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I 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 or individuals: <br />Name illnnager P. 0. Address <br />------------------------------ ------------------------------ ------------------------------ <br />I ----------------------------- ------------------------------ ------------- --- - <br />- - -------- <br />Is property worked contiauausly t_______(/~E?e~,~_~~t~~lj?9<!l~w' <br />If work Ima been stopped, state when_________~______ ___`_ <br />------ <br />Name, title and address of person in ebnrge of work for yon__ !1?r/~L _"~~!~ __________ <br />- ' - --- <br />-------------------------------------------------------- ------------------------ ------------- <br />State the character of ore----------------------------------------------------------------------- <br />i i State the value of the ore----------------------------------------------------------------------- <br />EfEN E11fYL0YED <br />No. Employed No. Employed <br />____llnchine Drillmea, $______for____hourshift. _____Engineers, _ _ _ $______for____hourshift. <br />_____:lfacl~ine IIelpers, $______for____hourehift. _____Pumpmen, _ _ $______for____hourshift. <br />_____.l[iners, _ _ _ $______for____hourehift. _____Firemen, _ _ _ $________°or____honrshift. <br />_____Timbermen, _ _ $______for____I~oursliift. _____i3lncl;smiths, _ _ $______for____hourshift. <br />_____Trammers, _ _ _ $______for____hours};ift. _____Tenmstcrs, _ _ _ $______for____houreliitt. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ $______for____houral~ift. <br />_____Topmen, _ _ _ $______for____hourehift. _____Superintendent, _ $______For____hourshift. <br />_____Lnborers, _ _ _ $______for____liottrsl;ift. _____OfTice IIelp, _ - $______for____I~ourshift. <br />_____3ssnyers, _ _ _ $______for____hourahift. _____llfillmen, _ $______for____hourehift. <br />_____l'slectricisns, _ _ $______for____hour-shift. _____\4ntchmen, _ $______for____hourehift. <br />---------------- - - $______far____hourshift. ________________ _ $______for____honrshift. <br />Average number of men employed this yenr_______________________________-_ _ <br />Is there a mi114----------------------------------------------------- <br />--------------------------- <br />Name of mill-----------------------------------Locntion of mill---------------------_____-- <br />----- <br />Charnctcr of mill___________________________________________ <br />----------------------------- <br />--------------------------------------------- <br />----------------------------------- <br />1 Capacity of mill---------------------------------\Yhea was mill erected---------------------____-- <br />~ Give list of buildings, tramways and other surface improvements <br />---------------------------------- <br />- --------------------------------------------------------------------------------------------- <br />Cost of surface improvemeuta mode in 191___ _ _ _ _ _ _ $ - - - - <br />State amount sad ebnrneter of underground development: <br />Total Development <br />Shafts -----------------------------ft. <br />Nimes ----------------------------ft. <br />Drifts -----------------------------ft. <br />~, <br />,~ Crosscuts --------------------------ft- <br />~S <br />I' <br />i ' <br />~~ ~~ I <br />~~ <br />~; <br />j~ <br />.a ~' <br />Amonnt Done in 191~'~ <br />----________ft.; coat per ft., $__________ <br />------______ft.; coat per ft., $__________ <br />-----_______ft.; cost per ft., $__________ <br />-----_______ft.; coat per ft., $__________ <br />$ave you reported to this department all fatal sad nos-fatal accidents oacnrring to workman in the <br />twelve months preceding the date of this report, as tegnired by Inw4 ___________________________ <br />----- <br />Remarks:____________________ <br />