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<br />If yon helve given a lease to others for all or part of the property, state the names of the leasing com•
<br />panics, partnerships or individunle:
<br />Name Ivianager - P. O. Address
<br />---~----------------------- ----=-?Ze--------------------- ~° -----------------
<br />Is property worked continuouslyf--~1~a---------------------------------------/-,-----------------
<br />If work has been stopped, state when--~N12^_~sE~--~irlvfrs.art~s~.~ea~..._IS_:Z~i_Gr_eL_D_~~~y_.°~0
<br />Name, title and address of person in charge of tivork for you_______________________________________
<br />State the character of ore_ ~s...~rC__/t~.,_~rL/-_-_~t4..~.,'~.~L _..~a~2,.~aur_K _sr_C~ ______.__
<br />Stntc the value of the ore_~iS~ ___sl ~ ~v ~~d~ _ ~ _ ~~'a1
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<br />No. Employed No. Employed
<br />____Mnchine Drillmen, $______for____hourahift. _____Eagineers, _ _ _ $______for____honrehift.
<br />____Dlachine Helpers, $______for____hourshift. _____Pumpmen, _ _ $______for____honrehift.
<br />_____llfinera, _ .~ _ $_.3___for_.~_honrshift. _____Firemen, _ _ _ $________°or____hanrehift.
<br />_____Timbermen, L _ g_3____for____hourehift. __J__i3lnekamitha, ~ ~ _ $_ ~___for_~ hourshift.
<br />_____'1'rammere, _ _ _ $______for____hourehift. _____Tenmeters, _ _ _ $______for____honrshift.
<br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hourshift.
<br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourahift.
<br />_____Lnborers, _ _ _ $______for____liourahift. _____Office Help, _ _ $______for____hourahift.
<br />_____Assayera, _ _ _ $______for____hourehift. _____Dlillmen, _ _ _ $______for____hourehift.
<br />_____l:lectricinns, _ _ $______for____l~our•ehift. ..____R'ntchmen, _ _ $______for____hourshift.
<br />---------------- - - $------for--__hoursl;ift. ----------__---- _ _ $-__---for----hoursl;ift.
<br />Average number of men employed tl;is yenr___~__ _______________________ ___________-____________
<br />Is there a mi114-- ~~- ------------------------- -----------------------
<br />__________________
<br />------
<br />Name of mill-----~~ ------------------------- Locution of mill-------- -------------------------
<br />Character of mill_~
<br />----------------
<br />--------------- °)16--------------------------------------------------------------------------
<br />Cnpncity of mill__ ~~ __________________________When was mill erected ~16?«t__________________
<br />Oive list of buildings, trnm~vnye and other surface improvements ?~______________________________
<br />----------------------------------------------------------------------------------------------
<br />---------------------------------------------------------------------------------------------
<br />Cast of surface improvements made in 191_l_~'~'^~: _ _ _ _ _ $______________________
<br />State amount and elmracter of undcrgraund development:
<br />Total Development Amonat Doae in 1918' t~
<br />Shnfte _/_?'1_>-----------------------ft. ----S~~e~ _ft.; cost per ft., tr_'p=-------
<br />~Viazes -~0-----------------------ft. ------------ft.; coat por ft., $----------
<br />_u_ _
<br />Drifts _= t -- ------[°~~b--------ft. ---'~~-~----ft.; cost per ft., $-9 -------
<br />Croeacuts --5 -f--------------------ft. ------------ft.; coat per ft., ffi----------
<br />J3ave you reported to this department all fatal cad non-fatal accidentspp occurring to workmen in the
<br />~ #~elve mont~preceding the date oP this report, as required by laws _=J~~1..~ __________________
<br />8omarks;_ ~i~.__.,:_i!_Lto__f~?seF(in-,,~ p+.rd__plee__Evr_-s,__
<br />_.hCYt____9'PA!L _.,G~il(4~__Esa=JcC__L1?~i
<br />__________________________________________________________________________
<br />Sigaed________________________________________COmpeny.
<br />Title ~_~~~~~--
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