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i If yon have given s lease to others for all or part of the property, state the namee of the leasing com- <br />• panics, partnerships or individuals: <br />omeoc w. <br />IQame illanager P. O. Addrees <br />Is property worked cantinuouslr4--------------------------------------------------------------- <br />If work has been stopped,stnte when------------------------------------------------------------- <br />Nnmc.title and address of person in charge of work for you_______________________________________ <br />----------------------------------------------------------------------------------------------- <br />State the character of ore----------------------------------------------------------------------- <br />6tate the value of the ore--------------------------------------------------------------------- <br />11fEN EMPLOYED <br />ICo. Employed No. Employed <br />____lEachine Drillmen, ffi______for____hourshift. _____Engincers, _ _ _ $_____-for____honrshift. <br />-___1llachine Helpers, $______for-___hoursbift. _____Pumpmen, _ _ $______for____hourehift. <br />_____;lfiners, _ _ _ ffi______for____hourshift. _____Piremen, _ _ _ $_______for____hourehift. <br />_____Timbermen, _ _ 9~______for____hotushift. _____I3lucksmitbs, _ _ ffi______for____hourshift. <br />___ _Trnmmers, _ _ _ ffi______for____hourshift. _____Tcumstere, _ _ _ t6______for____bourshift. <br />_____Ore Sorters. _ g______for____hourshift. _____Foremen, _ _ _ $______for____Iroursbift. <br />.___Topmen, _ .. _ 4______for____Lotushift. _____Superintendent, _ ffi______for____hoursbift. <br />_. _Luborers, - _ $______for____Lourebift. __-_AtTce Help, _ - $______for____hourshift. <br />:lssupers. _ fi__.___for____Lourshift. _____Alillmen, _ $______for____hourshitt. <br />___-. iaectriciuns, _ 4---..-_for__. _hour-shift. __. _\1'utck,men, _ _ ffi______for__. _hoursbift. <br />_-----_---__.___ _ _ 9~______for__-_hoursbift. ________________ _ _ $______for____Lourshift. <br />Average number of rnen employed this ycur..__.-__-...______________________________________.'------- <br />! Is there u millY-...-------------------------- ----~-----------------------------------.. .. <br />Numc of mill __ ._-----------------------------Locution of mill------------------------.-- _- <br />Churacter of mill------------------------ ---- - -------------------------------------- - __ <br />Cupuciq• of mill-____-- -------------------------1~'hen was mill erected------------------___-__ _. <br />Gice list of buildings, trumtvuys and other surface improvements _________________________________- <br />~I -------- ---------------------------------------------------------------------------------- <br />Cost of surface improvements tnude in 191___ _ _ _ _ _ _ _ _ _ $____________________-_ <br />State amount and character of underground development: <br />Total Development Amount Done in 1913 <br />Shafts _ _. ------------------------ft. ------------ft.; cost per ft., ffi---------- <br />~~'inzes ___ft. <br />--------------- ------------ft.; coat per ft., ffi---------- <br />~ Drifts -----------------------------ft. ------------ft.; cost per ft., $---------- <br />I <br />Crosscuts - ---____-- -- -----------_ft. ____________ft.; cost per ft., ffi---------- <br />$uve you reported to this department all fatal and non-futttl uccidente occurring to workmen in the <br />twelve months preceding the dote of this report, ae regttired by lawT __________ ---- <br />I ------------------ <br />li Remarks:--------------------------- -------------------------------------------------- -- <br />--- <br />---- - <br />---- - -- L~~- _-~n/ <br />1. ---- <br />`i. Signed----------------------------------------Company. <br />,I ~ Ry----lo¢~,lt __~~~------- <br />'~1~ Title------------------------------------ <br />