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If yon have given n ]ease to others for all or part of tho property, state the anmea of tho leasing com- <br />paniea, partnerships or individuals: <br />Name Dlannger P. O. Address <br />------------------------------ ------------------------------ ------------------------------ <br />Ie property worked continuously 9--------------------------------------------------------------- <br />If work }ras keen etopped,atate wlren______________________________________________________ <br />Name, title nod address of person in charge of work for you_______________________________~______ <br />State the charaetcr of orc------------------------------------------------------------ ----------- <br />State the value of the ore----------------------------------------------------------------------- <br />11fEN EDIYLOYED <br />No. Employed No. Employed <br />____l[nchiac Drillmen, $______for____hourehift. _____Engineers, _ _ _ $______for____homahift. <br />____IIfncbine ZIelpo re, $______for____hourehift. _____Pumpmen, _ _ $______for____hourehift. <br />_____lfiners, _ _ _ $______for____hoursl~ift. _____Piremen, _ _ _ $______for____hourehift. <br />_____Timbermen, _ _ $______for____hoursliift. _____I31ucl:arnitlrs, _ $______for____lrourehift. <br />_____Trnmmers, _ _ _ $______for____hourshift. _____Tenmsters, _ _ _ $______for____hourehift. <br />_____Ore Sorters, _ _ $______for____hourehift. _____i'oremcn, _ _ _ $____.._for____hourahift. <br />__..__Topmen, _ _ _ $______for____liourslrift. _____Supcrintendeat, _ $______for____honrshift. <br />_____Laborcra, _ _ _ $______for____houralrift. _____Office Help, _ _ $______for____hourshift. <br />_____Aasayers, _ _ _ $______far____hourahift. _____lllillmen, _ $______for____hourshift. <br />_____l;leetricians, _ _ $______for____hour-shift. _-___\Vntchmen, _ _ $______for____haurshift. <br />---------------- - - $____--for----hcurshift. ________--____-- _ $_-----for----honrehift. <br />Average number of men employed this year_______ ______________________ __._____ <br />----------------- <br />Is there n mi]14----- -------------------------- --------------------- ---- <br />---- <br /> <br />Name of mill------- <br />---------------------------- <br />i.ocution of mil]-------- ---------------- <br />------------__-- <br />Chnractcr of mill____ _____ <br />Cnpneity of mill_________________________________\Vhen was mill erected___________________________ <br />f}ice list of buildings, tramways and other surface improvements __________________________________ <br />-------------------------------------------------------------------------------------------- <br />----------------------------------------- <br />Cost of surface improvements made in 191___ _ _ _ _ _ _ _ _ _ <br />-------------$-- ------------------- <br />State amount and charneter of underground devc]opment: <br />Total Development <br />Shafts -----------------------------ft. <br />\Pinzes ----------------------------ft. <br />Drifts -----------------------------ft. <br />Crosscuts --------------------------ft. <br />Amonnt Donc in 1913 <br />-------_____ft.; coat per ft., $__________ <br />-----_______ft.; coat per ft., $_..________ <br />-------_____ft.; cost per ft., $__________ <br />----------__ft.; cost per tt., $----____-- <br />$ave you reported to this department all fatal and son-fatal accidents occurring to workmen in the <br />twelve months pre ing the dnt this repo 1 s regmre_, d by~lawT _/_o __ _____--__- <br />Remar e:-- - ---_--: ___-- <br />- ----- <br />- -- --- -------------- <br />-- n'N--~----------- <br /> <br />Signed_ ___ <br />Title__ <br />---- ------------- <br />.~ --~ <br />------------------ --------------- <br />// , ~ -` <br />