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Zr eon h¢rc Fern a ]onsc to o;lters for ali ar part of tLe pmpertp, state the names of the ]easing cv <br /> <br />omwocw m- <br />Pnnirs. pnt~c^sltips yr indi~•iduals: <br />' <br />.,. -~4~e Mun^ger P. 0.9ddrees <br />_ -f ~`-- %tc fl'-04.E----- ---------- -------('„ , ,i -'---... <br /> - -- - -- - <br />' IE prnperry wuri:ed cvntinuans!~'____ <br /> -------------------------------- <br />--' <br />~ WOr7: 11LL6 hcCn Nt 0;1TIHd. ¢:alt' Ahen_______________ <br /> ____ <br />LLmt. tlt]f' LLII^ ad C. C¢F Of TIP_^eDn lIl CllwCr Of wU71i fl1T yOn~____________________' <br />________________ <br /> _____________ <br />-_-- <br />':ute the character of orf______-_-_-- <br /> -' <br />:utr the ~•uiue of tLe vre_____-_ <br /> MEN EMYLOSED <br /> nv. Employed ?:o. Employed <br /> - --.lluchine Drillmen, lk- - ... _for_ _ _Lvw sltifi. . --__Enginetss, - _ _ ~-----for-___Low shift <br /> . <br />.-- -lluchine Ilclpers. !}'-.. --_ror.. - _Ilvur shift. _ ----Yumpmen. _ _ >K------for--_-how sLifr <br /> . <br />-----;,Liners - _ _ fl_----_fvr__.._hvwsltift. -----Firemen, _ _ o <br />- ~-------or____Low shift <br /> . <br />- _ _ . -Timbermen, _ &~. _ -- _inr_ _. _huw shift. ---_ElucL•smitLs, _ _ ~------for__ __Lvw shift <br /> . <br />?.^ummrrs.. _ _ ~--_---for----howeLi~`t. _____Teumsten, _ _ _ &_-----for____Lowshift <br /> . <br />- - -Ore Sort'.•s. - _ Il- - . _. _for- _ . -Low shift. --- _ _Foremen, _ _ <br />_ !F______for____Lowshift <br /> . <br />-. -Tvpm"n. _ a'.----_ror..__Lowsiuft. __---fiuperintendent, _ !F_-----fur____Lowsilifr <br /> . <br />LuLurers. _ $_--- _ror---Lour shift. _---_OfBce Hrl _ _ <br />P, &______for____Low shifr <br /> <br /> <br />' . <br />`-~ssaFers. - IF- _---ror_ -_LuwaLin. Millman, - <br />---- - - &______fur____LoursLift <br /> . <br />. _ .. Eiectriciuus. _ &- _ - -- _for_ - - -.lfvw-shil't. _ - - _ ~l utcltmen, <br />- - t6_-----for--_-Low shift. <br /> <br /> <br />, --------- - ___._ _ &-_-___ror_.. _Low shift. <br />--------------- - - &-_---_for---_LoursLifr. <br /> At'rntge nun:Ler of turn empty}~ed this your. <br /> ---------------------------- <br />t --- -- <br />_s there a toiill- _ <br /> 1\L'[Ile lrf Illy __. _ ___ ____ .--- <br />f <br />' .. <br />1 <br /> -_ <br />J l,i ail 1. i,i li re <br />_______ <br />- ~ II tiff <br /> __ <br />_ <br />.huralarr or twill- .-_ <br /> Cupucitp of mill-- -_------ ----__-~-Len ~rus mill erectnd__ <br />- - - - - - - <br /> _--------------------- - <br />Gitr list of Luildintti, trumwuys and otLrr surfuue imprv~•f:mrnts ______________________ <br /> ------------------ <br />----------------- ---------- <br />usl of swruce uuyrvl~etuents mode iL 187 <br /> .___ _ <br />SLUte umuuut uud cLaructrr ur ttndergruund develu <br /> pmeut: <br /> 1'utul I)ereloyment <br /> 6mottnt Done in 181J <br /> fihafts _. _ _it. <br />-------------------- -- ft.; coat per n., &------ <br />------------ <br /> ---- <br />tiCitues . - - - -- - -- ----- <br />- - <br />fr <br /> ----- <br />• ------------ft.; coat per n. <br />~_..- <br /> , <br />------ <br />Drifts ____..-- __----- ---------__St.; coat per ft. <br />4___ <br /> , <br />__----- <br />t~rUeaC LLts ft <br />- - <br /> . <br />---------___It.; coat per ft., E-______--- <br /> S3at•e you reported tv this deyurtment all fatal and now-fatal uceidrnts oecwring to workmen in tLe <br /> twe1.•e montLs yrnreding fire date of tLie reyort, as required Ly law} <br /> _______ <br />Entnarks:--------------°-----~------------ --- ---------------------------------'--- <br />----------------- <br />I --- ------------------ <br />--------- ---------------------------- <br />-------- <br /> ~' <br />~~ '~~'--~~y- <br />-------------- <br /> By----------- <br />, <br />•' r <br /> <br /> <br />a, ,.' i <br />l._.~. <br /> <br />________ <br />---- -------- <br />-------- <br />.; Title----------- ' <br />_•~~r -~~---------------- <br />