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1 <br />I1 yon have given a lease to others for all or part of the property, state the names of the leasing com- <br />panies, partnerships or individuals: <br />Name Dlanager P. O. Address <br />-----SAO t._~.@A&Sl~---------- ------------------------------ ------------------------- - <br />------------------------------ ------------------------------ ------------------------------ <br />.- -- .;. <br />Is property worked continuouslyt________1Qp~______________________________________ <br />------------ <br />If work has been stopped, state when__~TII_]COrk_hH8_h8BI1_dDIIQ_8iAC0._1AyL: =app~~__ <br />Name,titlc and address of person in charge of work for you_______________________________________ <br />-------------------- <br />State the character of --------------------------------------------------------------------------- <br />ore__~_c____ ° ~ '• '• = <br />------- ----------------------------------------------------- <br />State the value of the ore__~ HO ,Ore, <br /> ' DLEN EDIYLOYED NOIIO. <br />- <br />No. Employed ~-- No. Employed <br />____Dlnchine Drillmen, $______for____hourehift. _____Engineers, _ _ _ $______for____honrahift. <br /> <br />____Dfnchine Helpers, „ <br />$_ __'__for____hourahift. _.. r- <br />____ti~'umpd~en,' _ _ <br />$______far____hourehift. <br /> <br />_____.lliners, _ _ <br />_ $______for____hourshift. T <br />____!~Sremen; t _ _ <br />$______!or____hourahift. <br /> <br />_____Timbermen, _ <br />_ <br />$_'_____for____hourahift. <br />~- <br />__:_~Incksmithe, _ _ $______for____hourshift. <br />_____Trnmmers~ _ _ _ $=_____for____hourehift. !. _::_,:Teamsters,.:' _ _ $______for____hourahift. <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, _ _ _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____honr-shift.--• _____Superintendent, _ $______for____l~onrahift. <br />_____Laborcra, _ _ _ $______for____hourshift. _____Of13ce IIelp, _ $______for____honrahift. <br />_____~lssayers, _ ~_--_ $______for____hourahift. _____Dlillmen;'_'_'_ $______for____hourshift. <br />_____Eleetricians, _ _ $______for____hour•shift. Nntchmen, <br />----- _ _ <br />$______for____hourshift. <br />---------------- - - $____--for----hourahift. -------------_-- _ _ $------for----honrehift. <br />Average number of men employed this yenr_______7Qone_________________________________________ <br />Is there a millf------------Z1S2----------------------------------------------------------------- <br />Name of mill______________-:e__________________Locution of mill______T__________________ <br />------ <br />Charneter of mill------------` ----------------------------------------------------------------- <br />---------------- <br />---------------------------------------------------------------------------------------------- <br />Cnpacity of mill______:____-^__________________~phenwas mill erected__ ~___ <br />------------------ <br />---- <br />Oive list of buildings, tramways and other surface improvements _______________ <br />------------------- <br />_________B,ll__impxnvsments_r$lnavad_Srn~~rstniat:s~__________________ ___________ <br />--------------------------------------------------------------------------------------------- <br />Coat of surface improvements made in 191'}__ _ $___1QOIl8_____________ <br />State amount and character of underground development: <br />Total Development 13-31-13 Amoant Dono in 191$ ~{- <br />snafta ---21051--------------------ft. ------------ft.;eoac per ft.,$---------- <br />._... <br />T~'inzes ---1~--------------------ft. ------------ft.; coat per ft., $---------- <br />Drifta ---9`Q9Q--------------------ft. ------------ft.; coat per ft., $---------- <br />Crosscuta 7.35-Q--------------------ft. ------------ft.; coat per ft., $ <br />Save yon reported to this department all Patal and non-fatal accidents occurring;if0 workmen in the <br />twelve months preceding the dato of this report, sa required by laws ____.H8t1_Ilt1I19~______________ <br />Iiemarks:--------------------- <br />--------------------------------------------- <br />Signed'~'$~_~LpASQ _F~1'1rII8IC1T_]dI$IBlI_Compagy. <br />i <br />By--- - <br />-_ -_. -- <br />Title____ ___ <br />