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~~ cD, <br />~. ~. <br />c <br />tr. ~~~ <br />\~,r <br />Iryt6 <br />q lCHggD D LAMM <br />GOV EPNOP <br />C~ORADO DIVISION OF M1~5 <br />DEPARTMENT OF NATURAL RESOURCES <br />1845 Sherman Street. Denver. Colorado 80203 Telephone 8923401 <br />Norman R. Bl eke, Director <br />Coal Mine Inspection <br />OPERATOR'S MONTHLY REPORT <br />For the month of /-~~c..,,t f 19~ <br />Mine p~`; 1~0. ~ 11111.1E Address RO.~end SS ~A[ !f P! ~'~ County ~,,; , <br />Names of: Superintendent ~•;GPUQ.I ~. STFr~F Mine Foreman Gn/~1)O-~ P S~F/F. <br />Company jv,~L4'1.t0 (`7\~~4,.J1.. nl'•PFP?r'.`r^r.J Address~•1,-r 44=~ ?<tlln So. `~4`+~m+~~'.I~~~JJfRr <br />Tten Em to ed Ma <br />-H Da <br />s Total <br />Surface Underground Total n <br />ours <br />Worked y <br />Worked Production <br />~1 ~~ 9 i~ S6 a 3 901.80 <br />All accidents of one day or more lost time must be reported. <br />Date Name Cause of Accident Time Lost Due To Injury <br />--- NO a~P~ ~F, Jr c <br />Signature <br />This Repor[ Is Due In This Office By The 15th Of Each Month <br />CMI 5 (Rev. 10-75) <br />