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., <br />If you have given a lease to others for all or part of the property, elate the names of the leasing com- <br />panies, partnerships or individuals: <br />Name Manager P. O. Address <br />Is property worked continuously t-------------------------------------------------------------- <br />~ IP work has been atopped,atnte when_____________________________________________________________ <br />Name, title and address of person in charge of work for you______________________________________ <br />___________________________ L_._r__________._______________________________________________ <br />___ <br />State the chnrneter of ore----~====----= -=--=--- =---=----------------------------------------- <br />State the value of the ore----------------------------------------------------------------------- <br />MEN EDIYLOYED <br />No. Employed No. Employed <br />____llfnchine Drilimcn, $______for____hourehift. _____Engineers, _ _ _ $______for____hoarehift. <br />____Dfachino Helpers, $______for____honrshift. _____Pumpmen, _ _ $______for____honrehift. <br />_____Dliaers, _ _ _ $______for____hourshift. _____F`iremen, _ _ _ $______!or____honrshift. <br />_____Timbermen, _ _ $______for____hourehift. _____Blackemitha, _ _ $______for____hour shift. <br />_____Trammera, _ _ _ $______for____hourehift. _____Teamaters, _ _ _ $______for____honrsliift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Poremen, _ _ _ $______for____honrahift. <br />_____Topmen, _ _ _ $______for____hourshift. _____Superintandent, _ $______for____hourshift. <br />_____Laborere, _ _ _ $______for____hourshift. _____Of6ce Help, _ _ $______for____honraliift. <br />_____Assayere, _ _ _ $______for____hourehift. _____lllillmeu, _ _ _ $______for____honrehift. <br />_____Electricinns, _ _ $______for____hour•ehift. _____\gntchmen, _ _ $______for____hour shift. <br />---------------- - - $_-----for----houral~ift. __-----------_-- _ _ $-_----for--_-hour shift. <br />Average number of glen employed this year___________________ <br />Ia there n mi114---/-~~_-- =---------------------------------- <br />Name of mill___________________________________Locntion of n <br />Character of mill____________________________________ <br />---------------------------------------------------------------------------------------------- <br />Capncity of mill_________________________________`phen was mill erected___________________________ <br />Give list of buildings, trnm~vnys and other surface improvementa __________________________________ <br />-------------------------------------------------------------------------------------------- <br />Coat of surface improvements made in 191___ _ _ _ _ _ _ $- - - --- - ----- -- <br />State amount and character of underground development: <br />Total Development Amount Doae in 191$ `~ <br />Shafts -----------------------------ft. ------------ft.; cost per ft., $---------- <br />SVinzes ----------------------------ft. ------------ft.; coat per ft., $---------- <br />Driffs -----------------------------ft. ------------ft.; coat per ft. $ <br />---------- <br />Crosscuts --------------------------h• ------------ft.; cost par ft., $---------- <br />$ave you reported to this department all fatal and non-fatal accide,~a/te ocentring to workmen 1n e <br />twelve months preceding the date of this report, as required by lawf/~'=?~`_J_.{t r [____¢A <br />---- <br />Remarks:------------------------------------------ <br />-------------------------------------------- <br />------------------------------------------------------------------------ <br />----------------------------------------------------------------------- <br />Sigaed--------------------- PaAT• <br />-------- ---°-----Cost <br />'FStle------------------ <br />