MINEBK00985

• County: Teller
• Document: Manager
• Suffix: B

xorE-rm..~ d.[~ repo[[.
Glve name p1 meh daim l,elon¢in¢ [o Company or ¢roup•
FIII M carefully-NEfi E\1rLOYED. _ ,!
Fill out M.nk no opposite •Ide and eicn report. ~~~~//77~~ -~ ~.,~ //'' p
____1/~________, Colo., ___~~--"___ /.!1- , 191%
BUREAII OF D>alES, STATE OF COLORADO.
T. R. Henaben, Commissioner of DIines,
Denver, Colorado.
Sir: In accordance with the above lion, I ~ bm~t report as touo tt
of claim or claims------------ -~-
Location _--- n ~ ~~E~~ _
DtininEDistrict~~~~-~-"`I_'~`'~Coun ~d/,_~ `r~ ~::
// _ Glll!C~L -- -
Own~ or otirne s d addre ---- - `l
T~ -------------------
- ---
_ __
/y/,f!_L~-L_ - (II Incoryo an¢ .~
Name of Company_ - > ' shares, nt $__- _- --~ - ----Per sllnro.
-7 -- -- -----"--~ (P. O. Addreee)
~( ~ _Preeident, ____~/-~~='U,~"-
- - - - _ 1_! ---------
i/ _ r __
- ->- ~fj________DTanager, - // ~~
- _ t , ~1 u~r-~-~--
O~ _ __ Superintendent
--°
_________________(P O. Addreee)_________-___-__-_-
Leared to -____-- ------------
VPork in char(;e of--------------- _ _ ___-----
-------- ~p 71~-err
Ie property worked continuouelyf~ _-~_~ Ipl.-_
~- -----`~-f ------------°-------------- TI'
Commenced work ---- --- -__r /,----- " I i ------°----°-------, lJl.~w'
----
Btopped work ------ - "
D1F.N EDtPLOYED.
No. EwPloyod.
No. Employed. p ]:n inoerr, _ _ ~~P'~for~-llourrliift.
ay__Machlne Drillmen, ~~oru--hourrhilt. --~- ~ for__-_Ilourrllift.
~T for--__hourehift, __--_Pumpincn, . - - - ~'-----
___-.Dfachine Iielperr, k------ [Firemen, - - - - 4------for_-_-hourrhilt.
_ ~1______for._--llourr}Illt. -----
_____Dfinen, - - - - _,~__]3lackernithr, _ _ - b~~-for.(/--hour rhlft.
_____Timbermen, _ - - ~------for__-_lrourrlr(ft. !or_-_-Ilourrllf(t.
Tenmrten, - - ~--•'--
~1______for._--Loos chill. -----
_____Trnmmerr, _ - - - _Porulnen, - - - - 8------for_---hour rhlft.
$____-_for_--_Irour rillft. ----
_____Ore Borten, - - - ~_Bu,eriatundent, _ 8~+~ 'for- _hourrhift.
_~_Topfaen, _ - - - Mazrz-~or.~-bourrhlft. - - f for---.hourrhift.
for__--bourrhlft. ____.Ofllce help, - - - 4-°-°
-__-.Luhoren, - - - - $'""--" d..___.for__._hourrhift.
for._--llourrlllft. ___--D1Ulrnerl, - - - - -
_____Arrnyen, - - - - b-"'° __-__ d_-..-.for_..-6ourrklft.
for-_-.hour rkift. -- -----' ~ -"-"
--° ~/ v-------------------
pveralte nwnher of men employed for thn year 191-, - % Ifd~ +I__________ _______________
Chnracter cud value of ore..-.~~---- ...............
--....
-^---_.._._._°-°^ (Over.)
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