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Ii yon have given a leans to others for all or part of the property, state the names of the leasing com- <br />paniea, partnerships or individunls: <br />' Name blanager P. O. Address <br />---- <br />--- <br />IB property worked continuouslyt_ _ - --" <br />-------------------------- - <br />~ I4 work has been stopped, etnte when.Y-'~ ~~2!GS~SX~1 _- -- -- - ------- <br />~; Name, title and address of pFreon in ch~arnge of work for yon_ =_~.• --- ---- -- ~ <br />` '~ Stato the character of ore_ ~~?L~C~kLG~L~F=- ---! -- '----'- -"----"-- -- <br />' State the value of the ore_~,~~ ,~-?~`1d_~.--- ~E- ------'---_-- -- <br />7---- <br />~ b>EN EblYLOYED <br />No. Employed No. Employed <br />~___binchine Drillmen, $______for____hourshift. _____Engiaeers, _ _ _ $______for____honrehift. <br />' ~' ____bfachine Helpers, $______for____hourahlft. _____Pumpmen, _ _ $______for____hourshift. <br />I _____Diinera, _ _ _ $______for____hourahift. _____Firemen, _ _ _ $________°or____hourahift. <br />~ _____Timbermen, _ _ $______for____hourshift. _____I3lackemiths, _ _ $______for____hourshift. <br />i l _____Trnmmern. _ _ _ $______for____hour shift. _____Teamstcre, _ _ _ $______for____hour shift. <br />i _____Ore Sorters, _ _ $______for____hourahift, _____Foremen, _ _ _ $______for____hournhift. <br />it _____Topmen, _ _ _ $______for____hourabift. _____Superintendent, _ $______for____hourahift. <br />~ _____Lnborere, _ _ _ $______for____hourehift. _____OlAce Help, _ _ $______for____hourahift. <br />' _____ASSayere, _ _ _ $______for____hourehift. _____biillmen, _ _ _ $______fer____hourehift. <br />_____Electricians, _ _ $______for____hour-shift. _____~Vntchmen, _ _ $______for____hourehift. <br />---------------- - - $___---for----haurehift. ________----_--- - - $------for----honrehifk. <br />Ij: <br />~ Averngo number of men employed this yenr______________________________________________________ <br />'jl Is there a millt-------------------------------------------------------------------------------- <br />i`j Nnme of mill-----------------------------------Location of mill--------------------------------- <br />Charneter of mill------------------------------------------------------------------------------- <br />•' Capacity of mill---------------------------------When was mill arse ed___----_-,,-~~-//-----------__---~,~~~ <br />Oiv ljst of buildings, ramwaya and ther surfnee improvements _~~-.fC~_-L_'_I~_~-t f~~'_~~! "" ` <br />Coat of su acs improvements made in 19 !~_ '_ _ _ _ _ $__ ___________________ <br />State amount and chnrneter o4 underground development: <br />i Total Development _-__- Amount Done in 191 <br />Shafts -----------------------------ft. _ __ft.; coat per ft., $,-`i2 /LGC <br />~~~ <br />1 <br />' ~Vinzea ----------------------------ft. ------------ft.;cost per ft., $---------- <br />Drifts ~~I~C? __~~ s~nft'~'GP~~ ____________ft.; cost per ft., $__________ <br />Crosscuts 4~5~~f-~~~-----ft.~C,~ ------------ft.; cost per ft., $---------- <br />,ti <br />' $ave you reported to this department all fatal and non-fatal accidenAts~ -o-cenrring to workmen is the <br />'~ ~, ~ I twelve months preceding the date oP this report, as required by ]nw1 ~ elt'1!{~_ <br />-------------------- <br />''} Remarks:-------------------------------------------------------------------------------------- <br />c <br />Signed- - - - - . ---~`~-~~-'~=`-y`-~~---Compaay <br />' - -- p,, D ///J <br />Title----=`------~ie~ !/ ~--------- <br />