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It you have given a lease to others for all or part of the property, state the names oP the leasing com- <br />paaies, partaerslrips or individuals: <br />Name itfnnager ~ P. O. Address <br />------------------------------ ------------------------------ ------------------------- <br />----- <br />_.. <br />Is property worked continuously4___ Or _______ __ _ _ vr~ st.~ <br />If work has Ucen stopped, state whea_____ l_~i3~ ~e.[.~ .Q~.Q~_ <br />- --------- - --------------------- --------------- <br />Name, title sad address of person in charge of tivorl: far you_______________________________________ <br />-------------------- - ____ <br />-- ---/~~---------/I ) <br />----- -- <br />State the chnrnctcr of ore~fk=_~!~~~{/~~/r.~~~ir_ ~~p~.rs~~,bync_ <br />State the value of the ore_-~ ___~ _s ~ !b~ <br />O EfEN E3IYLOYED <br />No. Employed No. Employed <br />____bfnclrine Dr•illmen, $______for____houralrift. _____Enginecrs, _ _ $______for____honrslrift. <br />4lncl~ine IIclpera, $______for____lroursliift. _____Purnpmen, $______far____hourshift. <br />_____JIiacrs, _ _ _ $______for____Irourahift. _____Firemen, _ _ e <br />_ $_______or____hourshift. <br />----- <br />TimUennen, _ _ F______for____hourshift. _____131neksmiths, <br />- _ $______for____lrourshift. <br />_____'frnmmers, _ _ _ $______for____hourshift. _____Tenmstera, _ <br />_ _ $______for____hourshift. <br />_____Orc Sorters, _ _ $______for____hourshitt. _____i'oremen, <br />_ _ _ $______for____Irourshift. <br />----- <br />Topmen, _ _ _ $______for____lrourahift. _____Superintendent <br />, _ $-_____for____Irourshift. <br />_____LnUorcrs, _ _ _ $______for____hourslrift. _____Officc Hclp, _ _ <br />$______for____haur shift. <br />__..__Assnycra, _ _ _ $______for____hourshift. _____Diillmen, <br />_ _ _ $______for____hourslrift. <br />_____Electricinns, _ _ $______for____hour-shift. ____q*atchmen, <br />- _ $______for____hourehift. <br />---------------- - $------for----hour shift' ---------------- <br />_ _ $______for____hourehift. <br />Average numUcr of men employed this ycnr___~__--- - <br />---------- <br />Is tUcre n mi117_______~u--f.. ----------- <br />-------------------------------------------------- <br />Nnmc of mill-_------ ----------------- <br />--- y----------------------Location of mill--------------------------------- <br />Chnracter of rnill____________ <br />Capacity of mill_______ ___ _____________________When was mill erected_____ ______~___ __-_-_-_-_-_-_-- <br />C1ive list of Uuildings, tramways and othcr~surface improvements ____ <br />- ~~`~--- ~~--~ ~~t/ --------------- <br />---------------------------------------- _________________ <br />------ <br />Cost of surface improvements made in 191___ _ _ _ _ -----"- <br />State amount and character of underground development $ <br />Total Development <br />Amount Dono in 19~2'~ <br />Shafts -----------------------------it. <br />~Vinzes ___ __^e ------------tt.; cost per ft., $__________ <br />p ~~ -------------------ft. . <br />Drifts h ------------ft.; coat per ft., $_.•________ <br />----v _.~________ <br />Crosscuts __ ~ ~~ ~ "---------- ft.; cost per ft., $ <br />------------------ft. ------------ft.; coat por ft., $---------- <br />$ave you reported to this department nil fatal and non•fatnl nccidente occurring to workmen in the <br />twelve month..~yy p~~rec~~eding the dato f this report, as regmred by laws __ ~O <br />__f.A___ __~~.i.t~c-.a-q~i . <br />------~~ .v~ <br />---------- "ic."<-C <br />- -- - ------ _ -J-y_- : -- ~-`-- <br />-- ------ <br />- ---------------------- <br />---------- <br />---- ,~-- <br />----------- ------ <br />~y __~Company. <br />By---hucii/~ - <br />- ----------------------- <br />