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MINEBK01108
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MINEBK01108
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1/12/2009 12:02:05 PM
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11/18/2007 12:27:39 PM
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If cov hnce given n tense to others for all or part of the property, state the names of the leasing corn. <br />' panics. partnerships or individuals: <br />acowoc tI. <br />.'~ume -Iunnger P. O. Address <br />Is nrnper;c a'orke•n con;inuousiy?__;;~:.•--_------__-_--- <br />--------------------------- <br />If tvorl: has brev stopped. stutr «-ilen----------------- <br />Xume.:i;le and undress of person in churer of work foryou____~;^w_n~ n~_ -~----_------~~--- <br />-, - - <br />atut• the churueter of ore. _____._____:_.:,w_ :iii:w_~I'__17r..~A^,1.1~£---_-_--------- <br />Stnu• ;hr value of tln. ore_:. ' r, ~ , ,., - <br />~._.__~__e~__~~ 1.S1J____________________ <br /> \IE'\ 1;i11YLOTI:D <br />\n. fimplnyed ?~o. Lmp1o}•ed <br />_. _.liuchin~•Drillnren. :~- _for_--_hourshift. ___.)/ngineers.. _ _ q:____ __for____hourshift. <br />-- ..\iachin^ I3clpet-s. `-- ----for-- -hourshift. ..--_Yumpmen. _ _ ffi_--- --for--J:ourshi.^, <br /> <br />----~~`-m"". _ _ <br />fi__ <br />.._._for____hnursi:ift. <br />_.___Tiretnen. <br />- - <br /> <br />- ffi_-__ . <br /> <br />--for----huurshiR <br /> <br />Timim^nn~^ <br />~ <br />---_for____hourshift. <br />__. __P,luchsmiths, _ <br />_ ffi____ . <br />__for____hoursi:i!1 <br /> <br />Tnmuuers• _ _ <br />4'-_ <br />----for__--hourshift. <br />----Teamsters, _ _ <br />_ g__-- . <br />-for---_hourshift. <br />rt.t. `;o.^U.rs. <br />--.. - <br />~.- <br />-_for_-.-L~urxhift. <br />---..Foremen, _ _ <br />_ y._.__ <br />__for__..huurs~i.^,. <br />Tu;nn'm. - c. _-_fuc..-_hourshift. ---_Superintendent, _ $---- --for---_hourd•i''; <br /> <br />LuLurcrs. _ <br />~_ <br />-for_---hourshift. <br />-Afiice IIuI _ <br />P, <br /> <br />4____ . <br /> <br />__for__Jioursl:ift. <br />9ssav"r,•, <br /> <br />... fi _ ___!ur. _hourshift. \Iillmcn, <br />- - <br />- ffi_____ <br />_for_ _ .hoursF~^ <br />• _. _ :ae%r:ncums. ~' <br />• _for. .hour-shift. <br />- __.. R'utchtuen. _ <br />- 4--_-- <br />-for--- hoursiiif: <br />----- -_.....-- - E'. ___for. .hourshift. _--------__---- _ _ ffi---- <br />~. <br />-for-- <br />hoursi:i <br />r _ <br />s)v.•~n tn~ numL~^' of men em <br />. <br />ployed this pear . <br />. <br />In :iii...,.:. rril:'. - - -- - - -.. - <br /> <br />i\a::n. of mi'h-- -~- <br />.. <br />.. <br />- <br />._. -_. - - <br />..La~•r;i,.;~ „!' mill------ -- -- <br /> <br />Chluraet.•I' a~ Inlll_ _ <br />- <br /> <br />_ <br /> <br />... _. _.-._-.. <br />_.... - <br /> <br /> <br />- <br />__ <br />------ <br />___. ____. - <br />I <br />.- - _- __. <br />. _. ._-.. _... - _-._\\"hr•n n•us mill crected__._______..__--_-_ <br />Giv.• li::; of huildint!s. trumn•uvs and other surfucc inyrrovcnmuts --------------- <br />-- <br />Cost of nurfua'~ improvements etude iu 19l_._ <br />State Iuunuu'. r:n%i cln:ru.•t~•r of uunerRruuun development: <br />'1'u:al Levralopumut Amount Done in 1913 <br />SL~:fts ___ft. _ <br />- - ----- <br />- - ----------ft.; cost per ft., ffi---- - <br />1Cinvs -. _ft. <br />- - <br />- -"--`- tt.; cost per ft., ffi________ <br />Lrifts -------------ft. <br />-- <br />------------ t•t cost per ft., ffi------- <br />Crosscuts -. -_ _._-_____ft. <br />- - ------------ft.; cost per ft., ffi---------- <br />)3uce you reported to this depurttnent ull fatu] and non-futul uecidents occurring to workmen in ;h,~ <br />tw,arr months precedin¢ the rlutc of this report, us required by luw9 _,_p:a;iclci~g.;,s---____-- <br />------------------------ <br />~ ~ ----11-------------~ ~ ---\ ----------- - <br />signed___ <br />.- <br />Title--------- <br />_~c.,': <br />
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