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I <br />i I <br /> <br /> <br />~~ ~;`; <br />'I ' .Iii <br />. n <br />~~;. <br />If you have given a lease to others for all or port of the property, state the names of tl~e leasing com- <br />panies, partnerships or individuals: g?~, <br />N~a/,mC/e ~J bInnager P. O. Address <br />°---~2'~°~-~.Ga3tz2C~l! ------ ~ J' . <br />Is property worked continuouely4--------~~2------------------------------------------------ <br />If work has been atopped,stnte when_________22t_^______________ <br />---------------------------------- <br />Nnme, title and address of person in charge of tvorlc for you_-_A2~~zS1__~,I~S~r~U/'/-__-__-- <br />-- -------------------------------------------------------- <br />Stnte the chnractcr of ore________ i1a:z~Lj~t~~~___ - _ _- -_ <br />State the value of the orc________________~~i_u r. <br />------------------------------------------------ <br />bIEN Eb1YL0YED <br />No. Employed No. Employed <br />____binchine Drillmen, $______for____hourshift. _____Engineers, _ _ _ $______for____hourehift. <br />----• <br />llnchinc Helpers, $______for____fiouraliift. _____Pum men, <br />3rd, P _ _ $______for____hourahift. <br />_~--Miners, _ _ _ $,~____for_:~_hourahift. _____Firemen, <br />- - _ $______!or____hourshift. <br />___ Timbermen, _ _ $______for____hourshift. _____I3lneksmitha <br />- _ $--____for____hourahift. <br />_____Trammers, _ _ _ $______for____hourahift. _____Tenmstcrs, _ <br />_ _ $______for___..hourehift. <br />----- <br />Ore Sorters, _ _ $______for____hourshift. _____Foremen, <br />- - _ $-_____for____l~ourshift. <br />----- <br />Topmen, _ _ _ $______for____Ito»rshift. _____Su crintendent <br />p _ $______for____hourahift. <br />----_Lnborers, _ _ _ $______for____hourahift. _____Oflicc Hclp, <br />_ _ $______for____hourshift. <br />_____Aasayera, _ _ _ $______for____hourahift. _____blillmen, <br />--___Electricinns _ , - - - $------for____houral~ift. <br />, - $______for____hounshift• Watchmen, _ _ $______for____hourahift. <br />---- <br />"-------------- _ $--____for____hourabift. <br />!`~---------------- - $------for----hour shift. <br />Average number of men employed thin yenr______ti~~li-~_______ _ <br />Is there n mi1I4---------~1-~ ------------------------- ----------------- <br />------------------------------------- <br />amc of mill-------------U --------------------Location of mill--------------------------------- <br />Chnracter of mill________ !'_ <br />Capacity of mill___ __ __________________________When was mill erected__________ _________--_--_-_--_ <br />Oive list of buildings, tramways and other surface improvements ____~1~~~1nLl~y ~/.~y <br />_ _c ~___ <br />__________________________________ _______ <br />___________ __________ <br />Coat of surface improvements made in 191'_ _ _ _ _ // ~ ----~-~ <br />State amount and cltarneter of underground development: $ /y~ r <br />Tots] Development Amount Doao in 191~'~ <br />Shnfte ~~~~.~~z~_~1111C__-,((/_QFt. <br />Winzca ---~3'a-~1 t---------------ft. ---1~U_ ft.; coat per ft., $1t7-~-- <br />Drifta --------------------«U-----ft. ------------ft.; coat per ft., $-•--------- <br />-----/.11L__ft.; coat per ft., $_~ ~^ _ <br />Crosscuts _____________,__~'O __ ___ft. <br />---__~.(1____ft.; cost per ft., $_~ v_ti` <br />$ave you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />twelve months preceding the date of this report, ae required by lawf __~~ n1 _~~„~~_~__-_---- - <br />Iiemnrka:-------------- <br />Signed---------------------- ----------- <br />------Company. <br />