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MINEBK01057
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1/12/2009 11:23:22 AM
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11/18/2007 12:26:04 PM
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If you have giycn a lease to otltcrs for all or part of the ProPertY. state the names of tllc leasing com. <br />parries, partaerships or individual=: <br />Dame g <br />Jlana er P. O, dddress <br />_ -- <br />- ----_ _ <br />----- <br />]s property tivorh«d continuouslyl_____ <br />If }corl: l:as b.•c -----------------------°---- <br />n =lope«d, state n•hen__-- <br />I , <br />t~Stt~~ <br />~'7 <br /> <br />r <br />\arn«. tub, any, address of person in charge of n•ori: for you <br />StatU 1hC Character Of Orr___ <br />___. __ _.______________ ______ __________ ___________ <br /> <br /> <br />Stat« tll« ya1nC of thr <br /> <br />Orc__ <br /> <br />______-_ <br /> <br />__ ___ <br />__________________ <br />_____ <br />_ <br /> <br />_________ <br /> <br />_____ <br /> 1fEN E3fY L01"I•:I) -- <br />\u. Trnploy«d <br /> 1 n. limpl Dyed <br />._ _\iuc}lim• Dril]men . < for_. -huurahift. <br />B <br />i <br /> <br />__ _liachiu•• IL:Ipcrs <br />fi <br />f <br />h _ . _ <br />ng <br />necrs, . - 4__ ____for__. ._hourshift. <br />, <br /> <br />-- <br />lliners . _ _... <br />or. . <br />uurahift. <br />---_Yumpmen. <br />$__ <br />-_ _for__ <br />_6ourshift. <br />___. <br />, _ _ <br />_Timb.•rm G__- _-_for__ __hourahift. <br />----hiremen, _ _ <br />_ $-- <br />---_for___ <br />.hourshift. <br />en, <br />.... <br />'frarruner ~- __fur_. __hourahift. _____I%luclcsrniths, <br />- <br />- g-- <br />----for--- <br />-hourshift. <br />_ <br />s.. _ _ <br />Or~• Sort g. _- - <br />__for_. ...hourahift. __ .Tcrunaters, _ g__ ____tor_. ..huurahift. <br />ers. <br /> <br />Topm~•n ~ <br /> <br />c .for- -huurahift. Furenu:n. <br />- - <br />.- ~- <br />-___for___ <br />.huurshift. <br />. _ <br /> <br />Laborers for- - - _hourshift. ----' <br />Superintendent, <br />_ g___ <br />___for__ <br />..Iwurshitt. <br />. <br />. _ c - _for. _hourshift. <br />.Office ]Idp, _ <br />~:--_ <br />for <br />imurshitt <br /> <br />- .1ss;ryern• <br /> <br />- - _ !ilectrir:i <br />~~ <br />... <br />' <br />.._for. <br />- <br />_huurahift. <br />__._ A <br />-.fillmen, _ _. <br /> <br />_ ~--- -- <br />__. <br />--for___ - <br />. <br />..hourhhift. <br />ans. -. $ <br />_ -. . _for. -huurahift. _\Catclrmen, <br />_ <br />$_- <br />-._for__ <br />.hourshift. <br />--'-'----------- - : __for_ _hourshift. <br />------ -------- <br />_ ~--- <br />--.for__- <br />_hourshift. <br />Arnra g~' nurnb,.r of men eruplo}•ed this year <br />Is t!n:rc :: mill` - . <br />f~a ¢rr• of mill __ -.._ <br />~~ Character of urill_ _ <br />~. i `! i <br />i , <br />i <br />: <br />I~.; <br />~:I r <br />~4, f1i ~ ~. ~~i <br />.Locatiu^ ul mill____ <br />_ - _ _ <br />apucity o` mill-- _ - _-.. _ _11'hun won mill nructed_. _ _-.._ <br />Gn•c list o1' l,uildingn, trmnw:rya and other surface improvements __. <br />Coat of aurfac~- impruvc+uentn msd« in ]hl_ _ <br />SL•de amuuut and eirarueter of uudcrgruuud development: - - - ~--- -..__---_-_._.. <br />'total Luvclupmrent Amount Douc in 1'JI3 <br />Shafts _ft. <br />- - ---- _------- ft.; coat per fl., E~- -- <br />- _ <br />\Cinus .... ____-_ - _ft. <br />- - <br />----________ft.; coat per ft., $_ ._______ <br />Drifts ft. <br />-- ~--- -------.. .. ----- fl.; coat per ft., >N---------- <br />-- - <br />Crunacuta -- ---. - ----------------ft. <br />----------__ft.; coat par fl., >$----___.._ <br />Ilavu you reported to this department all fatal and nondutul ucciduntx occurring to workmen in the <br />twelve months preceding tbu date of thix report, ae required by 1awT _ <br />rnarka:----------------------------- <br />Signed- - -------------------------------------Company. <br />~y-------------------------- <br />---------------- <br />Title------------------------------------ <br />
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