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amwoi w. If you have given a lease to others for all or part of the property, state the names of the leasing com. panics, partnerships or indiridnals: Name Manager P. O. Address -------------- -- ------------------------------ --------------------------- Ia property worked eontinnonslct____~-~ __ ------------------ n -- --------------------------- If worn has been sopped. state when______~=.!~;?_ /j.~2tT__ _t~_ ------------------------- Name, title and address of person in charge of }corL• for yon__________________________________ ---------------------------------------------------------------------- State the character of ore___________________________________ __ __ ______ ---------------------- fitnte the value of the ore______________________________________ _ ------------------------------- ;SEEN EDIYLOYED ~'. i ~i No. Employed No. Emp]oyed ____1luchine Drillmen, $______for__._hourshift. _____Engineers, _ _ _ $______for____honrehift. ~___lluchine Helpers, $______for____honrehift. _____Pampmen. _ _ $______for____hourehift. _____l~iiners, _ _ _ $______for____hourahift. _____Firemen, _ $_____ °or____honrehift. _.___Timbcrmen. _ _ $. _____for____hourshift. _____I3lackamiths, _ _ $______for____hourshift. ____Trammers, . _ _ $______for____hourshift. _____Teamsters, _ _ _ $______for____honrshift. ____.Ore Sorters. _ _ $______for____hourshift. _____Foremen, _ $______for____hourshitt. _._._Topmen, _ _ $______for____hourshift. _____5uperintendent, _ $______for____huurshift. ____Laborers, _ $______for____hourshift. _____Otlice Iiel p, _ _ $______for____hourshift. -- _!lssucers, _ _ $______for____hourahift. _____Millmen, _ $______for____hourehift. ____i3lectricians. _ _ $______for____hour-shift. .____Vllrtchmen, _ _ $______for____hourshift. ---------------- - - $---_-for--_-hour shift. _-------------- _ $-----_for__--hour shift. Acerxge numbr_r of men employed this yeur______ _________ s there a mill"._..___ ------------------------- -- --- ----- 'amc of mill-___---- --- ---------------------- -------------------- -Loeu:ion of mill-------- --------------- --- -- - -- harxcter of mill_______________ ---------------- ------------------------- ----------------------- - - - -------------------- ------------------------- ------------------ Capacity of mill--------------------------------~Chen Suns mill erected-- ------------------------ -------- Give list of buildings, trx~awuys and other surface improvements __..______ ---------------------------------------------- -----------__--.- _________________ ---- ------------------ ------------- - Cost of surface improvements made in 191 --------------------- -------------------- ------------------------ ___ _ State amount and character of underground development: 'dotal Development ~ o~1-Yl fihnfts ~2 ~ __ _ --- ------ --------ft. ~i'inzca --------- ------ ~d~ i ( --------ft. - .~ Driftat -- ------------ ________ft. Crosscuts ____(%-'___ ft. Amount Done in 1913 ----------__ft.; coat per ft., $---------- ---_________ft.; cost per ft., $_---_----- ____________ft.;coat per ft., $_______ --__________ft.; coat per ft., $__________ $ave you reported to this department all fatal and nou•futxl uccidenta occurring to workmen in the twelve montlie preceding the date of this report, ae required by lnwT ________ _ _ _ Remarks:-------------------- --------------------------------------------------------------- ____________________________ __ ______________________________________________________ __________________ ________________________________________ i r ~ ~ ,~/ r rY, 6igned--/-,.G!!t---- ~ ~ ----~----- -------- -------Company. ~ ~~ By---------~ ~--~- ----~-- "`` . i _-. . r' Title_---_-----,