MINEBK01174

• County: Lake
• Document: Manager
• Suffix: A

rle..e date report.
flwr name or n¢h claim helon¢In¢ ro Company or ¢raup.
FIII in carefully-MEN E\IPLOYED:
FIII opt Flank oo nppn.ltc side and .I¢n report. ~~ ~~/~/~
_L~z~Cp~~z~----__, Colo., _~~~_/_l ~ , 191
BIIREAII OF DIL~lES, STATE OF COLORADO.
T. R. IIenahen, Commissioner of Dunes,
Denver, Colorado.
ICame
Location --------------------------------------------------------------------------------------
DIining District--------------------------------- County ----------------------------------------
Owner or owners and address------------------------------------------------------------------- ~
IQame of Compnny------------------------------------------------------------------------------
(Ir Incorporated)
Capital Stock-------------------------------------------- shares. at $------------------Per share.
(P. O. Address)
--------------------------------------President, ----------------------;; ----------------------
---- eereta ----------------------
---- ~'~ ----------------------i;
------------------------------
--------------------------------------Dianager, ----------------------;; ----------------------
--------------------------------------Superintendent ------------------------------------------
Lensed to ------------------------------------------------"-----------------------
----------
(P. O. Address
Work in charge of-----------------------------------------------------------------------------
Is property worked continuouslyl------------------------------------------------------°------'
Commenced work ------------------------------------------------------°-°------------, 1'Jl---
Stopped work ---------------- ---°-------------------------------------------------, 191---
DIEN EDIPLOYED.
No. Employed. i\'o. Employed.
_-___Dlaclliue DrillmeD, $______for____hoursllift, ___._Isnginesrs, _ _ _ $______for____Ilourellift.
_____Dlncllino Ilelpere, $______for____hoursllift. ___-_Pumpmen, _ _ _ _ $_-----for_-_-Ilourellift.
_____Dlinere, _ _ _ _ _ $------for____llourollift. ___._I~'iremen, _ _ _ _ $------lor____Ilourell3ft.
_____Tin:hermen, _ _ _ $------for____llourollift. -__._lilackamitlle, _ _ _ $_.--.-far_-__Ilaurrlllft.
____:1'rnrmm~rs, _ _ _ _ $__._--for-_--houreliift. .---_Teamrtorr, _ _ _ $------for___-Ilourrlltft.
_____Ora Sorters, _ _ _ $------lor_.__Ilouroliift. __-.-Foramen, _ _ _ $------for___.llourrhlft.
_____Tolllnen, _ _ _ _ $_-----tor____llourollift. ___._Superintendeat, _ $.___--for____hourrhfft.
_____Lnhorerr, _ _ _ _ $.-.---for.__.houro6[ft. .-_._Ollleo help, _ _ _ $.-----for____hour Ohl/t.
$______for____Ilour elllft.

_____Areayerr, _ _ _ -
_bfilltnen, _ _ _ _
.---
- $------tor____hourrlltft.
_ $-____-for_.__hourr6lft.
Averagn nwuher o[ men einploynd for thn year 1'JI_-_, ------------------- ---
-----------------------

Charaetur and value o o t___._____

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Sir: In accordance with the above section, I submit report as follows: