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If poa Gave given a ]ease to others for all or part of the property, state the names of the leasing com- <br />i <br />ponies, partnerships or individuals: p, p, Address <br />Dfanager <br />~ ! Name ---------- <br />i <br />Is property worked continuouslyt_________-- -'=-~ ----" _.1_-_ -__ <br />- --------~--"-- <br />---------------------- . ~---- j ~l <br />If work has been stopped, state when____--- -- ~__1L~ <br />Name, title sad address of person in charge of work for you___,~~=1-1~=---°`~`~~ _ ---Y- --- <br />_ _____ ~ <br />________ - ~~ i //l/ _________ <br />~Lw/l~c-mot. <br />State the character of ore______-`.~-:-L 1 ~ - - __~_ ~________________ <br />------ <br />Stntc the value of the ore_____~~~ ='-~-=----- r ~ ~ <br />v MEN E-f YLOYED <br />No. Employed <br />No. Employed _____Enginccrs, _ _ _ $------for----hoar shift. <br />____1lfnchine Drillmen, $------for____hourshift. <br />_____Pumpmca, _ _ $------for____hourshift. <br />_____Dinchiac IIelpers, $_____-for____hourshift. 'or____iionrshift. <br />for____hourehift. _____Firemen, _ - - $------- <br />_____11linera, - - - $------ _ $______for____honr shift. <br />for____liourshift. _____i3lnckemiths, _ <br />_____Timbermen, - - ~------ g______for____hourshift. <br />for____hourshift. _____Teamstera, _ _ _ <br />_____Trammcrs. _ _ _ $------ _____Foremen, _ _ _ $_-----for____hourshift. <br />_____Ore Sorters, _ _ $___---for____liourshift. <br />_____Superintendent, _ $__----for____liourshift. <br />_____Topmen, _ _ _ $------for___-hourehift. <br />Oftiee Iiel _ _ $____--for____hourahift. <br />_____Lnborcrs, _ _ - $------for____hourshift. ----- A <br />for____hourel~ift, _____Dfillmen, _ _ _ $_-----for____liourahift. <br />_____Assnyere, _ _ _ $------ for____hourshift. <br />_ $______for____liour-shift. _____\Vntchmea, _ - $------ <br />_____Electrieinns, _ for____hourehift, <br />for____hourehift. ---------------- - - $-----" <br />--------------------- <br />Averngo number of men employed this ycnr-------------------------------'- <br />Is there n mi111------~~''__'------------------------------------------------------°--------- <br />Nnme of mil1-----------------------------------Loention of mill--------------------------------- <br />----------------------------------- <br />Chnrneter of mill-----------------------------------'----_--- <br />-------------------------------------------------- <br />---------------------------y ------------------------ <br />________\Vhen was mill erected_ ~a__-~ --------------- <br />Capacity of mill------------------------- ~i <br />a~IL __J_~!_~1~LaL.- <br />Oive list ftif buildings, trnmwa a and other surface improvements ~__.: _ <br />-------------------f ------------------------- <br />~ ;: <br />~~ <br />t' i <br />.~(! <br />i. <br />`' <br />V <br />I <br />I <br />;~ i <br />--------------------------------- <br />Coat of surface improvements made in 191___ _ _ _ _ _ _ _ - - <br />State amount and character of underground development: <br />Total Development Amount Done in 191>~ <br />Shafts ---1-~r"`"t----°-----------ft. ------------ft.; cost per ft., $---------- <br />\Vinzes _`~li~t~-----------------ft. ------------ft.; cost Per ft., $---------- <br />---------------ft. ------------ft.; coat per ft., $---------- <br />Drafts ___a-~_______ <br />---------___ft.; coat per ft., z4___------- <br />Crosscute _~I,1'21~i- --------------ft. <br />$ave you reported to tliia department all fatal and non-fatal accidents occ ing to workmen in the <br />twelve months preceding the date of this report, ae required by lawt __ 2..~~t`-~~«-+-1-•----- <br />-- <br />Remarks:------------------------------------------------------------------------------------ <br />Signed_~ <br /> <br />