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~. ~`,1i Ii von Lace ;?p°~ a Tense to others for all or part of tae property, state the nnmes of the leasing com }'': ~ ponies, partnorsltips or indiridnnls: ,~ ~ ! I ~'vame _ Mnnnger 1.9. 9ddress ___ -'' ,It! _______ ._ _ I ______..______. _._ __..___-__. ______________.. j SI(~ Is property worked continuonslcT___-- _~ 'k___-- ------------------------------------- ' ~' ~ If work Las Leen stopped. state when__-- 1.11-! ~_"_:---~-~'_1 ~`---------------------------- - i jk I~[tme,title and address of person in chureE of wort-for con_______________________________________ 1 :~ I`'I ~; } ;; ', I f1 ~ ! .i51' ~ • ~ I _s I ^I, . „i I r; ~, I r 1'I e, ui ~ ~ :: i ~ i ~ (r y ;' F' I ~ I I'~I ~, i ~ y, li ------------------------------------ Rtute the character of ore______________ 6tate the came of the ore______________ MEN EM YLCTED ?Co. Employed ?~o. Emplvyed~~-' ~ ____11IucLine Drillmen, 7k_.____foz____hawshift. _.___E,u :c _ tr____Sor____ howshift. ---_ivlncluneHnlpers . &______for.___hoursh$i. ___ cal'i n - -Q:---_-for-_-- howshift. r ---_~'vliners, _ _ _ a_-----for----howsluft. ~pen, - - ~ ~F~``r - !$------for---- how shift. -----TLnLc.^men, _ ~ _ &.----for__-how shiit~~--3Y,lucLsmiths. _ _ Q~______for____ Lourshift.. ___.__Tr¢mmers.. _ _ rF______for____Low .. ~.y~Teumsters, _ _ _ !h______for_.-_ hourshift. _____Ore porters. _ _ ¢______fur___,,~ sl:if.> ~`___._I'vremen, _ _ _ fh___._._for____ Luursl~ift. _____Topmen, _ _ ______for '_how~. t _____`;uperintendent, _ 1f______for____ hours?iift. -----LuLorers, _ _ $-_ ~. ----hotiT~shift. .. -..Oftice Help, _ _ &--. --_for__ '~ourshift. ____..flseayvrs. _ $______fur(_r._~wursluft. ~{{ '' '' _____1\iillmen, _ _ _ $_____for____ hours?:ift. _____Electriuiuns, _ _ 4______fur:~ _ _ hour-shift. __._~\"utchmen, _ _ q~______fur____ hvurshift. ---------------- - - ~----for_---howsluft. _--------____--- _ _ 11_._--for---_ hourshiH. 9cernge numLer of m en emylo}•ud this rear__~~-_~~!'/_~%1!i!LC___-_- -. ------------ - -----_ Is there u tnill"-- - -- --- ~~ ~~- - ----- - --- - - - --- _---- - -_ Kume of mill------- -----._--_---t!!------- --Lo,~a:iv•~ ul'ru11------- ------------ --.-_ -. CLwucter of mi!1---- -------------~-- -- ----- ----- ------- Capoeity of mi11_______~.2-~S^__._______________R'hen e•us mill eregtud___ ____ _. _____ .__... (}it•e list of Luildiugs, tramways undwther surface improremeuts ~_ i12_~/ __ ______..... tt.., ~ ~ ___________ ~ ~~2TL,___ __. Cost of swfuee improremeuts 3uade in 19]2(;_ _ _ _ _ _ _ _ _ _ - _ 6tute amvuut and character of underground dcreloymcut: Total De~•elopmeut fihafts ----------------------- --ft. tiCivzes ___--- ._rc. , /, j-1.-- ------ Drifts ----~----------------_ft. Crosscuts -----------------------. ft. Atnouut Donc in 7.918 -------___ft.; coat per ft., ~-_____-. ____ft.; wat per ft., >b_ ___ ---~J1 ~ ---- ~'-1~--------ft.; cost per ft., &---------- ____________ft.; coat per ft., f4____..__--- $a~•e you reported to this department all Sato] and non-L'utul uccideuta occurring to wvrlunen in LLe {welremouthspreeedingth^ed^at~eofthisreport,usraquirudLylawT__________.____-______________ _ I3emarks:---------------L-'-iT'-' Gi.~~---------- - ------------------------------------------------------------------------------- ------------ ------------------------------------------------------------------------------------------- ------------------------------------------------~j----------------/--~-----------„----------------- figned___! ~J~~ _~!! _ ~ a_G.JY]~i~J{, ~l/W., Company. C _-=.' BY-~~~1..G~"__ _ ~-_--_-__ Title-------------- ---- ~-,---