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L con hate given n ]ease to others for all or part of the property, state the names of the leasing tom
<br />u~a~w ponies, Partnerships or individuals:
<br />I`ve illannger P. O. Address
<br />12sber~ &-ffice~__-. _- __-- ---CsippU-Ci•6ok Colo,
<br />--- -
<br />- -------------
<br />Is property ,h•o.^l:ed coatiauous]ct__~p~__________________________________
<br />------- -------------
<br />If TyorL-has been stopped. slate xhen----------------------------------------------
<br />-----------
<br />-- -
<br />. ame. title and address of person in charge of ticork for you___________________________
<br />a ~ • ~ ------------
<br />-------'--"~'-=i-~ri ~...~1_s._.~.,.2.riL"..-_C.L1S.Li7~~7-L__.;.SlE_171£.CTF.,_~L'IIY.ES ___
<br />T T_fnln _..
<br />State the character of ore.__ UDl~__-.r F---
<br />°o~ . vC ~o •..Y~.60- -----------------------
<br />- '• = -- -
<br />S:ate ;}:~ value of :he oru_________
<br />-- --------------------------------------------------- --
<br />3fEN E)t7YLOTED
<br />\o.Employed _;, Ao.Employed
<br />_~_liuchine Drillmen. <_ 4r__~f4r_ °_hourshift. ? ___);n rneers. _
<br />g - - ~-4 _U~or_~__hourehift.
<br />__ _.llac!tinc Helpers, ~______for_.._hourshift. _____Yumpmen, _ _ $______for____hourshift.
<br />.____.lIinct•s, _ _ _ ~______for____hourshift. _____Firemen, _ _ ~
<br />_ $_______or____hourshift.
<br />.-.-_Timhenacn. _ _ ~.-_---for---hourshift. _
<br />'__1;luclsiniths, _ _ ~_4~V~}or_e__hourshift.
<br />~. 'Trammets. - _ _ ?_ ~c_:.,for~-_hourshift. _____Teamsters, _ _ _ ~______for____hourshift.
<br />_On• Sor;crs. _ k..y _for_ __.hour shift. Forcmcn, _ ~r
<br />-- - - 4______for_-_ hourtiln,t.
<br />_Tupmeu. _ ,r_for__ _hourshift.
<br />- __. _Supcrintendent, _ 4______for____hourvtitt.
<br />I:uLorr..-s. _ <__----fo.•_---hourshift. _..._OfliceHel _ _
<br />P. 4______for__._hourshift.
<br />- ~~ssnrcrs. ~-_----for. _hourshift ___:Ilillrnrn,
<br />---- ~sLac:riciuns. _ fi- _for. __hour-shift. -_1Catchmen, _
<br />- 4______for____hourshifi.
<br />-- _ _ :F___..__for____hourshifr.
<br />~C
<br />drerage nuwber of men employed this cuur.
<br />---------- --------
<br />------
<br />. ame o.` mill-- - .- _..._.__l.oc:aiun of mill--------_-----__--
<br />--- -------
<br />--- -
<br />---- - -
<br />.,hurar•tcr of rnill__-________-__ _ _
<br />Capacit;r of mill________________ -- ---~ -_- ___p-hen «•ns mill erected____________________
<br />Give list of Luildings, trumtyurs and other surfuce improvements __ 1i:..~1~_F:Qll)~Cy ~1t1A~E_.iVp1
<br />b:.c~.. ,.<,~ ,,,,
<br />..__ice, ,,,,tole, .
<br />• _ ,:;:e_lin~, ~S1'ice Building.
<br />- - ------
<br />---------------
<br />------------------------------------------------
<br />-- _ _
<br />----------------- ----
<br />-----
<br />------------ ---------------------------------
<br />Cost of surfuce improvernenis inude in 197_._•ene
<br />State uwuunt and character of underground development:
<br />~~Vial~Uevclopment Amount Done in 1913
<br />Shafts - ~- -------------------ft.
<br />ft.; coat per ft., ~_________ -
<br />------------
<br />Abort °inlec ------------ft.; cost er ft.,
<br />Lrifts . _ _ _ '"' ~
<br />~cor,-ea" -r. =-1c--------ft. ------------ft.; coat per ft., $
<br />:ruaacuta ------------------------ft.
<br />-__(,(y(a_____ft.; coat per ft., ~__~}~~__
<br />Have }•ou reported to this department all fatal and non-fatal necidents occurring to workmen in the
<br />tx•elve months preceding the date of this report, ae requited by lawT _ ~p,F______________________ _ _
<br />Iterr~rla:__ The Wen ertployez are cub-lecc_eee and_reriorm_tho__v_tsiriou_c
<br />CQ"'ec L~ ct:i~ti ~nea,"-iiericc-t~:e-above dictribu£ion ie ur-near as r.e
<br />--60::3-+'~:t -iU:--?~-4-t-s}~crut--tc-n-~esrs-ri-ace--t}re-tit7re-~^E'~-t~t:rnreCur
<br />rjr "'t'T-t'--~~'L'~ `Y._J.L•:1:•~_,~i}:e_ ~v~L'1_L.~u;>n~_o.S_cLcv~l.api2erLt-.ic-xin](~oun,~---
<br />C9.-'r-s~/ ----Company.
<br />BY-•l~_~
<br />Tit1e_______________Secretar~,_________
<br />
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