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<br />If yon have given a ]ease to others for all or part of the property, state the names of the leasing com-
<br />panies, partnerships ar individuals:
<br />Name Jinna ,~+/r a P. O. Address
<br />IB property worked coutinuouslyi__~R_!i-~,._!`T=`,~._~_"~=_~_^=v_____________________
<br />If work has been stopped,stnte when---------------__________________-----------------------__----
<br />Name, title and address of person i charge of work for you_______________________________________
<br />------------------ -~ - ~ . «-;.~..Q~
<br />------ -------------------- --
<br />--~--\ --------a ---- ------- -~----
<br />~, . _ --
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<br />State the character of ore__~S?' _+~~ _ ~s~__S!~n-5! __`^S___ ___ -
<br />---------------------
<br />Stnte the value of the ore_____________'~3 ~'~ ~___~ 50 6'-`'`~ fi-sr`~ _
<br />LIEN E~IYLOYED
<br />No. Employed No. Employed
<br />____.\Iachine Drillmen, $______far__._hourshift. _____Engincers, _ _ _ $______for____hoarahift.
<br />~____lfachine IIelpera, $______for____hourahift. _____Pumpmen, _ _ $______for____hourshift.
<br />_____~finers, _ _ _ $______for____hourehift. _____Firemen, _ _ _ $______for____hourehift.
<br />_____Timbermcn, _ _ S______for____hourehitt. _____lilacksmiths, _ _ $______for____hourshift.
<br />_____Trammera, _ _ _ $______for____hourahift. _____Teamstcrs, _ _ _ $______for____hourehift.
<br />_____Ore Sorters, _ _ S______for____houreliift. _____Foremen, _ _ _ $______for____hourshift.
<br />_____Tapmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourshift.
<br />__1_Lnborera, _ _ _ $ ~r:_for_q_hourahift. _____OfficeIIelp, _ _ $______for____hourahift.
<br />_____.lasayers, _ _ _ $______for____hourshift. _____b[illmen, _ _ _ $______for____hourehift.
<br />_L__F.lectricinns, _ _ $A ~-~far_~__hour-shift. -___\\"atchmen, _ _ $______for____hourehift.
<br />---------------- - - $____--for----Itouraliift. ----------____-- _ $____--for----henrshift.
<br />Average number of men employed this year___2__ YY_'_'v~ __;~! __ ~"
<br />- `•~^~-
<br />-------------------------
<br />Is there a millt-------------------------------- --
<br />-------------------
<br />------------
<br />----
<br />--------
<br />~.
<br />Name of mttl ___Qrh =_ ~ °`"____________Locntion of mill_~~ ~
<br />~!`_`_"_^____ _ ~''-`'O_____
<br />------
<br />Character of m
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<br />l----
<br />--------------------------------
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<br />----------
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<br />------------ ------ -- ~~- -----p--- ------------------------
<br />-----------------------
<br />Capacity of mill___~ >~___er_~!? __r__`~____________\Vhen was mill erected_ _S.c~'1^"^^!~ _~~_^~-a"?_°'~
<br />Oive list of buildin s tramwn a and oth
<br />y r surface improvements
<br />U
<br />--
<br />-
<br />--
<br />---------------------------- ---- -
<br />-- - -
<br />--- - ----------------- ----
<br />
<br />-------------------------
<br />Cost of surface improvements made in I'JI~_ _ _ _ _ _ _ _ _ _ $_~____~___________
<br />State amount and character of underground development:
<br />Total Development
<br />Shafts ----------~ 5---------------ft.
<br />Winzes _____f_Yvv_~_!ti._____________ft.
<br />Drifts ----------/1„-0-°--------------ft.
<br />Crosscuts --------~ o °--------------ft.
<br />Amount Done in 19~'
<br />____ 3 S __ft.; cost per ft., $_6 L___
<br />____r~_-~_ft.; coat per ft., $_..^_='=__=
<br />__'~!o ___ft.• cost er ft. °
<br />P , $--~- ~`---
<br />____1 ~ _°____ft.; coat per ft., $__~ gS
<br />$nve you reported to this department all fatal and non-fatal accidentso4 ~o~cc~u~rring to workmen in the
<br />twelve months preceding the date of this report, as required by lnwt TCC~!S,_^M+~~ Ma o._e.c.._~u...'~a
<br />R.emarka:-----------------------------------
<br />---------------------------------
<br />----------------------------------------------------------------------------------------------
<br />--------- ------------------------------ ----------------------------------------
<br />Signed_~!!uL__il,u.a------ ----Company.
<br />--------
<br />By------ -=-- ~ ___~----- ~ ------
<br />Title_____________
<br />
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