MINEBK01108

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

j If roa have gicen n lease to others for all or part of the property, state the names of the leasing com.
ocuwoc ... Panies, par>aershins or ind}ridur:ls:
^ame ~Ieaeeer P. O. Address
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Is prnnnrc worced continuoush-`•___ -.- ~ ?
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L'tcorl:l:us tur ________________________________.
n F:oppeG. F. L`1P TC}~eII_____
_ sale. to}r and address of person in cLurr•e of R-orl: for you____.
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Stu:c th« _-- _
• _ cnuraeL•r of or!. _
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._tL':r' 1LC t'81ll!' Or :11e 0^e ___________ -
__________________________________________
hfE'; E:1fYLOT];D
\o. Eur,dm-,.d
?~ o. 7.m nl oyed
3'uci:ine rJrillmeu,
for... _hour shift. Enginl~ers. .
-- .Zleci:iuc I7!.}p.•..F, a' r ---- - - ~------for-.._hours!:ift.
- ~-----. or_ hour shift. _____Pumprut•n.
- - ~------for----}tourslu C:.
'1iin~:••s. _ 8'__----for... _hour shift.
- - -----I•iremen. _ 4__
•+:. - - ----for----hourshift.
...t..,~.rrm.•n. _ ?~..._-fvr---Lours}lift' .____
i;luclsmiths. _ ~;---___fur___hoursi:i.^,
-._nourshtft. _____Ten;nsters. _
_... Ore R, - - ~'-----for__. _hour shift.
Jr:r•rs r ..for. _ _Luursl:ift.
-- -Forc•nu•n• _ $__ for_ .. hour~!iift.
Topnir•n. c +• ~ - --
- - - - - o. _ -.hour r;iiift. . ----`;upcriutendent. t ~r
LaLurere. _ Q'.- _for---hoursLift.
OtT'-''-' 73e1p, _ &------for---_hourshiR.
- -sxr.t-r•rs. c ___for....Luurshift.
...
'• -D]illlnc•n• - - ~'--- -for_._hot:rni._r.
...
- .•---._.!n. ..Lour-s}uft. ~Cutchmeu,
~ -------- ~--- - ~-..---for. hoursLift' ------
... ----- - +i-.----for__... hourshift.
J; cc.^.: i•~- ~~~r.l,.•r c,f un•n etnplo}'ed tLis yet:.^-_ ----
_ _l.r• •..._^I ref Ili:~l
(`}:Fray^p•ri!-IC'h -_-___ - .. ... _. __. __._
• - _ _. _ _ _ _ _~1•Lea R'!tK IIllll ('rV Cted__. _. _
Lice 1:•., of Luildie~s, trumu'at's and otter surface im ,rucerm• -------- -
' f nts _____-____.
Cos: of rurL•m~~ improccanrnts lnudr• in 1'.r7~ - -------------
Stu:c uwovut and ci:uructer of undert;ruund deeelupment: _ - - - ~-%~`_•- ~-------
'f vtul Der!doplurrnt
Amount Done in 7J1
h't:u f :s
- --.._-- -- -----~--ft• _.--------ft.;coxtperft., 4-----
\Siuus -----
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- ft. ---------ft.; coat per tt., 16- ----
Drifts _ _ _ _ - -
---....._ t.
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-- ___ft. • coat per ft. $-___----
' Cruxscuts _--_ .--_- _ft. ~ --
-- - ----- ----ft.; coat per ft., ~---------
13at'e you reported to this deportment all fatal and non-fatal uccidentx occurring to K•orkmen in the
twelvr muntLs yreceding tLa data of this report, as required by lnwt _____________
~' Eelnarls -__ _ _-..__
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t~ _. -__._ __________________
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Signed~_
_ _ r -_---Company.
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- ~ Title_ „~! a l
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