------------------------------ -- -- ------------- ------------- I;, ' '' ------- ------------------- -------------------------------------------------------------------- Capacity of mill---------------------------------\Vhen tvne mill erected_____---------------------- - , I Qive list of buildings, tramways and other surface improvements ------- ------------------------------------------------------------------- --------------------------- --------------------------- ------------------------------------------------------------------------------------------ Coat of surface improvements made in 191___ _ _ _ _ _ _ _ _ - $---------------------- Stnte amount and charneter of underground development: Total Development "t .., - Shnfte -----------------------------ft. \Yinzes ----------------------------ft. Drifts -----------------------------ft. Crosscuts --------------------------ft. Amount Done in 1913 ____________ft.; coat per ft., $_---_----- ____________ft.; cost per it., $-..-------- ____________ft.; cost par ft., $-_-------- ------------ft.; coat Per ft., $---------- $ave you reported to this department all fatal and non-fatal accidents acenrring to workmen in the twelve months preceding the date of this rep , as required by ]awi ____ ___________________________ - ----------- ---- Remarka:------- ~~-~-----~---------- / ---------- p~ ~Q~---~ --------- =----------------------- Y~ ~f _%Iley~-. _ °'~,-~-- --COmpany~ Title------~-r~--~-~~ '-----------