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i~ i ' 1 ~i It yon have given a lease to others for all of part of the property, elate the names of the leasing com- panies, partaerehipa or individuals: Name Dlanager I ~ ------------------------------ ------------------------------ ----- P. O. Address ------------------------- Is property worked contiauouslyt--!_L!Z_______________________________ ________________________ If work has been stopped,stnte when____________________________________ ~ - ------------------------ Name, title sad address of person in charge of work for you_______________________________________ ----------------------------------------------------------------------- State the character of are----------------------------------------------- ------------------------ ------------------------ State the value of the ore----------------------------------------------- ------------------------ bfEN Eb1YLOYED No. Employed No. F.mplayed ,e~_bfachine Drillmen, $______for____hanrshift. ~~Engiaeers, _ _ _ $______for____hoarshift. .~DD[nchinoHelpere, $______for____hourshift. ~Pumpmen, _ _ $______for____honrshift. ,~_.liiners, _ _ _ $______for____hourshift. ~_Firemen, _ $______for____honrshift. !~!_Timbermen, _ _ $______for____hourehift. ~_T3lnekamiths, _ $______for____hourshift. ~~1'rnmmers. _ _ _ $______for____hourehift.4_~_Teamsters, _ _ _ $______for____hourshift. p'-t_Ore Sartere, _ _ $______for____hoursbift. Pll__Foremea, _ $______for____honrahift. ~_Topmen, _ _ _ $______for____honrahift. _L___Superintendeat, _ $______for____hour shift. ~11_Laborers, _ _ _ $______for____hourehift. !~d0flice Help, _ $______far____hourehift. 2_7~_9ssayera, _ _ _ $______for____honrahift. ~_bfillmen, _ _ _ $_____ for hourshift P__rJ Electricians, _ _ $______for____hour•ehift. ~ _~Vntchmen, _ _ _ ____ . $______fer____hour shift. ---------------- - - $______for____hourshift• _ ---------------- - $______for____hanrehift. Avernge cumber of men employed this year_____~~__ Ia there n milli------ --------------------------------- ------- ----------------- Name of mil1-------~~--------------------------Locution of mill---------- ----------------------- --------- Character of mill----~`-------------------------------------------------- ----------------------------- -------------- ----------------------- -------------------------------------- Capacity of mill_ _______ __ _______ ____________When was mill erected __________ --_----- ive list of buildings, tramways and other surface improvements ___________ -------------------------------------------- _ ______ -------- ___________________ __ --- ------------------- ---------------------------- ------- ------------------------------------------ Cost of surface improvements made in 191 3_r : y_ _ _ $~OD - - - - - State amount and character of underground development: --------------- Total Development Amount Dono in 1913 Shafts -----------------------------ft. ----~~--ft. ; cost per ft., $_ ~~ bo ~Viazes ----------------------------ft. -------- - -ft.•coet er ft. Drifts -----------------------------ft. ---~`~ ft.; coat ---- per ft., $_f~ Croascuta --------------------------ft. ------------ft.;coet per ft., $ -- Have you reported to this department all fatal and non-fatal acciden occnrriag~o workmen in the twelve months preceding the dote of this report, as required by lawt ~ ' Remarks:---------------------------------------- ------------------------- ------------------------------------- ----------------------------------- ------------------------------------------------------------------ --------------------- --------------------- --------------------- I 1 ' i -i _. _._ r. Signed.