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<br />I <br />I~, <br /> <br />i <br />i. <br />,fir <br />IS yon liave given n lease to others for all or part of the property, state the names of the lensing com• <br />ponies, partnerships or individuals: <br />Name illnnager P. 0. Address , <br />--- <br />--- <br />------------"'-'-='-'-`-5~------ -----------~'="-~------- ----------~`~--- <br />--- <br />Is property worked continuously4__ir__co___p __________ <br />If work hne been stopped,atate when----_-__?~ ---'--------------------------------------------- <br />Nnmc, title and address of person in charge o work for yau___,....+.e.>_a.~J~_____________ <br />____ `_ ____.____ 1 _ ~ -_ _ ~__ <br />State the cl~nrnetcr of ore_____"___L_a~ .o~J _ ~,~ _ <br />State tl~e value of tl~e ore-- -- - ~ ~~~ -~----~~---------- <br />11fEN F.1IYLOYED <br />No. Employed No. Employed <br />~`-.^_tS1llnchine Drillmen, $______for____haurehift. ~~-%?~CEngincers, _ _ _ $______for____hourshift. <br />~^'_'T~-InchineHelpers, $______for____hourshift.- !^~umpmen, $_ <br />- _ _____for____Itourstiift. <br />"""`_C_lfiaera, _ _ _ $______for____hourshift.~.....e--:.Firemen, _ _ _ $______'or____hourahift. <br />-~-!'_'_S~Timbermen, _ _ $______for____hourshift. ^^-`_-ti_T;lackamiths, _ _ $______for____hourshift <br />"'~-!'^eTrnmmera, _ _ _ $______for____hourshift. -~~Tenmsters, _ _ _ $______tor____hoursliift. <br />---~-^_^_~Ore Sorters, _ _ $______for____hourahift..---J--t1~'oremen, _ _ <br />_ $______for____hoursbi[t. <br />~^-~~eTopmen, _ _ _ $______for____hourshift. ^-~^-t Superintendent, _ $______for____tioursliift. <br />"`-~•~cLaborera, _ _ _ $______for____liourshift. ^^_!~^tOfnce Ilelp, <br />- - $----__for____hourshift. <br />""-'"'~9ssayere, _ _ _ $______for____hourahift. ~^---~hlillmen, <br />- - _ _ $______for____l~ourshifl. <br />^'~^_'_^_Si3lectricinns, _ _ $______for____honr-shift. ~+--~^t_~pntchmen, _ <br />~- _ $______for____hourshift. <br />r'=-~==~~-- - _ $______for____hourshift. _ <br />----- _ $______for____hourahitt. <br />Average number of men employed this yenr__~Y__ <br />Is there n mill4__ -'--------- <br />""~-`-4------------------------------------ <br />----------------------------- <br />Nnme of mill___~y_.{--------------------i.ocntian of mill_.~...9__________________----___ <br />Chnrnetcr of mill____v_~ss~.L,______ <br />--------- --------------------------------------- - <br />-- --------------------------- <br />Cnpncity of mill__ --- <br />"'""~L--_______________~Phcn was mill cr to _ ___ _________ __ <br />Oive list of buildings, tramways and othe surtnce improcemeats <br />------------------------- ______________________ _________ <br />-------- <br />Cost of surface improvetnenta made in 191 _ _ _ _ o-~ <br />State amount and charneter of underground development: $ !~~ <br />Total Development Amount Done in 191 <br />Shnfte ___z.~.sty-~~___ ft. <br />--------'-' ft.; coat per ft., $__________ <br />------------ <br />---______ ft.; coat per ft., $_._________ <br />--- <br />Drifts --- p-a -------------------- <br />ft. 1SA _____ft.; coat per ft., $_~ ~ __ <br />Crosscuts ____r~_____________ _ _ft. r" <br />~~;--.~~ __ft.; cost per ft., $__g~':_ <br />$ave you reported to thin department all fatal and non-fatal necideatps occurring to workmen in the <br />twelve months preceding the da a of this report, ae regaired by law 4 _.,~~(, <br />Remarks:__ ~ i'-"~ti- ~~~----------- <br />_tC`~/`~'~/ '~"°'~er~~v~A-/~r~=~..d~~CeaG>`_t~..ti:t9..C.1~fsace <br />...n-64rS. _,eQ~s- - • - -T__^"_ /.~QA./S,t__p~,(~j(/ <br />r _~,~------- --------- <br />Signed_Y~.~E~X!(~q~,Cq,~~.-------~ ----- <br />~~~-~ <br />Title_~y~p,_____--_ <br />