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{ f <br />~i t <br />1l <br />~~~`~) <br />i <br />~, <br />~' <br />1`/ 1 <br />I 1 <br />~I~~ I'. <br />!1 ~ ~1 <br />Illlj <br />,i ~'~ <br />I~~~I~ r <br />I ~ 1 ..~ 1 <br />~~~~i r , <br />i <br />F! <br />F <br /> <br />,. <br />i' <br />~I(1 <br />~~ <br />~~ ~~' <br />C~' <br />~•'' <br />„I ~ , <br />~~1;i1 <br />If yon have given a lease to others for all or part of the property, state the names of the leasi <br />panics, partnerships or individuals: aB cam• <br />~ Name 3faaager P. O. Address <br />//1 ~ <br />__ _______________________ <br />Is property worked continnonslyT____ ~?'-~S%/____________________________________________________ <br />If work has been stopped, state when__________ ^~ __________________ __ <br />~p ---- <br />Name, title and address of person in charge of work for on__.r~ __ __~~_ _ _ ~ <br />_________ _ <br />__.__ <br />_______________________________ uLScCc~ `tea--~-I. <br />[__ -__ <br />State the character of ore_____~~ ~/____.__ ^~ ~ ~~yjyrf ~~~~u~ -- <br />u • ~--- -"?----------------------~- <br />---------- <br />State the calve of the ore_____________J~_G_D_______________ ~! <br />3fEN EtfYLOYED <br />No. Employed No. Employed <br />___ Machine Drillmen, $______for____hovrshift. _____Engineers, _ _ _ $______for____honrahift. <br />-----• <br />lfnchine Helpers, $______for____hourehift. _____Pumpmen, _ _ $______for____hourahift. <br />~__3finers, _ _ <br />- _ $fE_~__for_~_hourshift. _____Firemen, _ _ $______!or____honrshift. <br />_____Timbcrmcn, _ _ $______for____haurahift. _____I3lacksmitha, <br />_ _ $______for____hourshift. <br />----- <br />Trnmmera, _ _ _ $______for____hourshift. _____Teamsters, _ <br />_ _ S______Por____honrshift. <br />----- <br />Orc Sorters, _ _ $______for____hourshift. _____Foremen, <br />_ _ _ $______for____honrshift. <br />Topmea, _ .. _ $______for____hourshift. _____Superiateadent, _ $______for____I~ourshift. <br />_____Laborera, _ _ _ $______for____hourshift. _____Office Help, <br />- - S______for____hourahift. <br />_____Assayera, _ _ _ $______for____hourshift. _____3[illmea, <br />_ _ _ $______for____hourahift. <br />_____Electricians, _ _ $______for____hour-shift. ____~\'atchmen, <br />_ _ $______for____hourshift. <br />---------------- - $------for---hovrahift' ---------------- <br />_ _ $______for____hourabift. <br />Average number of men employed this yenr______~ _______________ <br />---------------------- <br />Ia there n milli_____________~l_O <br />--------------------------------------- <br />---------------------- <br />nme of mill__________~-'~^~----------------Location of mill_________ '~ <br />-------------------- <br />--- <br />arneter of mill-------------------------------------------------- <br />----------------------------- <br />-------------------------------------------------- <br />-------------------------------- <br />Cnpncity of mill_________________________________When was mill erected____________!~_____------- <br />Qive list of buildings, trnmwnya and other surf ce improvements __._~J~¢.v/G~- _~rti1-~, .~~ <br />~,1t~/ / J' ------------- - <br />~!~ _~.fitiik/.,(~K-QL tGO_.QJ__ lj~i ---==`--n =-R--~-Ctl f//,.lL_~- <br />- - -------------------------- <br />--------------------- _ <br />------------- __________ <br />~/ -----------------°---------J C/ ___ <br />Coat of surface improvements mode in 191L~ _ _ _ _ _ _ _ $~ ~ ~ <br />State amount and character of under --------- <br />ground development: <br />Total Develop~jme~nt Amount Done in 191 <br />~~--------~1-""=0 -------ft. ------------ft.; coat per ft., $---------- <br />~- _ __________ft. ft.; coat per ft., $ <br />----------- <br />Drifts -----------~ ~ ~ ------------ -..-------- <br />ft ft.; cost per ft., $__________ <br />.Eda2------ ~ ~~---------fc. ------------ <br />----- ft.; cost por ft., $__________ <br />$ave you reported to this department all fatal sad non-fatal accidents ocenrring to workmen in the <br />twelve months preceding the date oP this report, as required by lawT ___~__ <br />--------------------- <br />Romarke:------------------------------------------------------------- <br />- -- - --- -- ------- <br />~~R~ <br />~ ~ <br />Signed_ !/_~~~_ <br />