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<br /> M C <br /> <br /> 0~ <br /> <br />w. <br />~w. <br />~~eHwwo D. urr <br /> aevawow <br />.COLORADO DlY~SION Of MINES <br />DEAAIRYENT OF NATUIIAL IIESOURCFI <br />1 ~l'~ 9rnna Senw. Dwmw. Cavwde L0207 Twlwphur !!2•Ib1 <br />NOIIww11 ~. /IrN, DirectR <br />Coal Hine Inenection <br />OP£RATOA'S MONTfILY REPORT <br />Por the month of ~sR>>yA/ , 19~ <br />Mine ~~/C ~7i/F_ Address 0,y'-tQ,y ~~i,Y~sgi~~ / ~j Coun <br />ty///fl~~ <br /> <br />Names of: Superincendent~a t~e-~r~srrT/ Hine Foreman/J, ~ <br />¢ y1/<=~!/tip <br />CompanyC.:nf~/-~pi~i' /~J,di,dE /aiPP_ Address~/~~ifl6'y/~(/-' <br />Hen to ed Han-H Da l <br />T <br />Surface IIaderground T <br />oral ours <br />Worked ys <br />Worked ota <br />Production <br />// <br />..2 ~~ (O ~ ~~ / ~ c3 <br />All accidents of one day or more Lost time must be reported. <br />ate Name Cause of Accident Time Lost.DmC To Injury <br /> <br />Signature <br />This Report Is Due Ia This Office By The 15th Of Eaeh Moath <br />:`4I 5 (Rev. 12-76) <br />