https://haylibrary.cvlcollections.org/files/original/1b6671a237fc5a1b820cc476ca3b82f2.pdf 7dcee9bfbc3484422fa8bd893f77f0d9 PDF Text Text �STA'fJDIE~'fS OF WITNESSES. Jt_t. ( I 11 ./ 1 ' (:. �I'orm 0314. UNION PACIFIC RAILWAY. Mine No....~ COAL D£l'AR'f.:\rnNT. REPORT OF PERSONAL I.N.fUR Y. .,,................... Gen'/ Supt's No.~./............................... Name of Person injured, Occupation, ·.JI( t ~ 1/ L Date of Accident, Qlt 1: i I It • Location, /(!_._, 1_(/ _ 1 1:.,. 1, 1.. Pl · ;'1..1 0 1JY,,1,-v If not i11jurad in fl/ine, stali; where. t J U Time ~ '' • /.,}_ 1'1/(. flline No. / Entry No. ".2 '3 78 9/ Room No. <-/ <../ L -4, Name of Mine Supt. - ~ . / J, ; j (A--c4\ Name of Mine Foreman, /)M-1( 11 Age of Person injured •✓.., 'j L;f..<---t:v·r~ married or SiJ!!)e d l •l r U What Family, if any, How long in employ of Go., / tJ ·1 11,.m i ~ Condition of life or Circumstances, C/ . Name and address of nearest liuing Relative, '- 'I l v( .fa..1<~( Was he an efficient man, f.;/c..d Was he temperate, Where and in whose charae '(ft, •/Jl./t,;:; Name of Physician called, if any, 1,{ ) ,: ·'1r Name and P. 0. Address of Witnesses, Nature and extent of Acaident, {)//.,, ,, vx. iI ii , / Ll ~~ I( / C(.(. fc tt1j~ //4N"7.A.,,-z Le{, (Signature) Date I 1l•lt•H IOI 18 ;JrL /?c.vt< Title, ] J/1 v-u,( ;:/I/?~,,✓ J/1/L ~ �,,; pafli'· . ,J!. oc,•· i ~ p..:" l~' . I/ t11 . L vi t.:r ·'- 1t f > ' I �Porw 331-1. UNIO~ PACIFIC RAILWAY. Mine No... COAL DEPART:\'IENT. REPORT OF PERSONAL IN.JURY. Jfu,... .. . .. .. Gen'/ Supt's No.......~.......................... ► J a 71f, (/ '1 Entry No. -e I /i' . Name of flline Supt. •(}_,w . Name of Mine Foreman, JI I 1.rv1 Age of Person injured Married or Single What Family, if any, How long in employ of Go., ,,,.:. -i .·vr-11 / k Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, • ) / ( r' / fivL , .I✓ vi,.( Was he an efficient man, . t'-J <.4 Where and in whose charge 1ft) , -.J-J.u--1 h.ut,<J / l.lJ ..I. < t" ( c,., L,.G,(__. Name of Physician called, if any, )O .,,.1,. , J,,l (l'/'""&-1, L Name and P. 0. Address of Witnesses, Nature and extent of Aaaident, ~ E 11-11·11\1 10a C<.,c..<.. ~{J.,A..-~// ~ u I ,;.,,_r :l !) 71{ l tt Q...z,t.-e<.. /"/,me ., 1, , t._r 0,1.,~, -1.J ,._,,(;(_ (Signature) Date Room /Vo. .6 - 18 ;?i(njL· a,,.A..... -4-., .u.>JJ-C:,,t~ Title, 711~ /3..~ 2 �STA'f.lDIJ-:~TS OF WITNESSES. ,... j u.• t �Po1·111 3314. UNION PACIFIC RAILWAY. Mine No. ;_-f...rt::rd::L.............. COAL DEPARTMENT. REPORT OF P.t,"J?SONAL INJURY. Gen'/ Supt's No...¥.:....~................... Name of Person iJJjured, Occupation, ~ I' 7, .,-/1/ , / l'/? , / f'< Date of Acc,1ent, (1 1 l 11tl Location,~ J (_o-t / J _,,,/:; l... c, 1 '7 , If not injured in Mine, stafe where. 1/ Time 18ffl <_ {j ,._. 4. ;/, f, Entry No. f Mine No. L/ Room No. If; Name of Mine Supt. (; u1 { '. I j ( ,,.,,,. 1( Name of Mine Foreman, (} ~ J . _ .fc-u [? /t..y Age of Person injured '2 Y 'j .-( ,.,, yJ Married or Sinjl/e ~-'-l/✓t._ What Family, if any, {/ How long in employ of Oo., '3.,. ,,,,,< r vr'" Oonditf·o of Life or Circumstances, r ' J ✓'h ' Name and address of nearest li§il,g Relative, v( (I{. / ( ,.., .,, f j"'· 'L c..,,z,t-t". ~ Was he an efficient man, .{_Jr/../ • waffe,e temperate, JV-J Where and in whose charge (fr/ft! Name of Physician called, if any, t) n,, I ( tfV( fr) \.... J Name and P. O. Address of Witnesses, 1; /,', , f IT r,," ' ,, / 0/ 1£ , i Nature and extent of Aooident, Oause, a -I°_,u¥- C! Gt./t.. -J ,r,-,1 l3 A t v: ~ LJJ( . . . l ( /,///l (Signature) 7B~/ I J ,4 ,_f ,-u.,f,,. ,f-c/ Title, ·7P( 1....-i;u d n-e....~-1. a < '- �, . OF vVITNESSES. sT.\'l'E:\rEN rs Hat~re and exit k, :{!1- �(cY!l,.,,,o,•,, ~ ,,:,.,,.............. M1•ne No, ........ UN'IO~ PACIFIC RAILWAY. COAT, DliPARTMENT. Gen'/ Supt's No.....:·/.., .......................... REPORT VF PERSONAL INJURY. . ' t It Name of Person injured, Occupation, ·Ji/ 1•, , , ~ Date of Accident, , , 1 t( ·J , • Location, · / r ; ( , J /' 1 , , , If not i11juretl in t.1i11e, state whera. ( , 1 I ' _/ I 78'11 Time .!> I Mine No. I (r~ , ""' f't. ' " ( ·). :; Name and P. 0. Address of Witnesses, r:_ , , l 01 l ( ( rI r, , , 7 JoJ , Ji / 11 , ; , , , If a 11-11•19 10D / ~ L, / \ 11 , 4_,,vUu l '.! ; I/( H I l (J.. , , c, l r I /, , l / r r (; f r; 1 (Signature) Date j ( /,, <. Condition of life or Circumstances, Was he temperate, Was he an efficient man, Nature and extent of Aooident, . k 1 ('u.,A f Entry No. . f ;; /.u- Room No. Married or Sing!J G·t / ( . c. <J Where and in whose chargq_}n, Name of Physician called, if any, 'JI (, f✓ame of f.Aine Foreman, Name of Mine Supt. ' I (ll 1' / ,1.) ( ~" Age of Person injured (3 J 1/ , r 1 1 J What Family, if any, -./ ft (J. ( How long in employ of Co., 't t I ( ,,, 1 , Name and address of nearest liui,/g Ralatiue, ' " 1 8/4,. Przuc Title, 11f IA< if /),v? ;t, ~vvt... 4- �Porm 5314. UNION' PACIFIC RAIL\VAY. Mine No..J.i!l....'IA-:!!................. 5 COAL l)EPART:'IIEN'r. Gen'/ Supt's No....¢..-:............................ REPORT OF PERSONAL INJURY. ,} j I Name of Person injured, (/ \ ' Occupation, /\ _ 1 , .-<. ~ Date of Acc!jent, ~ t i,:,. ·./ 'J Location, .'C_cc IS: .)_ h 1-(. , , ·:J If not i11jured i11 Mine, llate whereJ Name o1 Mine Supt. (✓- (l l 11.hJ. / 1'. '\ I j .u -, ,.._ o...,c.,-,... Mine No. 3 Entry No. y lloom No. Name of Mine Foreman, J / Ln r \ C<..<..., 'ff. ,u.-j ;..;,f '~ /Aarried or Single I ( ( L 1. t.l / ..).I ( ,,-, c,. / (. 1' Age of Person injured , ., '/ . '··} A rv-r-> What Family, If any, 0 How long in employ of Co,, ,-', </ ( t7,,.,/ /.J Condition of Life or Circumstances, Name and address of near8st liuing(Jlelatiue, •• h 1 </ ' JI< ,t c . Was he an effioient man, I {r ., Was he temperate, l( t J U Where and in whose ohargc 1qj, L ( I--~ ck , c• t )< Name of Physioian oalled, if any, ,KJ ,;- )/,tt-J /,, ... Name and P. O. Address of Witnesses, J ) rJ / V 1' ( 1,: Nature and extent of Acoident, (/;~ 1,1 I 1"7-\. a J 1 J", ·c-La.C. \. ...A-A,t,.. •Jl~ (Signature) Date E 11-11•11 latl 78 ~ <vv<- -§A;1fA{, Title, --ufhv1. "8/Y'v'1M- ~ �':\'f.E;\JE~TS OF WI'fN ESSES. 51 I /, \. ': I ...: �!10l'lll 8314. . tJ:NION PACIFIC RAILWAY. - L~ , Mine No..~. . :~u4................ COAL DEPAR'l'i\ll': N'l'. REPORT OF P/;'RSON. 1/, JNJUR Y. Gen'/ Supt's No.....i .............................. -L~ -~r,J'. , •/"/ / ~ ; / , Name of Person injured, Ocoupatioil, I •/ 1( t ;.<L -r Da~3 of Acci · ent, () r / <,, . , -- . cl ( rt. Locaill}li, I l1:"° ( IF _ /,-1.. 1'l I 7s,11 /, ~ - Time 9 t?//{ Mine No. \'3 Entry No./,. If not i11jured in G7ine, sta/.e wlierf'. 1! PJame of flline ~oremcm, / f / 1,· 1 / a,v ~~- vj',ff-Y £, Married or 8111gle • tJl/~r Name of Mine Supt. Age of Person injured What Family, if a11y, 1/0 •,; --'-- Cl Ji} /' .I L<-U How Iona i11 employ o.f Oo., I ;y ;ru•o ,.0,1 l Name ancl address of nearest living Relative, Condition of Ufe or Circumstances, / ( I t l ·/ Was he an e;Jiaient man, .A,{c_r:J Where and in whose charg()eft, Name of Physician called, if any, ;r u I ;; Wa s he temperate, . fj-</ > i) ·..fi/4 ,, , JI ., // )J{ _i,'.c Name and P. 0. Address of Witnesses, Nature and extent of Accident, Oause, Cl,.!,<..,,<-\. r1~ '·1 !/;_ l-1' l~ _ l r,.,(...•,H , , l M l"1..j rrJ 4A.-L--? /wf1t:t_-f, f '!-Ci.A ~~ (Signature) Date E 11-18•!) 10D 78 Jr/ Title, '7/J/( ,,,i,,:V. :;:/I'> v--; 1,,, t'vt. ' - �STATE~IE~TS OF WITNESSES. 1. �Jl'OfJll 831·1. ~ UNION PACIFIC RAILWAY. M'1ne No. -···········,··....,, .................... REPORT OF Pl!RSON.11. /:\'JURY. flame of Person injured, 0ccuf)atio,1, Locatic:11, -"/ t , ( tl -fwv-t,;f} "--- J 1( 181/1 .:, .J .,., ·/l:J- ( ,J.( . J. f;✓-1., -t 1~ 9"' ' }11-)(.,, .{J,u;. I}. 13 f_,,,vr; I( Age of Person .injurnd -~ :'b -',,';f-&c..•V,_, What Family, if Cll1!J, -:f v L>-4,; How long in employ of Go., 'J' -';,f-r,c,_ ,,.<-> Name and address of nearest liuiihf Rclatiue, Was /Je an efficient man, . Gomlition of life or Circumstcwces, ., 1 / , l. o- Vil . _. / , . 1. t , , ~/'., (I Wlas he temperate, Pl/ ~<//-..1... JD ?. - J ( t>,,. !,J,"" I Name and P. O. Address of Witnesses , / (J Nature and extent of Accident, ' ' /, . \ f ,,., r' ' . J -;u al(. / ( I tl ( e·,, 1,, a._.c-d_.c<.u-,vt(7Yv • W<. 1 Le- /(..._',.__ t.. -f!.u; · &..~<>'\ (Signature) 8 ttf,..,... ,/ Date E 11-us-u 1oe Room No. /&- Name of flli11e Foreman, I / P(LM... (-!v1,,/ (? fl/arried or Sin('} / Hr.< ,,-v._.,,.,u( f:;fv, Where and i11 whose charge r&}t, Name of Physician called, if c,my, Time // tr .II/. Entry No.-:; I fl/inc No. ,1 U If not i11jure<I in t7inz, :-;:Htr? wtw9 Name of Mine Supt. -, t ..(, a ..1 c '"- J J/_ 1.,,:. 1..-:. ,.....-· Date of Accj9r.11t, Gen'/ Supt's No.....J............................... 78 J P C( {)1..(.}') l /MA< Title,·11, { ~ /.2 . ,. 1 ,UKl..-,f/ �s·rATE)tENTS oF WITNESSES. J �l'OrUI 8314. UNION PACIFIC RAILWAY. d • No._...............tfvvy M111e . ................ COAL D~P.\RT:.rEN'r. Rl:.PVNT OF l'HRSON.,/1, ll1'JUR Y. Gen'/ Supt's No. _........ f ...................... - / • 'J ✓. / ~ < .. /4' ) (!::__ ~•-..< r<.,()._ 1811/ Time / 2 ~.., Mine No. ~ Nam11 of f.1im: 81111 :. I' . /J ( "'- ( /;(r Age of Person injurctl 7 What Family, if any, How long i11 e1;1plou 1JJ ao., 3 Room No. / ".✓ j c-u.CvfJ O"~ r • . ,,& . • . L / (! : ! Condition of Life or Circumstances, /(.✓ • . q)'-· ( . J ( J • ~ ~• r,.,.,o Where ar,d in whose charyu I , Name of Physician callee!, if any, Nature and extent of Acoident, I I.,. 11 l t • • •" J i}as he temperate, / "j" ,,.1 ,..r/,~, ~, ,/(J / t. Name and P. 0. Address of Witnesses, • (j .-ih- ,,, , 1 1 ,:,J i1 ,,.., ju ,- I l t() ' .J, 7 . .' . . , u-l u (Signature) Date Entru Nn. / Name of nfine Foreman, IA,. •J . Uarried or Sinofi. / cAl.._ Name and u<idrcss of neann.t liui11g Relatiue, Was he a11 efjiciant 111a11, 1 ~7t( . 78 1 Ki ._,/,..,/;.4-; (. Title, r»( 0 v1 /J()-,1.,,,J �Po1u1 DS14. UN'ION PACIFIC RAILWAY, Mine No.......~................... COAT,, DEPART :'IIE NT. R/:,P ORT OF Pl!'RSON,·l I. IN/UR J". Gen'/ Supt's No..........f......................... ,1/ I '/J J, //,,,/,,-//'(.,~{/' Room No. f 0 "a,,w of w.,e s,,;,t. Age of Pc, so11 injured IW 1 1 ~ IA' f. \. , c 1 , .).,l ( .c\- -( . / L Name of Mine Fore11w11, /6 /Ja.,. vil married or Sinif!.!1) •J;J l t<,;V\.U-d ti ,·~ :Jkt'v>? 111 aJ,u d What Family, if rin!J, How long i 11 employ (ll Co., '2- - ~ l~ame and address of nearttsl liuilfi/ Relatiue, Condition of life or Ciraumstanaes, / Co-v/( wus ha a,1 c/ficicmt man, . (~p Where and in whoae o/Jarge{:f!t, ; )I t ~ Name of Physician aa/lecl, if anu, ,9 ) ,r, -) / rf / ti· Name and P. 0. Address of Wi tnesses, Nature and extent of Accident, j I~ . • \.-< : ; '1-" Wt.t}J he temperate, ~ &vi.. 1 :. ,• , ~l '1 I (Signature) I 11-11•11 IOD €...d //l(n.," . (/ Date y 18 u ...- I ,~ r q_ uL (~ a..,,i_,1( 0 Title, 11)h.,vl. ..../ ~ �• I STA'fElVIENTS OF WITNESSES. ; �Purw 03l<J. ,,. pACIFIC RAlL\VAY. UNI01,, Mine No........ -;!..t.«. . .......... coAL oHPART~JE);T. , . lJF J'J.::RSOlv'.·J/, IN/UR Y. RHl'O/,1 1 Gen'/ Supt's No........!....?)....................... 781/J !Jama of I.Tin" Supi. Age of Person injure<! • { :L.w ,. 1 (! 4 . 1'1L c:- 1( Time 4 Mine No.,3 c..,, J /?)1,(. Entry flo. u.. C , Room No. Name of f.1ine Foreman, ·1, t 1/r•t G?..-<-<.. •o/,_,~rrt',, Martied or Single (j A '.,._lJ ft. J . !../ ::.i,,.O <--c...- ,,. - What Family, 1f any, How tong in cmp/o!f of Co., Condition of Life or Circumstances, ,? ·}1 e , , ~ &~ (_.,~ Name and ac/rlrcsa of ncfJ.rest liui(JJ.J Ralatiue, Vias he an affiaient man, _ r f <,..,.t> Where and in whose cha.rue ~ap., Name of Physician callee/, if any, Was he temperate, , I , I I Name and P. 0. Address of Witnesses, Nature and extent of Aooident, Oausa, {0,ct ~ 1-L /..e,,_ < /\ r \.. C<...v , , , 1r I i.,l- 1"-'""''~ u.r-L . .., ,.,~-- ~ 1 ( ~ ln·J-J-V-u/lj~{..,c:lv .,, ~ 1 G - -£._ ,,••c,,A..dju ~ J A -f<.. J-4. WY.vJ ----~ ~ .,,I 4 (] J«-' ~ ~,, ! L .,, C..· >- ~(. /!,,c,.,,a fA.Hl'T'1l.c-< - ~ _..:r~ "/1,'{/VnA:J a a IL-f. , A ~ . djJ t-L --~ , ~(/ ,,.,, 1 (Signature) Date t IHe•n IOD 18 111 rrJ ..,._,__ -1? ,~,!,/w Title, -m ~ I 3.,()--"l/'O �S'l'ATEMENTS OF WITNESSES. �Form 3314, UNION' PACIFIC R AIL\VAY. Mine No........ ~ , ................. COAL DEI'AR•r;m•:NT. Gen'/ Supt 's No..........11...................... REPORT OF PERSONAi, IN/UR}~ 78 9 I ~v Name of r.Ti n3 3upt. ff:,.,,,, ~ /l,{" Age of Pe;-so11 injuro<I ·P 9 . Entry No. IAine No. / . lj I } ~ Room No. ,Pa,,.1( Condition of life or Circumstances, /Gt-vi~~ {jbO (!Nas he t emperate, Where and in whose oharue lr!J, h -WA.. Name of Physician called, i} any, of f-,r, I !Arr~ Name and P. 0. Address of Witnesses . 7 <j Married or Sing/J ) / / ~H~ ___.~ ; -.:;:, Nama rrn d <.uldress of 11eare3t living Rel(o/r.iue, f't . YN Name of Mine Foreman, ,..,..:1<. What Family, if any, ' J-1../V"'-,o . U How long in employ of Co. , /✓ '1)-J ~ Was he an ~tftcient ma;i, Time / 0 t{ '<A 0 JL tf Nature and extent of Accident, ~r wL (Signature) Date 18 �S'rA'rill\IENTS OF WITNESSES. �~............... UNION' PACIFIC RAILWAY. Mine No............... COAL DliPART.mi:.NT. REPORT OF PERSONAL INJURY. Name of Person injured, /l/,v"( Occupation, • J?1 _,,~,,,, (2-k Gen'/ Supt's No........./.~...................... •"11.._ r t~-,vL• I/ . 1/. Date of Accidf11t, f {J_ 7 J;h Location, / ( ~ l.,t,.1~·,.r If not i11jured ill R1i11e, state !J11ere. 18111 ~ trvlP a Time 6 ~ 'Jl/1. Mine No. I Entry No. ~-5- Room No. 1f • Ju Name of Mine Foreman, Name of Mine Supi. Married or Single Age of Person injured What Family, if any, How long in employ of Oo., L l, c. 11, ~ ,·. J ~ondition of Life or Oircumstances, Name and address of nearest liuing)Relatiue, <J t,I I I ,,, (I ,:{ Was he an efficient man, , ( f cJ Was he temperate, lj ,4 Where and in whose oharge,_!}ft, ( '0 /,, (!· Name of Physician cal/ad, if any, .' ( ,I • ' I' • I /,,.' 0 ' Name and P. 0. Address of Witnesses, I r • 'i,L,1/ (, Nature and extent of Accident, {e,t,l,( {10 ( I •I (Signature) Date I IMl•II IOa 18 j ,L fl.,,,,_..{(_ Title, 711,u;;__,,. I ~ �• CJ l"orm 8314, UNION' PACIFIC RAILWAY. Mine No...........,.,.,,,..,,,,.................... COAL DEPARTMENT. Gen'/ Supt's No.........l...:J................... REPORT OF PERSONAL INJURY. Name of Person injured, Occupation, ... J/J/f.,/(.,,'1/,~ } 1/,,d;( U~ w- <J1iE Date of Accid;Jt, II 4 Location, / L,tl'-(//( ~.,, '.'/ 4-vn....:lf not injured in Mi1,e, state here. r Time I tJ t!. 7!/( Entry No. :z.../ Mine No. / , 1 J:. Name of Mine Supt. ·-~ _ Name of Mine Foreman, ;---L Age of Person injured Married or 8ingtf _,,,_/,r What Family, if any, How long in employ of Oo., .i-f- ----1AH-'A r::o Condition of Life or Circumstances, Name and address of nearest liuing Relative, Was he an efficient man, {,j, t:.-o , Was he temperate, Where and in whose charge 1clfl, t}t-L.. ~ Name of Physician called, if any, JI;:;,-, J1AIYk.- 0)~.£<A,,<..M. 0 Name and P. 0. Address of Witnesses , Nature and extent of Aooident, Jw (ti; ~ A A &~ 1 ~ f r fl.-,, (Signature) Date E IHB•U 108 18 Room No. f~ r < a.,,z,,/ �S'l'A'fl!::\JE:-iTS OF WITNESSES. 1/atu,e a1i Caue,., 'f: ,7 ... �Porm 0314. UNI O~ PACIFIC RAI LWAY. COAL Dlil'ART.:\lENT. Gen'/ Supt's No.... /..½....................... REPORT OF PERSONAL INJURY. \--/ ~ . /I/ ~.__., : Name of Person injured, ~ v .,__.._,. Occupatio n, -»{.A/1:;;,,,.. . 18'?1 Time 9 4Q Date of Acci:J,t!nt, ~ y If ,t:5Mine No. J LocationI ~ If not injured in fr1i11e, s te where.lj a rr.u.u(fj .'71/(, Room No. 6 - Entry No. 2... S Name of Mine Foreman, J41.,u-yJ ~ ~ ~ Name of Mine Supt. -~ _ /j_/..,.,.,~'< Married or Single .,,./:f) Age of Person injured 1 9 ~ What Family, if any, How long in employ of Oo., / f ~ Condition of life or Circumstances, f_}, T Name and address of nearest lioing Relatioe, ~ ( __ , / _ / / ~ Was he an efficient man, I~ ~• I/fas he temperate, Where and in whose charge l(!}t, t,{I.,,,;,/. _f"L. J 1,.,,..,,. ,., 'i"'!/ ~ ..,,. '/, Name of Physician called, if any, \-+,-. 1 ~ Name and P. 0. Address of Witnesses, (\ tt-k /JC,.~~ . ✓✓- vu , I Nature and extent of Aooident, Oause, r;..d;{,...., 1;;..,._r., I ~ u o l 'k ,,.=,.,~ z e..wu, w-t.J., ~ dh- ~ w-rr-(0 ~ ~~ ~ ..,r'l..v ~ ~ (Signature) Date 18 Ju_ ,..,,... 1 a...--.. Title, ~ -fr~ ::j~ �'"IEN'fS OF WITNESSES. STA'r1~~• , i ' �l'orm 3314. UNIO~ PACIFIC RAILWAY. Mine No..........~ •···········.. . COAL DliPART:illlN'l'. Gen'/ Supt's No.........1.-£..................... REPORT VF PERSONAL INJURY. '-J ~ "711~ Name of Person injured, Occupation, Date of Accident, ~~i I g- ,1.JA_ Location, hA~r If not i11jurccl in Mme, si.a;4 11erc. 18Crl / [.,.tJ-cfi .., :t Time f /J( 'JV/ , Mine No. ~ Entry No. 3,,() Room No. 2- {trL_ /J J 7 Name of Mine Foreman, Name of Mine Supt. -~ _J? , ~~/ ( /4arried or Sinfj . Age of Person injured ~ l/- ~ What Family, if any, U Condition of Life or Circumstances, How long in employ of Go., 6, - ~ 01 , Name and address of nearest liu(flg Relative, v'AAJru-1.d. Was he temperate, l{ u Was he an efficient man, u /4 ).. )-_,/./J/1/V(.ff Where and in whose charge I , Name of Physician called, i any, fL A~ /lame and P. O. Address of Witnesses. ( Nature and extent of Accident, ~t . 0 g t<.-c,fJ--h..,• : (/../ c,,, •. t3 -w-1(t....,__ (Signature) 18 Date ~ 11-11-n ,oa ().;v( ( �S'l'A'fill\[E:--!'fS OF WITNESSES. •! .::· 1/,: I .I . •' . .• ! ' I �Porw 3314. UNION' PACIFIC RAILWAY. Mine No...........( ~.............. COAL DEPART:'IIllNT. Gen'/ Supt's No.........1...€....................... REPORT OF PERSONAL INJURY. Name of Parson injured, Occupatio11, 1'1/1~ . , , Date of Aoc19ie11t, ~'-/ .2.-1 ~~ Location, /Gr<,1c(}/4~,.e> If not injured in Min;, slate whelJ. Time / 'i- ~ JM • Entry No. '2- J fAine No. I 18<?1 ~ Room No. 0 '1rL /Ja.-r( Name of Mine Foreman, Name of Mine Supt. ~ _j,J. /3_,,(ffe-c--1<. Married or Sin{J ... ,J Age of Person injured '3 CJ . ~ What Family, if any, U Condition of Life or Circumstances, How long in employ of Co., '?......u ?n,-nvtTl Name and address of nearest liuing Relative, fv'r/1~ Was he temperate, ~ v.1 Was he an efficient man, (~ { > ' Where and in whose charge lljt, ~~ ; u r :J Name of Physician called, if any, ~ 1 7 Name and P. O. Address of Witnesses, ~'1_ q1 ~ -- ~ Nature and extent of Aaoident, (Signature) Date 18 �w ;sus Form 83H. UNION PACIFIC RAILWAY. M"1ne N0 ........................................... ~ . COAL DEP.\RTJ\IENT. REPORT OF Pl:.'"RSONAL INJURY. Gen'/ Supt's No...............1.7................ 4J ~/4,; 'l,, Name of Person injured, } Occupation, /!) ~ Date of Accident, {J,,.,1d '3.,,A M' location, • r(i( /J?. 'l..--t.--vt-,::; Y If not injured in flli11 e, state wh!rc. //C~,,. !! 189'I Time f O · JZ,(, Mine No. I Entry No. -::.., 0 0 q, Name of mine Supt. uJ Age of Person injured / t, What Family, if any, How long in employ of Co., Name and address of nearest~ ing Relatiue, Was he an efficient man, ( Name of Mine Foreman, Where and in whose chargQft, /AJ-,f/t l , Name of Physician called, if any, • 7 ~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, Condition of life or Oiroumstances, f?.,1· eAr' . -'-1 Was temperate, lj ~ AA~_'!(.I {),e f r;vy ,, 0 .,vh --p,h- lA._ ~ P-i-t.. -~ (Signature) Date r ~~ ~ Married or 8ingt0 ___/_;_,,,,,_ ..LA./1.,A~,....,,- i-u, (/ t1-L Room No. 78 J ~ f 14,/( Title, YfA.. ~ -=f'IJ,Av,:,~ �STATEMENTS OF WITNESSES. ~ 3 /%9/ ..I �l 'orm v~roN PACIFIC RAILWAY. uau. M'1ne N0 . .......... ~ ,......,... ................... COAL DEl'ART:\IKNT. . • ,, • OF PERSON,-/ I, IN/UR Y REJ'O,t 1 Gen'/ Supt's No,_........./ ..£ ............ ,, ,, 0.~ Person injured, r,am.. '1 , Occup:ztio11, 9 ·»1,,,,. i v r Date of I1CCU•,e/1 f ' ,../, ..,,{A fl ff,/ ; :::J..,,;/ ~~ 9 18t/; Time a . n,(. Mine No. / Entry No. 2.. f 1 ~1~~ • ~t~~r' Location, I( If not i11jured m f.11,1tJ, .,lt ~e w :1.., c(/ Name of Mine Supt. ---~ _/} , ~ c_ Name of Mine Foreman, ~ Age of Parson injured '.2... ~ -~ c : ; ; « . . , , ~ Married or 811(J What Family, if any, (/ How long in employ of Co., ;'3 ~~ C.) , Condition of Life or Circumstances, Name und artdraos of 11ear.Jst liuinyflalaiiue, J T [/001,1 No. PC¼..,,/C, \y~"""'~ 4- Was he an efficient man, f/0 Where and i11 whose charge la{tj, Name of Physician aalled, if any, Wus he temperate, y .__,., Name and P. 0. Address of Witnesses, Nature and extent of Accident, /3 ~ ~~ (Signature) Date 18 ; rl,... fl0vv1< Title, Y//( /,4\A -j //J"v"Y1,,t ClAA.. ¥ �STATEMENTS OF WITNESSES. �l'orm 8314 . ..., p ACIFIC RAIL\XJA Y. tJ~IO,:'1 (~aj. . . . . . . . ·Mine No............ coAL DEPAllT)lrtNT. . Ri <JF PERSONAL IN/UR Y. Rf;PO ICtlllO O,f person injured, Gen'/ Supt's No.........../..7,.................. ·vi/, J/ ~~ oacupatiOII, /J _A/J,,-z.(,,,Y (M • ~ 11 oat' of Acci<~ t, Loaatiull, I L.{N. t ( If not ;,,jurcci i11 (:1i11e, stat where. {/ ' 1,l,,f/ . ,.!}, &-1,1_ ,,,./ . . • _ ,,,,,.- ~V~/\......0 /\"._ ~--z ~-r (lame of fliinc 811/J~. ~~ •• n 78?1 Time K /11 .)1A , ' ~';1-o Mine No. I Entry No. ,:J {) U (5~t,,-1 ( (h;.L Name of Mine Fore1r1a11, / Vt<.,uS Married or Sinr{j -y11_ e<~~ Aac of Person injured 3-A> .~evr.:, ;hat Family, if any, o,A.-{_ _ U //oLU tong in employ of Co.· Yi "J1AA.Tn.A/1l f.i) ~ondition of Life or Circumstances, Name and address of nearest liuing Relatiue, f /.fol.Y.fl,..,c.AA, 1 was he an efficient man, t.4 Was he temperate, l,.O Where and in whose charge t(!j-, ~. <t) a /)- 'fri f.o () Name of Physioia11 called, if any, ~,,.<) d . '-/r (/• /v '"'- j /.J. Name and P. 0. Address of Witnesses, Nature and extent of Accident, • f;, fivt;/ J r) ,/ ~ IF v_ (Signature) Date Room No. , / 18 �sTA.TJlMJlNTS oF WITNESSES. j ii I �{]~It.>~ P.\CIFIC R.\IL\\'AY. M" L/ _.................. 1ne N0 .................. COAL DHPA.RT:\JENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No.........~................. ") . . J ,11,,,f.,,V v ~ {f A Name of Person injured, • ocaupat 1011, - ;';.( ;.'t-4 (" ~ , 0- 7:(. .cu,,,. 1 Date of /iccic}A1t, A ~~(~ / (j Loeativ.•1, 1 ~o-C_If~ ~ ( ./l..,,,. ---;) -:7 If not iJ1jured III t,111,e, .,taL where. flam~ of Wna Supt. Age of Parson iujumll What Family, if any, Mine No. '-I- 0"''° . /J. 13 fC4!4( •/ (( Entry No. / O Name of Mine Foreman, ~ f/u-o . • ·ci' ~ Married or Sin, /low long in employ of Go., /-I - ';!- ~o....-y:> Name and cu/d,ess of nearest liuin~ Relative, Condition of Life or Circumstances, (0r·vft' _AA - ~ Was he an efficient ma11, ~ Where and in whose charge {irt, Name of Physician called, if a11u, , ({'l"A,,t,v J~ ;fJ .{J - ,,.._,,( f'//,.,,J ('•.,., , // t!Y{(j ~ Room No. /o A ~4'-<t j_/4,<,<.r Wai he temperate, tj t:..J 0 Name and P. 0. Address of Witnesses, Nature and extent of Accident, Oause, (Signature) Date 18 {J. (f1J A ~ O Title, 71,{~ ~ �STA.TE~tENTS OF WITNESSES. .. ., ' ' I._O ~ • ...... �l'"rlll 331 I . .. 1' \.CIPIC lL\JL\VA'l. v~rv-" • cOAl, DJ•:P,\KT)IEN'l'. Mine No............l. . . ., ................. .. .. OF pJ::RSONAL INJURY. RJ::POR T Gen'/ Supt's No.......~/..................... ~,J___ ,.; Person injured, flame o, / .,L. jtt.-.-f-t' . , / (~ ' ✓ - C<... occufJ[dio11, ·-J · ---u! ! ; J/J ---.....- /7/( ~ . Date of /tccf<f!j"t, dfw-c, ~ - _ ('" 789; Time CJ LocaticJII, lr,,u--t,,,f ......1-< <AJJ . Mine No. / . . • ,··ed in fi1i11e, sta! where. If no, uyc, 7 (.'amc of {.fine Supt. a1 ~() . I..,..,-O• J, ') (JCc..-b/r' <J Age of Person i,,jurctl <'-1 t/ . JJ'- -,:;,_,,->-"..., What Family, if any, -0 0 H0 w tong in employ 1 Co., .:5 .....~c.-y--J fJa111C fl ,,d (l</dress of nearr-:st liui(!JI Relative, Was ha an efficient man, • ~ . v1,/.I J. •-r. Entry No. ~ti_(' .Room No. Name of Mine Foreman, ( ] ).(..(} - ;1;.-1..//\ Married or Si11g,{j J ~ I Condition of Life or Circumstances, j')~ ·l_,..•, LI A..,,A.M..r ~ Where and in whose charge I@, Name of Physician C({/led, if rwy, a°)?'- Was he temperate, I/; et.....r &-tr>, . A'" tJ//o,,._ • ff' f4 Name and P. O. Address of Witnesses, Nature and extent of Aaaident, J~ (Signature) Date I 11-11.-, IOI ( /J/')/4A( Title, 11)~ ~ �'N'fS OF S'fA'f.EME WI'fNESSES. D= JP I[ H ff; �f'Ol"UI aal-J . UNIO~ PACIFIC RAU,WAY, Mine No.......~,,,.,.,. ..,,................. COAL DliPA RT)lE~'r. REPORT OF PERSONAL INJURY. Gen' I Supt's No;·.........f?...':?.::............... ,1 ~:J Name of Person injured, , 0ccupatio11, Date of A~c[if,f11t, • /J.A..A..,,/(1 J1.1_,.c.,.-,,.u..,-y-· · !/- <,d .A7 "i.. ~ ~ - ~r Location. I( 0--1/)r(J~ ff not iJ1jured in Mine, state ihere. Name or: J Wne Su/Ji . • C,,,,, .£..c-v 189/ Time / / C,,~ ///( • Plline No. L/ Entry No. f . '\,., /(). U 0 1 IJ A < I ~J-. rP,.__,-v--.,, _J' Name of Mine Foremcm, ~ Age of Person injured ,1' 7~~ Married or Singw What Family, if any, / -/ • flow Iona in employ of Go., Oo11dition of Life or Circumstances, Name a11d address of nearest liuing Retatiue, )"'Cv-01 ( . _,,4 . ) ~~ ~Y Was he an efficient man, I~ I Was Jul temperaljJ, Where and in whose charge t{tj. Q ;,u--· 7✓,r..... ~ Name of Physician called, if any, Jl:J-r , r ? t , 1 ~ Name and P. o. Address of Witnesses. Nature and extent of Accident, Room No. .J , _.,,/t-1.1,l~ -/Pl c v v ~ ~ /3,,&tt_ • -;/~ -;1L ~ Oause, (Signature) Date E 11-ll•H IOD 78 ; ,.-a .,J~ Title, 71{ ..,v1,v<. ;,k 7 �STATEMENTS OF WITNESSES. �' - I . Form 8814. UNION' PACIFIC RAILWAY. l Mine No.......~~.................. COAL DEPAR'flltliNT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No.......~..J ................. j~ 1(. J ~ Name of Person injured, Occupation, ---;11~ • Date of Acc!Jl.,ent,f!?± 9-f ~ Location, /(,uv? . If not i,ifurcd in Mine, sta e w-:::r 78Q I 7 Name of Mine Supt. Age of Person injured What Family, if any, How tong in employ of Oo., Name and address of nearest living Relatiue, ft · . Time I :2-, Mine No. I /l,7t{ , Entry No. 2 0- Name of Mine Foreman, _j ~ 7 Room No. ;aCi,,v/<{ Married or Sing(J _,/ Condition of life or Oircumstances, ao/aAc~- _ Was he an efficient man, Where and in whose charge t, • )"'J'J,7 >, _ fe ~ JP'~ Name of Physician c~lled, i any, ~ u , )'J/bf:}t(t 't, Was he temperate, ~ fA Name and P. 0. Address of Witnesses , Nature and extent of Accident, f~ 1,(..1'-/;lA,v,..A 1~ (Signature) Date E lHa-11 108 23 ~ fl ,L ~<JM( Title, 111_ ~ 0~ a,,-.._ �).,--,· l ?LI ' ) ffu ' 7),\/A, cX :}ur"-' w"vt-i ?(_,,/; '" r1... :}_ v ,t , ,,-, C n-" , ,,,, '.lJ , 1 (Jv JI u,., {_.,...,,_,_,._ w 1,_,,.,.. .t__ fJl•d (),, (,_ µ_,,.,,,.,JI__ _,,_;.,.., r-r 1v U JY~h -?~. b /4....,_ Cv7/t-(. va,«_,,~ ¼ ~ 11;.. ' ' t �Form 11314. Mine No.......~............................. . . UNION PACIFIC RAILWAY. COAL DEP.'\RT:\mNT. Gen'/ Supt's No,~........:?.:...~t........... REPORT OF PERSONAL INJURY. Name of Person injurefi A'....1£ Occupation, I! J tJ-1:(.,c,/.vr Date of Acc~11t, ~ 7 '2,,'-/ location, I [.,b-f/'J(j _/ <I -,./Lhvt.r~ If not i11jured in fi?ine, state where. j/~M J ..,e,,,,,.. -:,_f.P'-..._ 78 9'1 Time -z.. t.'? 'Ht.Entry No. I 0 Mine No. I Room No. (p (j Name of Mine Foreman, ()-4 .... / ! §-uMr Name of Mine Supt. -1_..-<-<J . fJ , /3 ~---1( Married or Singf/ f~ Age of Person injured ~ / ~ --~ \ What Family, if any, How long in employ of Oo., ·2 ~ , 1 , >rPCi.,, 4 Oondition °} life or Circumstances, Name and address of nearest liuing Relatiue, / ( ~ C' . .-,,,<I. .-~ I ' / ~ Was he an efficient man, W Was heltemperatf. £A Where and in whose charar}ett, (} Name of Physician called, if any, rf) .r . ·-,rJ,;/4. . . , f 11, Name and P. 0. Address of Witnesses, Nature and extent of Accident, _.e H -J1 .e/4 -ft IT'>--f'AAA..._ ·/{.;. r y- U ::J/.r~ >"''"«-- , ~ Oause, (Signature) Date I 11-11-H 101 18 1,-o . Title, _J,-,J,,, ,6-y J/Z1~ ~~ �s·rA'l'EMENTS oF WITNESSES. / fif/ I, �Porm as••· UNION' PACIFIC RAILWAY. Mine No...........~~.................. COAL DJ~PARTMENT. Gen'/ Supt's No. _...'%.:..Y...=.................. REPORT OF PERSONAL IN/UR Y. Name of Person injured, @~. Occupation, •7~(~ 1av/ Time ff•.1Jd.l.. D N4, Mine No. / Entry No. ~ Date of AcciJ;ent, ~ 9 7 Looatiu11, ICu-&1( ~"'vVZ, ' If not injured ill f.1ine, st te whereT I Room No ..3 ~r 1 L /?~I\ Name of Mine Foreman, (I Name of Mine Supt. --(f~_-(µ. Age of Person injured -:t- / Married or 8inr, What Family, if any, -How long in employ of Oo., ~ .,c:v-vo IJ Condition of Life or Oiroumstances, Name and address of nearestl}uing Relatiue, 'jL.t,;,~ Was he an ejjioient ma11, l1t,<J Was he temperate,~ Where and in whose charg<(/eft, ·¼c ·(l t:vrfh..-o .-._ Name of Physician called, if any, ,Al r. • /"u-f'l<,. .... J Name and P. 0. Address of Witnesses, , Y,,,,,,1,,-;2;::t ~M>-- / ~ Nature and extent of Aooident, (Signature) Date 18 j ,l___ fl <M.A( Title,//{/{ ~ J- pvt----~ �STA'rE:\IE rTS OF WITNESSES. ' --=--- =----- �l'orm C314. UNION PACIFIC RAILWAY. Mine No......q,__.....,...................... COAL DEPARTlllENT. r REPORT OF PERSONAL INJURY. Name of Person injured,. 0~ Gen'/ Supt's No...........?.:.... f.. ................ ~ li/-6. Occupation,. -» ( ~, -d__ Date of Acc,dent, _ -y q,_ f" location, /(&"-C4( _,[ ~ If not injured in Mine, tate wher<1f ~p -a..<., 18 9 1 Time / d Mine No. Y O- a .71r. f Entry No. Room No. Name of Mine Supt. ~ . /;3 -~ ( Name of Mine Foreman, ~ ../J ~ Age of Person injured :,-_, ) ~ Married or Sing(:/ _} What Family, if any, U How long in employ of Co., ~ ~ " L - Condition of life or Circumstances, Name and address of nearest /i(;/ng Relative, / ~ ( , 4../4./~ Was he an efficient man, /jfaAJ fWaii he temperate, ~ Where and in whose chargU,.eft, ~ frrr/ ~ Name of Physician called, if any, 7:}.1 ~ ~ _ (t) . 7 r L · Name and P. 0. Address of Witnesses, ( ,A;---1::v\· Nature and extent of Accident, ~ -H "L 1 Jvu , (} / t (/ -~ L_A-d- ~ Oause, (Bignature) Date I 11•11•11 101 18 j n _,11 ~ ·f y () Title, 71{~ §1 ~ (µA.. 7 �; I f ,,. ... f;l ,,:.-,A .... ►~ ' ,;':d' it="- �t'orm 8314. ~................... UNION PACIFI C RAILWAY. Mine No, ........ COAL DEPARTMENT. REPORT OF PERSONAL IN/UR Y. Gen'/ Supt's No.......-::!.-1................... CJ • . . ~/LA,'V'tA. ( Name of Person injured, _ ~ . Occupation, ,..-)1{_ c.,..,~,..-Y"' -/,tb_e,,,.1,,c ~ ' .d ~ Date of Aac__i5'nt, ,.. • ' ~ l , 4 A - (/ d Location, ·;,c_ ~ __, 4 (fe-'jr. If not injured in Mim, state wlf'ere. f f 18 ~I Time f' () .71(, Mine No. l./Entry No. U JP , ~ tJ Room No. <..,L. j Name of fl/ine 8 upt. ..,,t,() , lft_,.,.A.--c/ t:::' Name of Mine Foreman, ~ /J~ \ Age of Person injured -S....V Married or Sil'(/"e 71·1~ What Family, if any, ~ How long in employ of Co., 8 ~>'lA,/,l /--i Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, ,:j~~ -r ~ Jt Was he an efficient man, Where and in whose charge I , • Name of Physician called, i ny, Name and P. 0. Address of Witnesses, Nature and extent of Accident, -~ r, y ,J) ~/J,/~.h; E 11-1&-n 109 (j A r , ---;/u~v- ·JIJ \j)tv1 /o~ _/\, 0 Ji (Signature) Date Was he temperate, Lj CA 18 ;,-/.._c if?C<AA ( (J Title, 71A_ ~ ~ �.. \' : .i....,· / ! :· •'.• ,C• I S'fA'fE1\iEN'fS OF WITNESSES. :._.,/, I I ..' I. I.• ,•· /.. 1 ' • I l,•' ,·._ ... - h { �Porw 3314. N PACIFIC RAILWAY. 'UNIO Mine No.......'{]........ .................. REPORT OF PI::RSON.•11, IN/UR Y. f/a;;ie of Person injur~d, Gen'/ Supt's No.......z.....L..~............ ·· I(?-...-c...-c..' "7t....~vr~ / t?. --✓-~ ·7/ oaoupation, /-t/1,,~ d Date of Acc~eut, ~ ~ ; : , c / I LooaU011, /{_ HA( .. Jbjo . /lA.,,z. ...~r If nnt i,,jured in f,1i11e, stalk where. U flume of !.iine Sup/. • (t,4 _ f /lgc of Parson injured I<-;--. II/hat Family, if a11y, How long in employ of Co., Cl'>_",: O Mine No. . /'3 _{""-<- J( Entry No. (jJ J l / ni; C<,,,<.. ~/1.,(/), 'l, ;,,.,/J, Married or 8mgle -- ~....-e:v,-6' Glj ;J/_,,,,J ,,~,,._ t:v4_ p' ..,,, Oondition of life or Circumstances, r-;', C)...1ivi_ ' )it; J i{UA."f/, _ ~ I ( k b _A.A.,.,,,· Was h<f/temperate, fj If L, ~>-a..,,,?,~IA 4 ~ I I O / )-.r . /hi'&; JrL ,~.,, : -;115_,,,.,,_ , /(_cl,;,- ~ I ,•.,r::,,.__ ~ _ _ , , ~ ~L Tit/I, _rt(_~ G"l~ (Signature) 7,,J,( IIYj a-- :. Date Room /1.10. L// (/ • Name and P. 0. Address of Witnesses, Nature and extent of Aocident, 5 Name of Mine Foreman, a.,.,-->--v Name and C!tldress of nearest hu111g Rrfjjtiue, Was he an efficient man, Where and in whose charge_lcft, Name of P/Jysicia11 called, if uny, Time '2- )d .}1/{, 789/ 78 �sTA'fEMENTS OF WITNESSES. �UNION pACIFIC RAIL,VAY . M'1ne No............. {a) j, ~................ COAL J)HPAR'f:\IHN'r. REPORT OF PERSONAL INJURY. 20 , t.... ' Gen'/ Supt's No........:~..9,J................ 57~ 1';.J1-<J A r '.YJ1.~ -A Name of Person_!njured, - OccupatiOII, oata Oj..f Ac1riac11t / Loaatfo11, { tJC/J( ·- , _"1.A..,,z,, ff ,,.1 ;,,jurod ill I.fine, stat, where, I ~~ - f.Jume of Milie Supt. JfA.,tJ , /6 78 Cl/ Time / I fAine No. I --··· r7 • ~J fl. ')14, Entry No. 2 d Room No. L/-(; fJ · /3_~---4 ( Age of Person injvrecl "J <J -P-••t::v·tre What Family, if anu, (J /low tong in employ 0.f Co.: / ~- ~ r : . , Condition of Life or Gircum ances, /lame a,1d address of 11ea1est lwmfl Relatiue, ~( I /1.A/~jP ' was ha an ej]ici,111t man, ,;_.,o r Was {Ye tempe1 a e, Lj C/.J Where and in whose charge e t, , 11()</{~-> (} !lama of Physician call~d, i any, ~ )-,, ··lltrJ-fu·, 1: Name and P. O. Address of Witnesses, _../_,-f r fll J-~ '(\ J . Iy;Jt l a,,( _ .1 Nature and extent of Accident, (Signature) Date 18 �J1or1n 3314. UNION PACIFIC RAILWAY. Mine No........<¼J:t ....................... COAL DIWART.MJ!,N'l', Gen'/ 8up t's N0..................................... &tJ .. :.>QJ,''r OF PERSON.JI, INJURY. RBI \' !h Name of Person injured, . occ11pat1011, D(li:: of /1c.2Jtjc11t, . !j} "1v . ,,().c..,,,; / ( ) ,/UA/'(/J- • ·'f 18 q I (1,1 ,,..~ 1. ,..1.,,,(_,t,1,,,r). t iojurad i11 n,i11:1, sta e where. I. (.:_' (Jame of f,,'i/lJ Supt •• -£u; Aye of pr;rso11 iujl'rru! I'.! t...'' • r I J <' Condition of Life or Circumstances, cf ) ~ -c/J-.vx~- - ~ Was he temperate, 01 cvf~/v.> , Name of Physician aallad, if any, c)I Na/lie a/Id P. O. Address ofwitnasses, I / } I/ 1 ( ) V., / _,A 7,/>-·, ./ .i ~ (Signature) 18 ~ (j >-c-. 11,r~ Nature and extent of Accident, I IHI-a, IOD 't.-f - 7c--a.,..-r,'J Where a11d in whose charge te/f! Date Entry No. /J -~....-?(_ What Family, (f auy, How /o11{J in employ u! Co., G. -;J~~ Name and address OJ' nearest l1u111y Relattue, Was he an e.f]icient man, 4.YJ✓t•t- , Mine No. J Locati0II, l(tx//L If 110 Time r-1 :J Room No. �S'fA'fEl\iENTS OF WITNESSES. .• ,. ,, ~·· ,::, !.- , ;, I '..• ' I, ' , • ,. • ( j. · ,,r' l..:• �J'orm 831-1. ,,. PACIFIC RAILWAY. tJNIO~., J?EPOR T OF PERSONAL INJURJ": person injured, /4,,M/1"1/ t✓ame o1. •) 'If ,;,"LVJ• oac11µat1on, ~ 2 -,2 •......et oat:: of A;f9-1nt, Locw'ivn. ~ .. ,red ;11 fdiiie, stat where. If 110t 1/ljl C,I--U/( f,lamJ cl Wne Supt. t,ye of pt;rson i,:juretl WMt Family, if all!J, How long in employ 01 Name Gen'/ Supt's No........~:2./..................... Time JI a 74( C J,,._,~_ - JV . 7• " fJvo Whore and in whose charge tel([} Name of Physician called, if any, Condition of Life or Circumstances, . ,0 ., , • .1 I v\lvt,(.__ Was he temperate, ~ ~ /lame a/ld P. o. Address of Witnesses , Nature Q/ld extent of Accidelll, . /~ ~ ~~~ ) I (J / ' Lt,.--. l( . /3u {0 ;J"--,,,,.- {, • , i ,c,,f t"1. / t-p c· (Signature) 18 JJ-,_,,-e,,.. ~£ U . J_~ 0 I Married or Single J Oo. , )1-~o; /t-C~ ,f address of 11eal'!.st liuing Retatiue, a/1 Room No. 6-'8 Name of Mine Foreman,- JJt,,,';/ ("t.<,,,(_-.(} /5_,c~-----'7< ~' was he an efficient man, Date Entry No. <j fr1ine No. 0 V () . ;{) · :,..,. •', (jl~ /3 -C,,Vtd..-t; 7,;u &· -~ •¾ 31 ~ Mine No.. . '§ . ,.,....... coAL D£1'.\R'l'J\IENT. (/ •• �STATlil\lENTS OF WITNESSES. '. ' ,·. ' I. I, • �Forw 3314. UNION PACIFIC RAII,WAY. Mine No .....:{1................................ COAL DT~PART;\IENT. REPORT OF Pl:."'RSON.rll, IN/UR Y. Gen'/ Supt's No........J...?::::................... t) ' , Name of Person injured, , /;,..J,, 1.,,'lfvL Occupation, )7/ ~ / 7 fJ t r ~ Date ~f liccij~e11t, ~"'/ 9 f"e,g. Loca.iiOII, lui'(, 1( /fa ~ p If not i11jurcd in f.?111e . stafe where. {/ 78tJI 0 _.J Name of Mine Supt• .... ~ , V '/4-WiM J?, /3 l ~ Time S f.?11(. Mine No.-3 Entry No. -;2. :? Name of Mine Forema11;-tblt!Y;1 ~ ··1./~ Married or Single (f).?b~ 1• Age of Person inj ured , Jft . ~ C,t, ,,. , . What Family, if any, ,J (/ . How long in employ of Co., fferJ.,., ~ ,,,.,. ) -;-.,...,r,,,,,vri.... Condition of Life or Ofreumstanoea, Name and address of nearest liu(J/g Relative, [;y'l ~ -;j~ Was he cm efficient man, {i_,,,, Was he temperate, ?{1...0 Where and in whose charge(J/Jft, . _y\ t:IA-~ () Name of Physician called, if any, ~ . ,Y?!>- t:,..,_, Name and P. 0. Address of Witnesses. 0 (/(,t-151----t;, Nature and extent of Accident, (J,_~o<... (Signature) Date Room No. 41) ;l �STA'l'EMENTS OF WITNESSES. ... �Por111 3314. UNION' PACIFIC RAILVlAY. COAL DJWART:\IJ-:!-1'1'. Mine No................ ...Y..,................ <)F PHRSVNA/, INJUR J: REI ,onr i\ Name of Person injured, Ii) Gen'/ Supt's No.......<J.~.................... ({"C,{,v ~ t>-·r<.,.-dv-y • Occupat1on, {,'l11 Oate of Acciif1 t, ~ ,,, c - Y . · u,catio;,, f(~ 1 J71:../v\.--v1.-7 J If not i,,jurad III l?me, slat,/, where. Time Cl Cl.,,t -'1. Mine No. J../ Entry No. I l -' ~ <i~ . ;(J . of Person i1,jl!rcd Nama of [.fine Supt. Aae :J 1/ ;J-< /3_,t~--t . ; ~,, Name of Mine Foreman, Ct,...--..--:> What Family, 1/ f!IIY, How long in e111ploy of Co., / '✓f< c-t.,..,-yName a{1d address of nearest ti/4,g Relatiue, Was he hn efficient man, - ~ Where and in whose charge l<(f/c, -:;L-_ Name of Physician called, if any, .fJv.. ; A l'llarried or Si(je _ Room No.; l/ Lr AJ-t.,t.,,V.J Condition of Life or Circumstances, ~j( -4A , • -,· ~ e temperate, !J-° A-r. Name and P. O. Address of Witnesses , Nature and extent of Aocident, ::J~ ~ .d._ (Signature) !(IC Date 33 18 ,,I,...J,,__(;y Title, Jt{~ _ y ) ~ ~ 6 'f �s'rA'fEl\IEN'fS OF Wl'l'NESSES. ().,.iC,:,, ,, . j .,,(r,4 .,.•.....::r- 9 .= • ,. = ,.; -I !P. : fh. ,1_ ~•,:A ....:.... ., > 6..-n·i.,,_, Q>-t. u._, fv-'1 , I a..,.r It/L.... -l t... fit f.,..,,/ ,,,.wi "'- 1 ,._,;,.A.. u---r<R II o"' f �Form 8314, UNION PACIFIC RAILWAY. Mine No.....~.............................. 35 COAL DEPAR'l'l\IEN'l'. 3i-. REPORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... ~/;t Name of Person injured, , _ .~ d.d4/rtJ"/ Occupatio11, 71,f~ 7BYI Time ,g ~At( / Date of Accident, ~ 1j}- / / J -d Entry No. :J Mine No. V. Locatio11, /l,c,-uJ ( (/__4,,t..,,~ ~ If not injured i11 Mi11e, state whe e. {/ Room No. 0 Name of Mine Foreman, ~ ~'1 Name of Mine Supt.- ¼ . ;{). ~ ( ---Married or SinrJ 'n4.,1t,vv1~ Age of Person injured ).__'7 ~ What Family, if any, L(How long in employ of Oo., f / / ~ Oondition of Life or (]ircumstances, Name and address of nearest lit.(jf,g Relative, . ,./0-?:t{ ,. 1~;/r , Was he an efficient man, ~ Was(!Je temperate, ~ Where and in whose chargdett, ~ U Name of Physician called, if any, ~ ~ ,A J 8} Name and P. 0. Address of Witnesses, Nature and extent of Accident, ~ 11_~ ~ - U ~ L -- ~~ (Signature) Date E 11-11•19 101 18 J d'1 , _j~ Title, 'J1(~ ~~~ �36 I•orm 5814, UNION PACIFIC RAILWAY. COAL DEPARTi\IENT. REPORT OF PERSONAL INJURY. Gen '/ Supt's No.....':'..1...6.. .................... Name of Person injured,/) 7J! dA.-?vi-v 9:/ ~,-,~i:5--b~ {• '-0 • Ooaupation, /2 ~-t?/4,e,,,;--/ f!'~_"t2,Jp(__, Date of Accident, ,,....3 / P 18~ / Time Location, .??n ~ · !/.~~ ,/9,,c,~- o . Entry No. Room No. ---.. Mine No. .3 7 If not injured in Mine, state where. ~ ,1,?C.,Vi.- d.<.-J ,,,g-t ,...., ,.'/,, Name of Mine Supt. .l}. /? /3,t?4/_J/ Name o~ Mine Foreman, '7.1 /f. (Y,Za--..-/ . 6 ~.(..,...d..,, 'J ()?1',& / " /I 7.., Age of Person injured ',?-/'./.p,a,,,..-o Married or Single -E,-4 , , - 7 ~ / What Family, if any, ·- , How long in employ of Oo., !J;,..e,/7-..et:r,,,,,-,--:" Condition ot.Jlfe or Oircumstances, Name and address of nearest liuing Relatiue, ~-,,,w; _(_ ---u/~~-✓Was he an efficient man, ~--tµ-4. Was he temperate, ~ Where and in whose charge /~ft, ' Name of Physician called, if any, ,,0✓?--' ~1✓.?,91,,,__, a_,~- /~ Name and P. 0. Address of Witnesses , Nature and extent of Aooldent, '-~?U-A/ ~ ,!?"V-&-v ¥ - e.y_.:.-, ~tn.</4 (Signature) 18 Date ,:: 11.. 111-11:A tnn Title, ' �Form 8314. UNION PACIFIC RAILWAY. COAL D£PARThlENT. Gen'/ Supt's No ..........41. . . . . . . . .. REPORT OF PERSONAL INJURY. Name of Person injured, £J ~'-~ ~ Occupation, ~~~ \ Date of Accident, (R 'Y ~ Location, o ~Z ~~ '\fJ If not i11jured i11 Mina, state where. \ C\~ ~ 18 C.( I Time Mine No. N- (1.¼.J -(o Entry No. ---1 0 Room No. Of..tt ~l~ ~~ alQ.o. ~K Name of a?ine Supt. , ( , Name of Mine Foreman, h t\.. Age of Person injured O Married or Single AJJ..<t What Family, if any, How long in employ of Co., 1f ~ Condition of Life or Circumstances, Name and address of nearest liuing Relatif/j, ~ Was he an efficient man, Was he temperate, ~ Where and in whose charge left, _ () Name of Physician called, if any, ""t ~ 0 , - ~ 3 i~ 1r "t-~ Name and P. 0. Address of Witnesses, Nature and extent of Aoaident, (Signature) Date E 11-IB•U 108 18 ~r~~~¾ Title, ~ ~ \h--~~ �sT.'\.'fEl\lENTS OF WITNESSES. ti •• • ... �Porm 331◄. UN'ION PACIFIC RAIL\VAY. Mi ne No....... COAL DEP.\RT:\IENT. Gen'/ Supt's No.......8...$-................. REPORT OF PERSONAL INJURY Name of Person injured, Occupation, ~ J~ ~\ Date ~f Accido/1\ _ 11 Locat,on, \_p. 0 ~ ~ 9 '- ~ ~ ff not il,jured in IAine. state wit,. ~ ~ 18 Cf I Time Mine No. ~ o ~ "K_ ' , 0.,1{,J Entry No. 'V ~ ~~ Name of Mine Supt. [' Name of Mine Foreman, Age of Person injured j () Married or Single What Family, if any, How long in employ of Oo., j lA.AI() ~~ Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, ~ ...:.vJ..c,.,.>."-... Was he temperate, Was he an efficient man, ~ Where and in whose charge left, U Name of Physician called, if any, , ..... ~ ~o-\--'t""~ Name and P. 0. Address of Witnesses , Nature and extent of Accident, (Signature) Date l 11-ll•H IOI j . . . . . .. 38 78 Room No. ¥ (l_)A., ~~ LJ ~ JJ 0 • er cf' �lform lllllf. UNIO~ PACIFIC RAILWAY. Mine No.....................!..................... COAL Dl!:PAR'fMJ.tNT. REPORT OF PERSONAL IN/UR Y. Name of Person injured, Gen'I Supt's N0...........2.....1,.......... &.~ O. ~ ~-J Occupation, Date of AcoidcnJr.i q.u.M1' ~ ,, 78 Location, U\o ~ - ' - ~ OfJ ~U If not i/ljured in Ming, state where. ~ o q f Time flTineNo. ~·cl, /0 0-°UU Entry No. ~ / Name of Mine Foreman, Name of Mine Supt. !U,o. ~ Married or Single Age of Person injured Aj Co What Family, if any, How long in employ of Co., ~ '1A,l Condition of life or Circumstances, Name and address of nearest liuing Relatiue, ~ ~ evu. ~ Was he temperate, Was he an efficient man, ~ Where and in whose charge left, U ~ 0 , Ch.tJ c.{ o Name of Physician called, if any, ( )/:J-r ° l A , ~ ~ od Name and P. O. Address of Witnesseh _ 1 . '---" w cct::l , U)-'ctto Nature and extent of Accident, (Signature) Date E 11-11-n 10a 39 18 Room No. 91 �STA'flil\IENTS OF WI'rNESSES. ,I �J'o rm 3014. UNION PACIFIC RAI LWAY. Mine No............... 3 -................ coAr. D E P ,\RT.:IIENT . REPORT OF PERS ONA / , INJUR Y. 40 Gen'/ Supt's No..........!!.. ..<?................ , . ,. Name of Perso11 injured, t \ 4 I~ Ocr.irJVttion, . i. Ur.ti of Accident, OL.u. Locati.1:1, (R \ ; \ If not ;1,ju,·r~d fn f.1i11J, slai:e tJJh re. ~ /Jame of f.1fnc Supi. 1 d. 11 wJ 78 9 ( Time I1 . Mine No. ~ Entry No. ~ CJ ~ ·J, ~ ( l tA<.. 1/ge of Person injured Name of Wne Foreman, ~ 'f{::> Married or Single Room No. ~ c.<.M.. ~~ oi<W~ c{' U ., h What Family, if w,y, ~ cJ How long in employ o!" Co., ~ ~ Oonditio:1 of Ufe or Circumstances, Name anrl address OJ" near11st l1U111g R ~, 0.A_\...Ll:k "'Was he an efficient man, ~ . Where and in whoae charge left, ~ l '\ Name of Physician called, if any, ~ -~--~-"•kb·-~ 0 Ji Was he temperate~ l}--U./'\..J. -1,L c._[ Name and P. 0. Address of Witnesses . D' Jl~1.~ Natu e and extent of Aooid1mt, ro (Signature) Date 78 C\,u. (yt 0"-""- ~' i 't'-{\~ Tit l e ~ ~ ~~ ~ 0-AA....) �STATEMENTS OF WITNESSES. .. ,, �F orm 3314. UNION PACIFIC RAILWAY. Mi ne No................ J ................. COAL DKl'ART:\!eNT. ~ hf. . J .............. REl'ORT OF PERSONAL INJURY. ffame of person injured, occupation, Gen'/ Supt's No......... G ·~ o-f 1.u.io,,.J (){}. . ~ 0-,u..-1..')' l / I " . ~ 0 ~ -~ ~ ~0 O<ii:i of f.ccident, II\ 18 '/ I Time mine No. Locatio11, If not ;11jured 111 Mme, slate whe1 e. Q Name of /.1inc Supt. ~...e.. o ~ • (JU o.. uK Age of Person injured q,3 0 (1), JtJ Entry No. ,,Y 3 Name of Mine Foreman, married or Single Yr--- Name and P. O. Address of Witness~ ~ cl..Lt-,_.1',fl.i f1'r'.... Nature and extent of Accident, (Signature) l 11-1..., 1oa 18 Room No.. --Y7 C). ~ (1 fJ.ft-/fea O L '~ What family, if any, How long in employ of Co., H-- ~ Condition of life or Circumstances, (lame aud address of nearest living 0etatiue, ~ ~ °'-... was he an efficient man, ~ . . D ~ _ _ Was he temperate, 0 1 Where and in whose charyu left, c__) ~~ VtLIL ;\ Cl 0 Name of Physician called, if a//!f, Date 41 JwJ (J • �STATEMENTS OF WITNESSES. �- 1 1 Porn1 3314. N' pACIFIC RAILWAY. coAL DHPART:IIEN'l'. u r OF PERSOlv.AL REPO1'i.. Name 01 INJURY. Person i n j u r e d , ~ ~ '+- 421 Mine No.........,...........~............. UNIOl Gen'/ Supt's No........f....i!................ ~J ~A .-.:.·_~ occupa.tion, ~ ~ v~ oate ~f Accident, ~ .r 1 ~~ Locat1011, () ~'-- \...::"Tl 40 -11 :ured in Mine, state where. ~ 18 Cf f Time Mine No. //So 0{,7«_J c9 Entry No. -"V </- Room No. f If not , 'J name of 1,1;,,, 8Hpt. Agi of Person 117Jured ~ .J: ·fu/j._'e..A Name of Mille Foreman, ~~ 0,ia, 'J-11-1,( ~ l j Married or Single ~ ~ What family, if anu, &t.A)-0 How tong in employ of Co., . ~ . ~ ~ Oon~ition of Life or Oircumstanoes, Name and address of nearest !tumg Relatl~ ~ ~ ~ tJ..___ Was he an efficient man, ~ , Was he temperate, Where and in wl~ose oharge_leftC) O--M cl\At J..Lc>---Ll/Q...,,(__ -4 V Name of Physic,an called, if any, ~ ( ) , \ _ _ U % 1 Name and P. O. Address of Witnesses, (Signature) Date 18 ~ (l~ �STATEMENTS OF WITNESSES. , . , .' I �Porm 8314. UNION PACIFIC RAILWAY. Mine No .........................L............... COAL DEPARTl\rnNT. REPORT OF PERSONAL IIVJUR J-': 4,. 0................... Gen'/ Supt's No...... .~.J O Name of Person injured,D t h , ~ -t9A_,Dl)u__MA•.L\ Ocaupation, Date of Accident,IJ t ~ ' l eu I~~,, CML \ Loaatio11, \JC(}-~ If not iJ,jured in /Wine, state wher . J· 78 qf Time Mine No. () ,1/ame of Mina Supt. ~ • ~ /lge of Person injured j / What family, if any, I' ) ~ How long in employ of Go., fJame and address of nearest liuing Re/atiue, Was he an efficient man, t.J< Entry No. t '} o-PLLA (} CJ._~ Married or Single {) ~ Condition of Life or Circumstances, A_, ~ Was he temperate, Name and P. 0. Address of Witnesses, Nature and extent of Accident, (Signature) E 11-11-81 108 I Name of flline Foreman, Where and.in whose charge felt, Name of Physician called, if any, Date 43 18 a J\ �STATl.:MEN'fS OF WITNESSES. �l'orm n314. UNION PACIFIC RAILWAY. Mine No.. COAL DEl'ART.\mNT. ORT OF PERSONAL INJURY. REP Name of Person injured, •0 , ~ /:J~r() n,,,.,t, Gen'/ Supt's No........... TBq / . Time Mme No. Name of Mine Supt. ~ [ .• ~ t Age of Person injured r( What family, if any, ~ How long in employ of Co., (tt_ ~ Name and address of nearest liuing Retatiuij, +- K II 1 Entry No. Name of Mine Foreman, Married or Single Condition of life or Circumstances, ~ was he an efficient man, ~ Where and in wl~ose charge _left, 0 ~ ~ Name of Physician called, if any, Nature and extent of Accident, (Signature) 78 W~s he temperate, ~ Name and P. 0. Address of Witnesses, Date /J. . .Y.:,.......... o--,t,\....~ • occupation, Date of Accidcu~ <... t'Y O Location, \J"--0 ~ If not i:rjured in (;1111e, stale where. f . 0-,t ··7 : 44 .../ Room No. ~ �STATEMENTS OF WITNESSES. ,,: I,,. I'".'t ..I I I' f •, • , • �l'orm 3314. UNION PACIFIC RAIL\VAY, Mine No ........,........,,.,..,.J.............. COAL DEl'AR'l'i\l EN'!'. 45 • REPORT OF PERSONAL IN/UR Y. Name of Person injured, Occupation, Gen'/ Supt's No..............i . ~......... ~ o,t,y J:_ ~ ~ ~ ~c<lT CVo Date ~f Accident, (.") Location, \AO ~ ' (j~ If not iJ1jurecl i11 Mi1w, state where. 18 I ~ ~ ,c[_ , ~ 0-. ~)'( Name of Mine Supt. Age of Person injured ,1 (J.itAJ Time Mil1e No. / Entry No. Name of Mine Foreman, I~ Married or Single What Family, if any, Ho.w tong in ~mploy o! Co., .• . ~ Name and aadress of nearesr l1u111g Relo.t1¥;_) "YJRoom No. ~ o-l Lv<._1}Ct ,._/\ u~ . ~ Condition of Life or Circumstances, Was he an efficient man, Where and in whose charge left, Name of Physician called, if any, J ¼- J ~ U~ Was he temperate, ""<"" (1.,v.. ~ ~ Name and P. O. Address of Witnesses, Nature and extent of Accident, Gause, ~ MA o---tA- ~ Jl. ~ ol ~ ~ (Signature) Date E 11-tl•U \ OB 18 ~ (J �STATll~fENTS OF WITNESSES. ;{· I I , .. �Porm 8314, ~ PACIFIC RAILWAY. '(JN°I0 • Mine No•.................7 ....~.......~..... coAL DEPARTMENT. REPOR T OF PERSONAL IN/UR Y. person injured, Nameo1 Occupation, oate ~! Accident, (X_u Locat1011, . Gen'/ Supt's No........1/,....fu ................ ~ w . ~ u\.-l .._ K.,tu cUA..J ~-L~ l. Lu r tJk. ~ '1-, -,., -y 78 ,~ Time Mine No. . . ·ed in Mme, state where. If not 1111111 Name of t,1ine ~u'.t. . Age of person ."1Jurea 46 ~ ' J:. CTLQ fA ti( 1 HO CJ-1,vJ 1 E n t r y ~ ~ Room No. Name of Mine Foreman, <:i, J. (,{_) . [ , ~ Married or Single -t:::cv--o,/ t What family, if any, H IJ tong in employ of Co., ~ 'V ~ Condition of Life or Circumstances, oi d address of nearest liuing Relatiue, I( _ , . / Name an t;J ~ c\.../ Was he an efficient man, ~ , Was he temperate, Where and in whose charge_left, U\.)-\._.,.~ Name of Physician called, if any, ~~0"-)1\_ CV\A. tJ._ ~ P\_ '~ Q_ O • Name and p, o. Address of Witnesses, Nature and extent of Accident, Cause, (J'-\.,\M ~ ~ wt ' tvU.., v{,lt(\ (Signature) Date I lt-11-11 IOI 18 Title,~ ~ ti-1 t,, MA OJv �47 Porm 0314. UNION PACIFIC RAILWAY. COAL DEPART:\IENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No......... Jf.7. . . . . . . .. Name of Person injured, Occupation, Date of Accide11t, Location, 18 q I Time GO u ( Mine No. If 11ot injured in Mine, state where. Name of Mine Supt. ~[ Age of Person i11jured I 9 . (].J (}.. tJ( f 1 CA·¼__ Entry No. Name of Mine Foreman, ...../ Room No. '-f ~ f:.d U) · [ . ~~ Married or Single ~~ U What Family, if any, ~ How long i11 employ of Oo. , "'1 MA. Oondr(tion of life or Circumstances, Name and address of nearest liuihg Relatiue, ~, .,L. ( J Was he an efficient man, J....{A Where and in whose charge left, Name of Physician called, if an , Was he temperate, ~ o--o.A- ~ ~ j{. ~ l (rV\, C) 1f <{. ~ O ~o---t-- Name and P. 0. Address of Witnesses , Nature and extent of Accident, (Signature) Date I ll•ll•IJ 109 18 c~.r.~ Ti t / ~ ~-~'\.;/),\1\. ~ �• I .... �Mine No ....................7:···..···~····· COAL DBP.\RTMRNT. REPORT OF PERSONAL INJURY. Name of Person injured, ~ Date of Accident, Gen'/ Supt's No............d... f ............. Clu cJJ,f°"'l-,r,\J ~ Occupation, (i:) _ CJA.i fx1 ry ~ t (}_trd 78 q / Time Mine No. Location, V\ l} ~ - ®itlr If not i11jured in Mine, state where. Name of li1i112 Supt. / ~ Entry No. 3 Married or Single ( Room No. w ~ [ , (jlf (I. t,,{(__ Name of Afine Foreman, & Age of Person injured 48 1•orm 1314. UNION' PACIFIC RAILWAY. (, / t r · v<-() ~ What Family, if any, How long in employ of Oo. , 1 "'y( e>-.Jt--._ Name and address of nearest liuing{!Jelatiue, Was he an efficient man, Oondition of Life or Oircumstanoes, ~ ~ Where and in whose charge left, Was he temperate, U ~ t- ~ ~ ~~ ~ l ~ cJ Name of Physician called, if any, ~ () Name and P. 0. Address of Witnesses , ~ Nature and extent of Accident, Oause, (Signature) Date E 11-11-lt IOI 18 ~J_w, f, ~ Title, ~ 6Y vtu..cuJ 0-, �Porn, S:114. UNI ON' PACIFIC RAILWAY. Mine No...........,,........./.................. COAI. DEPARTl\rnNT. 49 REPORT OF PERSONAL INJURY. Name of Person injured, CR, ~ °' ~u-J Occupation, ~ Date ~f Accident, fr\ ~ Locat1011, \Jt.. 0- ~{ qp If not injured in Mine, state where. t @f "Y 78 Cf / Time /Aine No. :1 O~W J Entry No. ,Y I Room N o . ~ <J<>-M Name of Mine Supt. ~ ~ [ rJ1-.e_ CJ.. U ~ Name of Mine Foreman, <\- ~ Age of Person injured ,Y- \ Married or Single _) ~ ~ What Family, if any, (} , How long in employ of Oo., --Y ~ _,, Condition of life or Circumstances, Name and address of nearest liuing Relatiue, -a~~'--"-,___..'-'_,,,....., 0\. Was he an efficient man, ~ Was he temperate, ~ Where and in whose oharge left, ~~ Name of Physioian called, if any, ~o--v-..._, U J~ U Name and P. 0. Address of Witnesses , ~ Nature and extent of Accident, Oause, (Signature) Date I: 11-11·• 101 18 Title, �Ponn 8314. UNION' PACIFIC RAILWAY. Mine No.. ......'.:J.... _ COAL DEPART:\IliNT. REPORT OF PERSONAL IN/UR Y. 50 Gen'/ Supt's No.......J.:s)_.................. Name of Person injured, Occupation, Date of Accident, Location, If not ifljured in Mine, state where. r' Mine No. @)-(_ Entry No. /lit,\ ~Room No. Name of !t1ine Supt. T u CJiJ_ CA. Name of Mine Foreman, Age of Person injured I '-/Married or Single What Family, if any, How long in employ of Co., . _'3 ~ Condition of Ufie or Circumstances, Name and address of nearest liumg Relatwe, >1.-Lo--G~r ~ '\_/ was he an efficient man, Was he temperate, Where and in whose charge left, ~ :,f' / f f Name of Physician called, if any, Name and P. 0. Address of Witnesses , - (I~ J, ~ ~~ 0 • ~ Nature and extent of Accident, (Signature) Date t 11-11•11 100 18 ~-C~~ Titl e ~ ~o--c'v'v\A ~ �Porm 8314. UNIOi'l PACIFIC RAILWAY. cO.\L DEPARTlmNT. Mine No.........................J............... 51 ORT OF PERSONAL IN/UR Y. REP Gen'/ Supt's No.......£ Name of Person injured, ../.. ............... ~~ ~ , ~'-V Occupatio11, 't:::.M- ~~K Date of Accident, Location, (bIf not ;,,jured in Mine, state where. l tR "U 78 C( / Time Mine No. qp •™ ~ 8 '1- ~ -£ Name of !fine Supt. d( Name of Mine Foreman, Age of Person 1111ured Married or Single What Family, if any, ~ How long in employ of Oo., . ~ r {) Oo,ndition of life or Oiraumstances, Name and address of nearest /wing R'ffttue, ~~ <A.._ '71 ~ (}a_/0'( l/ (1M o - ~ ~ y .~ was he an efficient man, Where and in whose charge left, Name of Physician called, if any, ~ Q ~~ Name and P. 0. Address of Witnesses , Nature and extent of Accident, Was he temperate, ~ U a~ ~Cl--1A_ 18 • (j>t,q.J< - ~rv 1 a. u (Signature) Date U '1/ ( ~ er~< V \ s / ' - J V ' - - - -· ~ t,-f Vatm T/ �STA'fIDlE1'TS OF WITNESSES. �Pormnnu, ,.,. pACIFIC RAILWAY. 1 ONl0 ., Mine No.............~... ................ coAL r>El•ARTMENT. 'T OF PERSONAL 11-l/UR Y. REPO/,\ ,.; Person injured, [Jame 01 oocupalion, O(l t-> of Accident, I':-) .u J , I ~~~ ~ LocaU011, . ,; ,,,,, in f.1i11e, slate where. If /10 t II!, 11 "" Ham• of Mi11e Su11t: , Ago of Person 111Jlll C(i 78 CJ / Time () Mine No. C\,A) CA~ Entry No. f Room No. Q ~ £ .~ t',. ~ Name of Mi11e Foreman, YO /'1,LO-r fAarned or Single ~ C/4_ I f , r-l , ~ ~H.f,!(rvvrA.1 a, What Family, if any, -=(' How Jong i11 employ of Co.• ~ /Jaiilc and acidress of neartJst l1u111g Relattue, o/ ~ondition of Life or Circumstances, U J~ l¥Q,,t--t,f w,,s.he an ajjiai.Jnt man, ~ {) Where a//d 111 whose charge left, /lame of Physician ca/foci, if an:;, rJ..:Jo ~ U~ . _ Name and P. o. Address o/ Witnesses, Was he temperate, Jk<J Nature and extent of Accident, Cause, ' ~ (Signature))'\,\_~~ ~,.~.,H--~ Date 78 T i t l e , ~ ~ (r-r'tAM �STATEMENTS OF WITNESSES. ,. I I �PonnaH. ., p f\CIFIC RAIL\VAY. usro~ • .Mine No......_.. ·-···' coAL oJ-:1',\RT)m~T. ir:roR T OF pJ:.RSON,l L INJURY. Name o;. 0ccupat1011, L<icauon, J\3 (f~ ~ ~ ~..-0~ . ~f ~l Ii) ~ (!;./{ \_.A..J) ~ [ ~ 18 V 1/J , ~ (}. @.)(._ :1 ~ I Time Mine No. Y .. red iil (,fini, slati where. If not ,:yu . ., of f.'iiua Supt. f,aJllv Age of person .i11juracl _..... .flen'/ Supt's No. ..,.................................. ,F Perso!I injured, DafJ_o.1 Accident, . I (P, lM._) ~ RoomNo. flame of Mine Foreman, 0· Married or Single w;,at family, if any, .,JJ'\J' c.J) /on<) in employ of (Jo., ~ ~~ How ti·. address of nearj s wmg eat·,ue, d I OA ~ /r ~ "'--"' \ C4<_ ~ t{ .. Oond1t1on of life or Circumstances, • 1 J~ "\../ (lame an l~f.ls he an efficient man, ~ Where and in whose charge .left, CJ Name of Physicia11 called, if any, (9., ~ Was he temperate, ~ J -' , 0 ~~ \ O Address of Witnesses, Na1ne a/Id P• • AI nn ~ . UJ . ~ a.. ~~ CP~cv Nature and extent of Accident, Oause, (Signature) ~ \ t)J1 w~~<U 711/~ Date 78 E 1Ha,, l:,a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ "nu J ~\ t; _ _ _ _ _ _ __ �vs10N Porm 9314. pACIFIC R AIL\VA'\", ,/ co.l.L vEPART )IEN'l'. Mine No. _···-······· .. • ••••••••·•······ 54 ,, OF PERSON.-! L IN/UR Y. tJJPOR T Gen'/ Supt 's No·-······{ ~ Y:_.............. ., p,,son i11jured, r--v, ~/LVJ, • m Ovf',--J Name o;. ---;- '{ll,,L,c,-t UA oco11pat1011, ~ '" { oata of Accident, Ii) } 't ·a lfi.. 0 ~ <~ Locnt1 'I' ~ . . r"d ;11 t,11112, statf! where. If not 111JU i; l' me o·' f[.'11a Supt. 18 Mine No. ~ £ ' (1)0- Q_}( ;.~~ of Parson _injur<!d 'Y ~ w::at [amil!f, if any, ~ ,;ow tong in employ <,f CfJ. • . . I tddress of neart!SL lwmr1 ReJ.dlluc, 11a111c and , 11 Time "f, J o I o.nJ Entry No. Name of Mine Foreman, ,Y \ Y Room /lo. ~ 0~ Q ~ ~ rA._ Married or S111gle ""Y-_ ~-"\. Wis t,e an efficient man, Where and in whose charge_lcft, Name of Physician called, if any, Name and P• O• Oond_ition of life or Circumstances, ~·~ ,...,_..v-, ~. "'-1 ~ Was he temperate, G ~~ Address of Witnesses. Nature and extent of Accident, (Signature) Date 18 ~ 0 1 �STATEMENTS OF WITNESSES. �tJ~ION • Ponnl3l,L PACIFIC RAIL\ VAY, co/\I, Dl\P.\RT~F.:-.T . Mi-ne No. . OF PE RS ONAL IN/UR J": REPORT I 5 5 •••• ··········•· ·• ················· Gen'/ Supt's No.__ }[:.£ . . .~. .F Perso11 injured, 11ame OJ OccrJpatiOII, .t Acci<leut, oat~ 0J Locali1111• . . d i 1 I.fine, stati where. 18 q/ Time I.fine No. A/ J o(). JttV I Entry No. If not nlj!lfc ' • f/,,,;;J of Wne Su~Ji . . ,., p,~,son i111urca /rgC OJ " , t f amily, if an!}, k m,a1 ,r. in employ of Co., t J. ' <R>...J_ c,. v/\. !'lame of Mine Foreman, 36 '1:,-...._ t.1arried or 8i119/a ~ ~ I Ov('Condition of life or Circumstances, t. address of 11e£cres • wmg , we, ~ d Name an man, ~ Was he temperate, was he all e.flicient 'JJ' d in whose char:1u left, Whore an . --r . callud, if any, r~ Name o,.F Phys·cia11 • H olU o, :, 1 • • R , Name and P• O• Address of Witnesses. A _ I - . d - (Signature) 18 '\; ~ a~ ol Nature and extent of Accident, Date 'Y <(' Room No. ~ (Jp.,1--1'( v1 �Form 11314. UNION PACIFIC RAILW'AY. COAL 1mP.\RTi\mN'1', Mine No....~ ................... REPORT OF PERSONAL f.NJUR Y. Gen'/ Supt's No........£ Name 0'1,F Person injured, occupation, Data of /iccidant, It) r Ll Locatio11, ~ • l}.ttrad in Mine, state where. If not 111 Yam• of l finc S" pt. Age of Person iJymcd 1'/hat famil!f, if a11y, . j-- 18 'i / Time ~ £ · ®).~ tJ( ~i Room No. ~ 9-u_ o-:i: 'jflM. ~ r kt) Married or Single @a...--r-r;::J\ I - -Oondition ofJ.~ Life or Oireumstanoes, L.ut---( -y 0---3 long in employ of Oo. , o-u-e_ How t 1· • R t· Name and address of 11oaras 1U111g ala I e, ~ ..~....( ........ Q.Yl{J Entry No. Name of I.fine Foreman, -Y Cf -3 Was he a,1 efficient man, 1 -( Mine No.----..j 56 ~ >( • I c.......J ~ Was he temperate, ~ nd in whose charge left, U Where a . C>'<l _ a lA.--&-M...o-(\. Name o;,,F Physician called, if any, O - Name and P• O• Address o/ Witnesses, J~ ~ ~ j J L v v Natu 8 and extent of Accident, Oo-i-o-1~ "'t---'-i'- t-- ~ Cause, 11 11 I (Signature) 18 Title, �. ENTS OF WITNESSES. STATEM l l I ~ �,T PACIFIC RAILWAY, 0NI01, co.\L D11PART)IEN'J'. REfOR Mine No................../. ................... T OF PERSON,·lL INJURV Gen'/ Supt's No.~.......f2>~ ............. ,.; Person injured, fla/11e OJ !!0 (] • r occupation, oate of Aocide~ ~<. • ()Locat ,011, • •ured in r.1i11e, slate wher . If 110 t /IIJ ,: r,,,·,1e Supt. Name OJ 57 •• • . . 18 Mine No. ~ £, CM) flA! JI ~ Age o1 Parson 111Jure<I What family, if any, .:..> 0 q {Time :\Yf \ Name of Mine Foreman, ~~ (JJ CJ-..)-,... f(. Married or Singleo-'\...vl... ~ ~ 1 H /ollg in employ of Co., ~ ~ O Condition of Life or Oircumstances, ow id address of nearest liuing R€!jtiuc, ~ r ,J Name a, Was he a11 efficient man, ~~ Where alld in whose charge _left, Name of Physician called, if any, Name and p, o. Address of Witnesses, Was he temperate, . (0__~ Natu·e and extent of Accident, (Signature) Date l 11,1.,_., l~> 78 0 fA.. �. . ,· ·N'l'S OF vVITNESSES. STA'l'EME ., ·• . , ..,,, .,.1 ...' r �Porm 8314, pc\CIFIC R.\IL\ VAY. v~ro~ • • co!L pEP.\RT)lliST. RT OF PERSONAL I NJURY. i&fO • ,., person i11jured, f/ame OJ occupation, ,., Accident, oata 0'J l 0cation, din Mine, state where. . • If not lll}urc Name of /,line Supt. ,., person injured Age OJ r ~foal~ d: t__f Entry N ~ m No. ~ J.w -~ - ~ 4 n d i t f u t ' Circumstances, Was he temperate, Address of Witnesses, ~ (Signature) Date 7 ~tarried or Single Nature and extent of Aooident, Cause, o/ 0-;,tAJ . Name of Mine Foreman, 30 w11at family, if any, ' :f long in employ of Co., ;J ~ How d address of nearest liuing Rel t e, Name an was he an efficient man, ~ d in whose charge left, Y/here an . ,.; Physician called, if any, Name O'1 Name and P• O• 78 t?J I Time Mine No. (v1A. ~ u(_ �STA'l'Ei\IEN'l'S OF WITNESSES. I f I l �Porm 8014. UNION PACIFIC RAILWAY. Mine No.............. J......................... COAi. DEPART:IIENT. REPORT OF PERSONAL INJURY. 59 Gen'/ 8upt's No...........J."':...1,............. Name of Person injured, 1BCJ I Time Mine No. Name of Mine Supt. ~ G ~{ , O U , Cl. ~ / ( Age of Person injured $-3 What Family, if any, ~ q ~-~ Entry N o . ~ No. 1£ How long in employ of Oo., ~ ~ Oonditi<?n of Life or Circumstances, Name and address of nearest liuing (!!Jatiue, ~ ~ Gvvt. d Was he an efficient man, ~ , Was he temperate, Where and in whose charge left, Q ~ ~~ Name of Physician called, if any, ~ Name and P. 0. Address of Witnesses, 0'J¼ CAJy~ Nature and extent of Accident, Oause, (Signature) Date 18 CJ Name of Mine Foreman, ~rP;l.1,,,\ Q. ~ ( Married or Single{)- ~ ~ ~ �STA 'l'Ei\IEN'l'S OF WITNESSES. i I ' "'' I I I I.. �Form 8314. UNION' PACIFIC RAILWAY. Mine No...........,,.......~.................. COAL DEPART11£ENT. 60 ~ REPORT OF PERSONAL INJURY. Gen'/ Supt's No........... ....<?................. &--0. ~ 0 ~ 9/ Name of Person injured, · ~A\. Occupation, • 1 Date of Accide11t, ,;'\ ~ C ( 18 Location, \...,X.. O ~ · ~ £10 If not injured in Mine, state where. U ~ f, mJ_ (). ~ Name of Mi11e Supt. Age of Person injured ;../ ~ What Family, if any, 3 I How long in employ of Co., r( cvtA.MLl Name and address of nearest liuing Relatiue, Time Mine No. ~ @-UV / Entry No. ~ Room No. &-[ ' ~v{ Name of Mine Foreman, Married or Single (l-U.... ~ l Condition of Life or Circumstances, -/4u J v\ l Was he an efficient man, ~ '\......t, o' . Where and in whose charge left, () ~ . . ~~ Name of Physician called, if any, Was he temperate, ~ U 1 • Name and P. 0. Address of Witnesses, Nature and extent of Accident, Oause, ~(Ul Jot- ~ ~ Q• UJ--<WIG,, d ~ /IM._,)~v() .. (Signature) .... Date E 11-18-113 108 18 ~cC-&~ T i t l e ~ @ o - ; 'LMA. ~ �UNION PACIFIC RAILWAY. Mine No..............q...................... COAL DBI'ARTJ\IENT. Gen'/ 8upt's No........f...L ................. REPORT OF PERSONAL INJURY. i Q't-u,\ .W&--v ~r (j Name of Person injured, Oaaupation, (vl...~· V Location, \) If not i11jured in Mina, state where. ~~ 61 Cly() Mine No. U mJ. I 1 0. 74<) ' Entry iiio.r\.,\ ~oom No. G. Name of Mine Supt. [ , o.. ~f( Name of Mine Foreman, ~lj-J ./ •. Age of Person injured 'Y Married or Single ~ What Family, if any, How long in employ of Go., rf ~ f:::::) Condition of Life or Oiraumstanaes, Name and address of nearest living R&tiue, ~ ~lv\A. Was he an efficient man, ~ (i:} U _ Was he temperate, ~ Where and in whose charge left, r:#v~elw ~ ~ Name of Physician called, if any, ~ \J Y ~ 0--{ 0 '\J. lt\.J O 4-- CJ Name and P. 0. Address of Witnesses , ~ Nature and extent of Accident, Oause, a~ ~ {~4 . w-Rc u .tr; od~ ~ j c~{)_ v< LV-O-t-li l olM ~ '!f ~'N (Signature) Date I 11-11-11 101 18 ~~.cf:,~ T i t / ~ ~ ' H""vit¾_cuJ �Por01 8314. UNION PACIFIC RAILWAY. Mine No.....:J...................~........~..... COAL DEP,\RT~ENT. REPORT OF PERSONAL IN/UR Y. Name of Person ~jured, Occupation, --;/ t {.(A/,~ Name of Mine Supt. • ~ ·/ Age of Person injured l.f-~ Gen'/ Supt's No. _....~................... ~ /4 ~ Date of ~cc)ffent, :1,,, · 2 }~ -~ Location, /(.,u-u(_ ~ If not illjured in r.1i11e, sl te where.(/ C. ..!? ~ • {J - /j'_/~ ; ( 1BC/ I Time / .!!.. ' Mine No. J r. /1,1., • Entry No. -)VI t<~ Room No. Name of Mine Foreman, (i /7, tl~~ Married or Single -;:t<- c,,,,,,,--YT-..., ~ J,,.M 1 What Family, if any, ~f:":.'w O-v,..,(__ . P✓~How long in employ of Co., :3-'l..,__ ~~ Condition of Life or Circumstances, Name and address of nearest liuin{[_fietatiue, ~ ( ../11, ~ ~ was he an efficient man, __r t e - - Where and in wl~ose charge. , Name of Physician called, 1 any, Nature and extent of Accident, WiJs he temperate, ~~ Name and P. 0. Address of Witnesses , l lH..... 109 ~ (j ~w<-,. JJ,..M., . ;3 /1.A.-~ (Signature) Date 62 18 fe _}, Title, ~ ~ ~ 1I �s'rA'l'EMEN'l'S OF wr'rN ESSES. ,, I • ' ,,.• ... I' j I i:'" �Porm 83H. tr~IO~ PACIFIC RAILWAY. Mi ne No..~L~....... COAL DEPAk.T:\lENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No."...~ 1..,................. Name of Person injured:_ occupation, '-1/4,L,~~~ It) Date of Acc!Jjent,__ 9/ T;me9~ Mine No. ,3 Location, l[p-vJ Ct.:-u{ I Entry No. If not injured in Mine, st flame of Afi11e Supt.- e.MJ Age of Person injured . ,-<9. /1;~ (. Was he an efficient man, ✓ft--'i.,,-0 Room No.Ju; ~r Name of Mine Foreman, t{~r?J:~ '-~~~ .J.,O -- ~C<.,,-Y'O What Family, if any, How long in employ of Oo., ~ ~ Name and address of nearest lit.irlg Rel~tiu~, - f llfarried or Single Condition of Life or Oiroumstanoes, ✓~~ u (/ Was he temperate, Where and in whose chargPleft, Name of Physician called, if any, ~-• ~ Name and P. 0. Address of Witnesses, {.( l<//Q _ , I ~ v'~ Nature and extent of Accident, fJa1,se, ~~ ~ ( ~ ~ ~~ ~7/ J/4.. --L ~~ ~ (Signature) J1ll 1,,_,__ ~~·'I..,, Date 18 Title, "-Vt.A~ -;:I~ a.-- �Por111 S014. tJNION PACIFIC RAILWAY. Mine No.i~lr~ilp4 COAL DliP.\RT:'ifl~N'r. REPORT OF PERSONAL INJURY Gen'/ Supt's No.......~.................... 18 Cf I Time / Mine No. /Jam:J of /.?inc Supt. , 4 .AA/ _ Age of Person injured What family, if any, / f 7,(,,,(, fut-i!y-No. J ~ How long in employ uf -- ~ Oo~1ditio 1 o·-F • , . Oo.,, , j . -~ . . ~ '.I L,;,1:.e :; • or o· 1rcumsrances, Name and aadr~ss. of 11ea, ,st l1U1 ~ Relatwe, /(_ <>-<A( • _ , -::y ~ Where and in whose charge I , ..J w v ~ Name of Physician called, if any, ~ -u vvf ~ Name and P.O. Address of Witnesses , _ _"(/_ _ n.. nv&m-f!./e, Name of-Worioroman, ttt..W. W ~ Married or Single -'//4,( ~ -~ JI/ 18 he an effia1e11c mail, J./~ -~1/l(_. -/AA JJ . ~ ( ~- 7 . ~ uo/ was . tr ~ ~ W he temperate, J -- J ~. ~ Nature and extent of Accident, (Signature) 'iAA Date ( IH.. t) lc,a 18 W ~c..- Title, -u,(.. ~ 1{)~ �Fona SSlt. t]SION PACIFIC RAILWAY. MineNo..............~ ,.,.····•·•·•--......... coAL DEPARTllE~T. REPOR T OF PERSONAL IN/UR J': Gen'/ 8upt's No._ ....i.~7-............ ...... .~ Person injured, //a//lC O'/. . ~ occupation, . /, A --x-- oat" of /.cc:·ent, I.rJ~ . .>t--t:__ / Y- 7r - r- • • ) tJ-v)L,,~ ~ Locaticn, If not ;,,jured in f.finc. talc wher • name oj r.;;11a Supt. • ~ _ ~~ What family, if any, ..:::/ ~ a.,.' Time '-/ -,O, 'UA . fAine No. ~ n t r y No. :)_ f""' -L . / ~ Age of Pcrso11 injurecl H;JIU long in c:mplof! ,,f 18Cf I ~Ovv1 ( Married or 8 11u}J ~ - flame and address of 11ear1st /,uinr/Relatiue, ' man, ~ W,s I1e an eRYtJie11t 'JI' Where a11d ill whose charg .' rt, • Name of Phys1c1an called, if any, , • .-: / Condition of life or Circumstances, ........7~ ,,, he temperate, ,,as ~ w---urt, ,-/ L ~ Name and P. 0. Address of Witnesses. ~ 4 ~f r ~ ~G.-_ (Signature) Date ft Name of Mine Foreman, 1 ~~ Nature and extent of Accident, Room No. 18 .Q t/_ -t-1.,«) -- jJtJ.AAC. _ Title,~ - : /l°YwL~ 1 �.. ,. s·rA'ful\lENTS oF wrrNESSES. 1 • I J �~ ONION p.ACIFIC R AI LWAY, Mine No. ...,............. .. ················· COAL DEPARTi\rEN'l'. JUJPORT OF PERSONAL INJURY. Name •f_ Pers::;J/"''?, 00011pat,on, i,{_,( • t --<l--<A1)r ·· Q._1 0ai·a ~f Ace, n ' ,, ~ . Locatwn, l,)-C1i... • ~ If not i,,jurJd in W11e, stat~ where/) /Jnme of f.fi11c Supt. Gen'/ Supt's No........f!...&. ...................... '2 ~ ---~ • ~ 1Bq1 ~ U Time g -f?'t{(. Mine No. I 4.,,(A) •/7. tj_,~ C Entry No. 2.. Name of Mine Foreman, - ,...._ _ W1s h~ an effiaient man, - - ~ Where and in whose charge lcffi/ ~~ __ Name of Physician called, if any, o&---_~ Nature and extent of Accident, f --W. tviA.,u~cA Was he temperate, ~ (J f! '/J~ , - d ~ f!. a..-c.vt..-~ ~n/1.,vt:,< 18 1 Room No. 5)~ P (!,t.,,-y'f( Age of Person injured :J_,._/ -~/- <..- ~ Married or 8111t9)e . ;~ /;) (J What fanuly, 11 any, Le~ How long in employ of Co., / (j ~~ Condition of Life or Circumstances, Name and address of near--{st liuing Relatiue, - : : : : ; - / ~_ Name and P. O. Address of Witnesses, 66 ~ ,..;;/ ~ f �OF WITNESSES. STATEMENTS 1 �, T tJNIO1" Form 8314. PACIFIC RAILW AY. Mine No.........( ~ ·······~' ............. co.\J, pliJ•.\ RT:'II J~NT. or OF PERSONAL INJURY. REP0tl Gen'/ 8upt's No ...../1...7...................... fJ rL. '--1/4,t_ a. {}_ -~ . o,f person injured, MiW - 0ccupaiio11, - J///1.-~ oat\! of Acc_(t/ellt, • - f{ v-<.,A Local/OIi, . . ~ - , ~ .2 • ,..l,t //vv1';;7 , • ,, ~ ~ ~ Time I J .:::f_:}_' 7Bq I • mine No. r11· a. '-u,(. Entry No. ~ / 3 If not ;,,jured 111 1./me, sta e wheie. Name of {.fine Supt. ~~ - -~ , Age of Person injurud , / ;:/ O /3~<_ J /4 ,_,,, Q_,:;-r-- J ~ ---rr~: temperate, 7 , S?::>--. ~{;,,,,..__ Name and P. O. Address of Witnesses, {c IA.) M A ~ ~ 1✓~ ~ _£'1 . (Signature) Date P,_ Condition of Ufe or Oiroumstancea, ,/J re (l"--(4( w,s he an efficieut man, -~ Nature and extent of Accident, ~ Married or Sm/fa/ (M r,,AA.A.:;:-1 '- fA.. - ,......-;;, (1/hat family, if any, ~ 1/olU tong in employ of Oo.' ((_ ...,;:t<--- ~ t1ame and address of 11ear -1st liuingl Relatiuc, Where and in whose chargr. ([/ft, flame of Physician aallecl, if any, Name of Mine Foremm,, Room No. y 18 j ,--L_ -f ~I,, Title, -z,t{..,MM- --I~ 7 �l'~roN • Ponnsslt. pACIFIC RAIL'WAY, 68 A1ine No....~½............ L DEP\RT:1IEN1'. coA • , OF pHRSONAL IN/UR Y tHfORT Gen'/ Supt's No... ~ •••••••••••••••••••+., ~~ if Person inju;ad, f{ame o. · 1A.i ~ 0CCII/J!1ilOII, - .L. -~ oat.! of ~crj.flent, ... ~ Location, l'(u-i/J( .A . : red in f,fina, sta ~ LYhere. If uot 1111 11 f/(1.r.;s of t.J'11e Supt. -Lt /fgc of Pe;so11 i1,jurcd ::::::r _,l,<J _ • L/ 18C/J Time y ~ /?'Mf, Mine No. 8 Entry No. It 't /? . /.L(,~vv( ;,lame Name of Mine Foreman, -~ ~. v --~ Married or Smgle What Family, if any, - : ; ~ /lotu tong in employ o/ Co., ~ ~ - ~ a/Id address of near .sc ltum!;IRclatiue, - ~ 4. Condition of Life or Circumstances, ~ - . w.,s he an efficient man, -~ Where and in whose charge Jrffi/ G>,-cl~ N,tme of Physician called, if any, ~ . ~ -n Name and P. 0. Address of Witnesses, ~ - - Z- Nature and extent of Accident, Date Room No. V / 18 r Was he temperate, , , h t i ) ~~P, �s·rATF.MENTS OF WITNESSES. �~ . O' T PACIFIC RAILWAY. UN I l 'I DJiP,\RT;\IJ~NT. co,\, I -- MineNo'-··········· ...... ·········.......,,..... , VF J:>'l;RSVNAL IN/UR J': RHPORT ' Gen '/ Supt's No.......l.JJ...................... (ICJ . Ct...--r---tJ-0 _ ,.,..,..f ~ Occupation,~( ~ r 1 r- ~ {Jama o_f Person injured, , Time C/. Mine No. I 18Cf I Date of Accident, -4--<-ff' Location,~ U /Jo ~ If not i//jured ill t.?iuer state whflre. Name of Mine Supt. a 11,/f , f.ntrg-No; J'~ Room-N-0. tJ 4 ~fi;A.,,() : · / . /3.,.,L,JA--- v-1 ( (3 ~ Name of Mine Foreman, Married or Sing@ -w Age of Person injured What Family, if any, ~ How tong in employ vf Co., 'J~ ~ , ..-, . Condition of Life or Circumstances, Name and address of near.Jst liWng Relatwc, . = 57 ~~ W18 he an effiaient man, ~ Where and in whose charge_l(ft, . - , j ~( ~ Nume of Physician called, if any, ~liYI ~ p CVv<. ( ~ Was he temperate, . --~ / 1 J . -n Name and P. 0. Address of Witnesses , Nature and extent of Accident, tJ-· f ~( -f __ _____________- ___________ ...._. ( Signature) Date ,_"_..._." :,"'.__ 69 18 Title,'1))..~ ~ �STATEMENTS OF WITNESSES. �,T UN'Iol'f Porw 83U. PACIFIC RAILWAY. Mine No._ ✓-~........ COAL DEl'ART.i\IllNT. T OF PERSONA/, INJURY. REPOR f Gen'/ Supt's No._7-a................... Person injured, ~ f/ame o1 ,/'I . ~ I ,.A.,vV-<,--Y . oc::up!T.t1011, . ~ "2.--u oate of Accjfle~it, ~ • l(tvl Lo1Jat1,)!1, . '}•tired in 1;fi11e, state tJJhere. t (J,, '-f..,f ,t ,, 1 / . -...,~ 1 =-r 780 I Time I I t./~V Mine No. ~ a .71A, Entry No. ff Room No. If 110 Ill ~ "( J ~ /lame of W11e Supt. -..."4.A.A) • If)· Age of Person injured _:, (3 ~ v o What family, if an!}, Name of Mine Foreman, ( J--v.--:> Married or s;n{d -d~ 1 , . . - - (f -- How long i11 employ of Oo.' CJ -~ ,/.J OonA}.itioof Life or Circumstances, ' and address of nearest fi,Jlng Relatiue, / r v-<A ( Name ivas he an efficient man, ~~ _ __ Where and in whose charge ,(Jt, CA -/4,i;, 7 ,-LA -~ /lame of Physician called, if any, .f::-),, . 11. vYf 11>1\. Name and P. O. Address of Witnesses, ~ Wai he temperate,~ O 6 o( J ~ Natu,e and extent of Accident, (Signature) C],KI J~ 0 Title, /J A I '- 18 ti,.,.... lot 70 . //1,/l.MM. - -j /)AM.,,(. 0.,.,-..b- �UNION PACIFIC RAILWAY. ~.............. MineNo..,... COAL DEPAll'l'l\£I•::NT. REPORT OF PERSONAi~ IN/UR Y. Gen '/ Supt's No.~...J-..1........................ '-J ~ . Name of Person injured,_ Oooupatio11, 0~""" /... :-;u 9 Date of Ao_cjffent, ';2.. Location,~( v-l/Jl / J!/4o ~ 181 I Time ~ - t°. 1/A • fl1i11e No. If not i11jured i11 Mine, ;t&te whareU i'lama of Mine Supt. - ~,,(,Al . / Aga of Person injuratl 1 ), What Family, if any, '2. ~ /3./(~c.A ( . J Entry No. ~ Name of Mine Forema11, 'J:'_.,.,c...,,,v0 Room Na. rfJ. JJ. (1 ~ Married or Single -U( ~ - How long in employ of Oo., 2.. ""J,ivo-vvf Iv., Name and address of nearest liuing Relatiue, Condition of Life or Circumstances, --:;I4..,,,4&, /8.>-----C4 ( -,,,/ f.~ Was he an effiaiant man, ._ ~)v, Was he tempera(,e, !Vf c]v :.i/1 l,jv, 0 Where and in whon charge t, Name of Physician called, if any, - Name and P. 0. Address of Witnesses , .,..f tp ( )v~"UA/' Nature and extent of Accida11t, _.,1,; r -~ JhVJ>t--~ Oause, / 4 ~ (Signature) Date I. 1l•ll•U 10D 71 18 Title,,.-U(~ Y ~ �I, • ' S'l'A'fEl\IEN1'S OF WITNESSES. l (: �l'orw 8314. UNION PACIFIC RAIL\VAY. Mine No.......l&16!:-... .................... COAL DJ(PARTiUHNT. REPORT OF P.8RSON.JL INJURY. Name of Person injured~ ~ Occupation, ~ U( ~ I. U~ ~ : ~ 0 .. c; Gen'/ Supt's No....2 ...~..................... • Date of ~ccj(lent, ---~ <i1l 11 Locatio , 1( c--vf(A1 If not i1,jured in f.1i11e, s.ate where. lj ~ O- /J. 18 °I I Time V Mine No. I ~ OI_. YJ/l , EHl'r!J--Nrr. LW, lloom-No~ /Jame of Mine Suf)t. • .,u.> 1"3-l.-.J( Name of Mine Foreman, r . .,.} -J-L Age of Person injured :) _-~ - ~ Married or 8in"7 -vi.A..~ What Family, if any, frv"-_p.__ How long i11 employ of Co., - : ; , ~ Condition of life or Circumstances, Name and address of nearest liulrlg Relative, ~u< 4 - f ~ j , 4 Was he an efficient man, ~ Wadlhe temperate, Where and i11 whose charge tfltt, Name of Physician called, if any, Name and P. 0. Address of Wit11esses. Nature and extent of Accident, Date E 11-1 ..1) 109 72 78 u-->~ \ • �Por111 8314. UNION PACIFIC RAILWAY, COAL DF.P.\R'l':'lrn~T. Mi neNo. ~ - - - - - • - - • • • • •t•f•o•u•••••••u,.,, 73 REPORT OF PERSONAL INJUR J': Gen'/ 8upt's No.....:J....9...........-·-····· //ameof Person injured,_ Occupatio11, Oate ~f r . _,./_~{.:_ ~~ ~ /lift;\( ~i - Locat,on, If not ;,,jured in 1,1in~. state ~ here. ~ 78 q I . Time J ~ Mme No. I U ""'1°.W. Entry f✓o. ~ I Room No. cl p What family, if any, How Jong in employ of Co., ✓~/·. ·~~ Condition of life or Circumstances, Name and address of near.:st ltumg flelatwe, ~ . . . . t . / J - . - ~ _ 0 -I . ~ ( Name of Mine ~U~Jt:,, - e/ w .. Age of Person IIIJUI .,d Name of Mine Foreman, 1.,,(.,<) ()<A.A~ Married or Sinrlif _,,/~ & t) ~ Was he an efficient man, ~ , Where and in whose charge J(ft, ~~ ........~ °'Name of Physician called, if any, o8,-r- . - n ~ ,:.__ Was he t~mperate -e~ 1-<-c Name and P. O. Address of Witnesses , Nature and extent of Acoident, • M /'v\..A__ /3 ~ k...1..__ t-V-v,.A (Signature) Date J-----w f ~( Title, 1,1;(_~ 78 --q~ �UNION PACIFIC RAILWAY. COAL DHP,\R'rl\JEN'f. Mine No..J~.......... 74 REPORT OF PERSONAL INJURY. Gen'/ Supt's No.......~.z._..V... ................. -~, J~ Name of Person injured, . tf°LA.. Occupation, I\. ', t ~ roatc of ~c3/ilent, @...r. _'j -/4. Loocttion, I( ,rUJ( } 1. vtL;t' Ch,-';:rtl If not ii,jurad i11 Mine, stall where. U U ~~-- , 1 18 "II Time I I Ct .JV(· Mine No. Entry No. U< ((..,~ Room No. J J?. ~ ,,, "A ~ Name oj Mina Supt. {}. (AJ _ / . /3_..f_(A___..•/ ( Name of /J.1ine Foreman, fJ . d Age of Person injure r_,1 '.) o - -=---...-.=:> Married or Sinale What Family, if any, How tong i11 employ of Oo., ~ , _~~Oondition of Life or Oircumstanoes, Name and address of nearest lufil,g Retat1ue, L..n. p_~ Was he an efficient man, ~ - -Was he temperate, 4 (/.) 0-· Where and in whose charge left(} Name of Physician called, if any, - /3~ ✓-✓~--'- rt l/ ~ ~ v'J 0 - Yl-o-.-"'---1<,_ Name and P. 0. Address of Witnesses, Nature and extent of Aaaident, -;:J./-~ (Signature) Date 18 £'-t?, &~ Title, 1,(j_~ --:f~ �STA'fEl\IENTS OF WITNESSES. �Porm 3814. UNION PACIFIC RAI LWAY. COAL DEl'ART:\IH:-.T. Mine No........~................. 75 REPORT OF PERSONAL IN/UR Y: •• d , flame of Person 111JUr~ . .A I/ r Gen'/ Supt's No....:::;..J.:.................... ' ~ - 18 C/ I Time nfine No. ft .. r I Q_. W(. Entry No. 2. Was he an efficient man, ~ Where and in whosa charge !fdt, cj Name of Physician aalled, if any, Room No. I <./ J ' / Was he temperate, ~ 'W.tv7G.._' <J ~ . ~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, I ll• l1-a, IOI 1/ 6iJ rL f cv.A\ flame of Mine ~u~Jt. l,d • f • '3.A.o.. c.. 1( Name of flline Foreman, Age of Person lliJUrecl ,..J '> • <-:::J,,<~ fl1arried or Sin U What Family, if any, How long in employ of Oo. • 2 _,.~-l ~ Condition of life or Oircumstanoes, Name and address of nearest /,umg fte!atiue, -:#'~ Date J ' &YU..,,,V-, Occupat ,011, f/Vl -- ~ Date of Acc:umt, Locatio11, /?_ v-VI(A_/Ja ~ > If not ifljurcd i11 f,fina, slate wherdl ., I' v .. ·l ,,,._,,.,./ ' l , ?<...,; , 18 Q /I 1/1/l,q,,,l,( O �'(]!\ION PACIFIC RAILWAY. ~ MineNo COAL DEPARTMENT. • ••••••h1••• t •1• UIIUOUOH•• • •••••••••••• .REPORT OF PERSONAL IN/UR Y Gen'/ Supt's No.......7...1/....................... J -.1.-.---tG: ~~ Name of Person i n ~ occupation,~ J oate of C ~ Location, ()-v1 ?_~ If not i,,jured in Mine, state whera. 0 1°°/("t, Name of Mine Supt. ~ ,,uJ • / . Age of Person injured ~/ Mine No. / 1JL o 0 Oondition of life or Circumstances, 3~ was he an effioient man, ~ . Was he temperate, Where and in whose charge 1efj, Q. . , 4~ ·" W ( 4 ~ Name of Physician called, if any, ~ . 71 vvf:v-...._ Name and P. 0. Address of Witnesses, Room No. If Name of Mine Foreman, fJo,.,,v1 \ Married or Sir#Je _,/~ ~C ~ What Family, if any, How long in employ 01 Oo.' 2 ~ Name and address of nearest liuilfg'Retatiue, • Entry No. ? _,r ~ U f}JJ-- ~ Nature and extent of Accident, (Signature) Date 18 {j 1MJ , / {).A// C. 4itle, -uA_~ j- Y Y ~ �vsrv~ r .\CIFIC R .\ll,\\'.\ Y. MineNo. C0.\1, J)l,1' \ R'l':\I F:'\ 1'. ~ ••••••••• •••••1••••• ••hr••••••••••••••• -- Gen'/ Supt's No.______7-.?....................... Entry No. I tJ Room No. 1 name of I.line 8 11 1• I: t ' ,{ ..(,~ ,!( Name of I.line Foreman, LW , /11,,,vf( 11 Age of Per:son _ uuriJd I 'I J ,-,· - a -;y:;, Married or Sing!( ~ What Famrly, if any, How long in employ 01 Go., IL__ - t;J,-c.,,..vi:-° . Oondition;if life or Circumstances, flame and address of neares t humg/Relatwe, /e,"'-i./; ( ..... ~ /'3. p <)_ _J J/f 1 4 .~ I.Vas he an ~fficient man, 1 Where and m tu hose charge efltt, Name of Physician called, if any, . {fa Was Id temperate, Cov 7 4 ,v.. L //)./I. . - y, rvl n.-.. (/ Name and P. O. Address of Witnesses, Nature and extent of Accident, . ,J} ~ (Signature) Date E 11.11-, , 1, 3 18 ;J~, f iJ<A;( ( Title, 1/l,(_-AA,,t/4 0 �Porm 11314, lJ~ION' PACIFIC RAILWAY. COAL DEP.\RT:.JENT. Mine No•......~................. 78 . . ORT OF PERSONAL IN/UR Y. REP Gen'/ Supt's No.......1....f .................... oF Person injured, /lame " --( 1 1 • • Occupat1on, a J, 13. -v<. - ~,,,,Y- . rL.__ Oati~f ~e;f)dant,( ~ Locat1011, I{ rtA ··f ~ If not iujured in Mine, slate wher/1. Name of Mine Supt• • J - ~ 18'?1 Time~ Mine No. I ell_ U • / • J'.3 e;.__,.,( ~ fit(, Entry No. Name of Mine Foreman, ".L 1 Room No. C).,~,-.-,-J"',,_,._, \ Age of Parson tnJured :;_ 9 • ~ Marned or Singk,! ~ ~ What Family, if any, How Jong in employ of Oo.' I ~ Condition of Life or Circumstances, Name and address of nearest liuinef/Relatiue, "-7(1v-t,..,,1( /? Was he an efficient man, ~ ~ . Where and in whose charge.let, Name of Physician called, if ny, )).-_. -·.-.:Lt vv-vH - ~ Name and P. 0. Address of Witnesses, Nature and extent of Aacident, - . ~ e temperate, )1 oVf~ 0/ ~ ~ ~ (Signature) Date l ll•ll-11 IN 18 ~ 0 r,.J' �,T tJNIO.... pEPOR Form S:114. P .\crFIC RAIL w A Y. .,.. coAL DEPAR'r .i\mN'r . Mine No. c--:,7.../ .,......~ : -...... T OF PERSONAL IN/UR Y. Gen'/ Supt's No.......7 ..9.. ••••···········.. . ,, ~ '--8 ~ , . Person injured, , ~01 f{ame . -----f,,(1l ....A./vtJ.,-r occupat,011, ~ 7 -7' k . oate ~! ~~( A/h ~ Locat1011, .__,..... 7r . ,itired in MiM, state where. U If not ll'J J8C?I Time / tJ • Q ,'"U1 , Mine No. '3 I Entry No. f Room No. ---:/~C Name of 11"fme Supt-~ Name of Mine Foreman~ ? : " 0 • , J . . d ~__.u ✓t;:t--<-~ , ~ ~ ~ lv.J Age of Person mJure • U Married or Single ~ f T• What Family, if any, tf How Jong in employ of Oo., ~ ~ Condition of f,.if e or Circumstances Name and address of nearest /1u111g Relat,ue, ~~ . / ~, , 'J 'r : r Was I1e an efficient man, Where and in whose charge le , Name of Physician called, if any, , Was he temperate, ;,t;)r-, '71 .. ,/ Name and P. O. Address of Witnesses, (IY~ ~ t 1 ) « _, Nature and extent of Accident, (Signature) 18 .......____ ~ �S'l'A'fli:\IENTS OF WITNESSES. �, ,r u siv•" p s\CIFIC RAIL \VAY. • COAL DEP:\RT:IJENT. Mine No,...L~............ 80 iu:roR ,r OF PERSONAL INJURY. J Gen'I Supt's No.-.....:to ._···-·-··••.. , ~ 01 Person inju{)red, ,7\. /VVll'v?-" occupation, ~~ 1 7 t" of 1ic'!faje11t, oa ~ .• ..,/ / (p-f//(__4-1::.:0 ~ Locauo11, . •ired ;11 Mini. st ,te where. If 11ot ll'}L Name . aa-- ~ 18 q; Time I I :1A.) Mine No. <J lJl 't,l{ , Entry No. f Room No . ~ /lame of Min• Sup£. • ju , ( Name of Mine Foreman,~_~~ A,01,., ,.J-i, 11 Age of Person uured I / ~ Married or Single <f ~ J.. r 1 • What Family, if any, How Jong in employ of Oo.' <-1- ~ Oondition of life or Circumstances, Name and address of nearest liuingvlelatiue, -yu ~~ rJ~ 0-- Was he an efficient man, ~ . -JI Where and in whose charge left, -yz,,( ~ ~ Name of Physician called, if any, Was he temperate, (J Name and P. O. Address of Witnesses , Nature and extent of Accident, (Signature) ....___ _ _ _ __ _ _ __ 18 ltt.,.... ICII -0.A,,O �Porm S:114. UNIO~ PACIFIC RAILWAY. COAL DEPARTMJLN'J'. Mine No.........,..., . ~ . . REPORT OF PERSONAL INJURY. 81 Gen'/ Supt's No. _... I/ ....................... ~ ~ Name of Porso11J/)_red, ' occupatio11, ~ t ~ ~ I ~ Date of 1c;c en I J Location, r/'VA. - • ~ ~ If not ifljured in Mine, slat where. U • P <ft. r 0- ~~ ...t.s· /l 18 q I Time I ti Mine No. / l,,{, <£(A,, Entry No. 2 S ~ Room No. p !lame of Mine ~u:t~ •/ , Name of Mine ~oreman, Qr-£...... _ c,..,v1 \ Age of Person 111JUI ed ~ ~ Marned or Singlt:} What Family, if any, (/ How tong in employ of Co. , ~ ~ Condition of Life, or Circumstances, Name and address of nearest lluif[g Relatiue, / \ v--t..,,,1 ( , AA Was he an effioient man, ~ ~ ,_(/ ~ e temperate, ~ Where and in whose charge le@ Ot.>t-cl~ () Name of Physician called, if any, .,;J~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, /3 ~ ~ 4 (Signature) I"""' Date 18 Title, f o--4': ~ -I~ �• - O1·•, WITNESSES. _,- -' · EN.ITS ~ STA1~El\I 1 �Por1118Sl4. pACIFIC RAIL\VAY. J.~. . . UNION coAL oUPART:.IEN'l'. Mine No, ..... •T OF pHRSONAf, IN/UR Y: Gen'/ Supt's No.h.....f ~. .. . . . . . . . REPOA ., person injured, t✓ameo,_ • {£(~~ Jlt(./~ •• If not 11~ Person injured ~ •/ - 1&:i' I /'J c.,a.....,""" / ~ ~( .,,,,11e of:; /,fine Supt. ~(} ..,(A) • / . e 7 t:__ 7 'L..!._ ...- -u 'J Ag 01 ,,.,/- ,' - ,,./ - ~......,~v0<Tl.A_ occupat1011, \._\.✓_..........•,/ ,,t ~ Date of Aca, uJ ' ( , . I~ ry_ 'lA.... IA.---r Loc(lttoll, . ,;,,red ;11 (,fine, s ate where f,,, •• / I ~,,£/ Time '-· -;, . °p(,A, Mine No. Entry No. 7 Na me OJ,-FM'me Foreman, ~ -z. Jo) . I/'. /,) W Floom No. It fr ~ Married or Single W~Ld ~- v111at family, if any, ~ ow long in employ of Oo.' o./;-I.,(_ u~e or o,·rcurnstances · R In t· " " ~ , / Condition o-F 'J J' H t I ,, e and address O1 neares /Uln(} ea tue, ·J<:::L. ~'-'V\-•vi..~ t,am ~.A. Was he an efficient man, ~ 1) ,Y Name and P. O. Address of Witnesses. /J.-r. '7t ~ -/1 e t emperate, ;:i ~ : : ? ' ~ ~I',(., ~ a;(,. ,._/// ,:f;{d ~ . , . .._ .,_ /3 ,,,,w-{lz, L f-t:<--<....4 ( 18 AA. r;_ ,11. , ~ ( - "V"f ~ jJ(),.,(A)._ / r!ar t,;._. d l,_,._,__ ~ (Signature) Date r~- Wa ~.... ~ /J\ ~ Where and in whose charge let,~, Name of Physician ca//ed, if any, Nature and extent of Accident, 1::.a: a ' e~ Title,~if~ �.' STATEi\lENTS OF WITNESSES. r I C®i I t t I " I I �~ 83 Form 8914. UNION PACIFIC RAILWAY. Mine No........ COAL DEl'ART:'IU:NT. REPORT OF PERSON.-JL INJURY. Name of Perso11 injured, 1 Gen'/ Supt's No ....................................... ~ ' ~ \ . \._fu:t--- J O '\J\ .CU, 1 Ocoupation, - lllLA...t.T Date ,~f AucicfJ.~t, Locauon, (J-(Q---Qµ ~)~- llf) If not injured in Milw, state where. 0 ~ ~fa ,\' 1 78 Cl I Time f l'---"1 O _ Mine No. \j-- <- LVEntry No. L U ~ t) ( , ~ (\. ~ Nama of Mine Supt. v/ \tl What Family, if any, ~ ', How long in employ of Co., /\..Ll\S-l l •_ Condition of Life or Circumstances, Name and address of nearest living Relative, u. ~ u. o'\ Was he temperate, Was he an efficient ma11, ~ ,J' Where and in whose charge felt, Name of Physician called, if any, Room No. 'V Name of Mine Foreman, lJ-L (j)Clf\ Married or Single(\ Q)_...___~, ✓O Age of Person injured --Y / /(J ch _ 0 -- l ()..- \---- \ ~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, Oaus,, ~l·--(\;JJ ~ " ' / L ~ (,LA,'-°'-- ~ J t cu- t._ 1-.. .64J 'k..,\.AA_.. ....... Ll lL I( (Signature) Date E IHI-Bl 10B 78 Title, cl (.N---R.A e_ (Ll.,l. CJ lcl �STATEMENTS OF WITNESSES. ,,r .. �~ 84 UNION PACIFIC RAILWAY. MineNo.. COAL DHPARTlmN'r. REPORT OF PERSONAi, INJURY. Name of Person injured, ( Gen'/ Supt's No. _.................................... ~~~l (,\ ( Occupation, [1 (."- nData of Aaride11 Location, \. }z ,) ~ ~ ~ ff not i11jurcd i11 ft1i11c, state where. 78 q \ Time G_,.._~ Mine No. U \ U!J_.__~' Age of Person injured N .,~ __ A., ~ - ~ - "-~'-S u \.A)-R..,.,L-\~ LJ_ ~ C\ J:...u..,........-i_/ Entry No. 6 Was he temperate, \< <~ ~ lJ-....--.i ~ o- ~-t_ Q-V\....., Name and P. 0. Address of Witnesses, Nature and extent of Accident, ~~ (Signature) C IMl•U IOB ~ Oondition of Ufe or Oircumstances, -- ~ " Where and in whose clmrge left, 1.....) Name of Physician called, if any, Date Q1 Married or Single Name and address of nearest liuing Retatiue, Was he an efficient man, ~ r' '"b U ~ .. ( I<... Name of Mine Foreman, /lame of Mine Sup/. What Family, if any, How long in employ of Oo., "-J. ~ (i o- ~ c\. "-~·"-~ 1 \ ' 1 ~ It- <\.r -:::i ~ \.. \ _i. 10 t--· <.::. .Q.. . \. /\-"'- 18 Title, • / L(AJ I I Room No. ~<)- • ~<)._ uJA..~t.r ,, 'vt, (l. t-1--~ t\. �.. . STATEMENTS OF WITNESSES. ., ' �Porai8314. UNION PACIFIC RAILWAY. .Mine No.........~... COAL DEPARTi\IltNT. g5·· REPORT OF PERSONAL INJURY. ,Gen'/ Supt's No....................................... Name of Person injured, J l t\.1-.__ ~ I /1 ,..:,., ~ . /.1 • ~..-'v"-" '\.. \:\.,,.,,l Ocaupation, . -1,;L'-.A... vu t' Date of Acc1de11t, 'Y 4 Location, . . , _}\ t ~ ·)-<. \ '1r). t'(..;) If not i,,jured 111 Mme, state where. cpn 18 q I Time Mine No. J ?_O Cf- e-- i J f Entry No. -v :.> Room No. -y ~ Name of Mine Supt. • ~ 1.> {_ J~__,(u v') ".. Name of Mine Foreman, r~ Age of Person injured -y \ f.1arried or Smgle (] What Family, if any, ~~ How long in employ of Oo., k.{ --v, C>-..,,0 Oondition of life or Oircumstances, Name and address of near~st liuing RelaJiue, (A_ tt t_ , /< ~ I,.._ ~ W...1s he an efficient man, -=--~ 6vas lfB temperate, Where and in whose oharge left, 0 ~ ~ -Ct ~ Q Name of Physician called, if any, O\A,_ 0 ct ~ l>'-- 7J r) a.. ,- 4~~ r () • =~ - Name and P. 0. Address of Witnesses, ~ Nature and extent of Accident, Cl ·ll ( V Cause, (Signature) Date 18 Title, K �STATllhlENTS OF WITNESSES. �Form 8314. UNION PACIFIC RAILWAY. 7- :.. -..... . . . . . .. RG .Mine No........ r~ COAL DEPARTMENT. REPORT OF PERSONAL IN/UR Y. 1Gen'/ Supt 's No._.........t....f................ Name of Person injured, ll( ~ Occupation, oate of Accident, • /h-v I .1 / 'i Q / 189/ Time JI <(L() ()_';/AA, ✓.J / j / : Location, } (.O--lA. . v'/p/1.A,,,,,t.Cp ("~ Mine No. Entry No. ·t,U c(,,W\, Room No. Io 1 If not ;1,jurerl in Mine, sta(J where. O 7 J f.. /:,, Name of Mine Supt. 'L; UJ. le,._-<.---?( Name of Mine Foreman, ((. f.-(..1 It t,' , {'-! ~ t <a-tc. .J Age 0'J.. Person injurec/ ::1 9 Married or Stngle f,. •t , t c.c:--(.,(1. ,'/ ( ,-, I t What Family, if any, How long in employ of Oo., -:'1 J vt1J 1,1, / / ~ Oondition of life or Oircumstances, Name and address of near1st liuing Relatiue, ~rLL . (,~ ~ It: j W1s he an efficient man, Where and in whose charge (! t, /J. .._ 1~ 1 , . · · · lA,f ..J (,(.A..M-· n,i W Y Name of Physrc,an called, , any, . ~ ) " , • } , Z ~. Name and P. 0. Address of Witnesses , Was he temperate, fJ. 7 /~ , • ..:,.,-1.,,U'~µ (/ / ' ~. Nature and extent of Accident, (Signature) Date G, ~, ~ Title, vu.._ ~ ':J/ Y ~ ~ �, STA'fEi\1EN rs OF WITNESSES. I • I I I·'. ' I ; .. �Poru1 BS!(, UNION PACIFIC RAILWAY. Mine No......... C~.................. COAL DEPARTMENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No .............f ..z ................ Name of Person injured, . , ( J,Ai/. -,JIa -<it "~ ,., ,,.._ Ocoupation, IA ( .. e,. 1-t-L-1 (/ Date of Accijent, @~~'!iAJ _ Locatio11, JLe (,/(.' J ,,. ,J; ~ V\-'-L?/'7 .Jv.. v If not injured in Mine, stale where-j r 78q I Time {/ Ct.'/?{. Mine No. / Entry No. ? J i Name of Mine Supt• •( U) /.._ ' /--3 rl'A-· & I l" Age of Person injured 'Y 1/ . /' 11 ,,., J What Family, if any, .._/(,~ How long in employ of Oo., -~ -;u.,0 , Name and address of neariJst liuing Relative, ,,.- ~ .,P' tr'- - - - L j <A. c,r, ( Nature and extent of Accident, .I~ - 1,.,, • ,j {fl t ~ v v d - t ' \. ''/; l •. I 11•11-q IOI J.',, / c;-(' ( ~ j / IVl (I Date -;1 Room No. '2. Name of Mine Foreman, ( . (J rJ . 1 -l u.... I~ Married or Smgtri • )-Z:Itc,,.,vt..,, ·d \ Oondilion of life or Oircumstances, _ _ c/' , 11 w.,s he an efficient man, ~< -" Where and in whose charge t, ' r 1/Ja.A.,(/ Name of Physician called, if anyr ) v) <r, • )Ze~ Name and P. 0. Address of Witnesses, 87 78 ~~l~L Was he temperate, y , / .7 r �STATEMENTS OF WITNESSES. ~ t·,, �Purmnl4. u~rvX p.\C!FIC R.\ILWAY. ~ Mine No... ········...... ..- .......·--··· COAL DEP.\RT)CE:-.T. ~ pEP0RT OF PERSONAL IN/UR Y. 88 ~~ Gen'/ Supt's No. - - • • • • • • • n........... ••••••••• CL~ Nam e O'1.~ Person injured,, '-:/ . occupation, ' t{ ( ..A/1"-{/'f • oat.: of Accitlent, @~z ~ Locu~io11, } (r- l Jl '- JJ'_/LAAA,CrJ If nut ;11jured iil I.fine, si.ate where. d ,:ame of Wm Supt. • CtuJ .. .(J , · · d Age of Person ll1JUfC q :J /- d.t.--tA. _.. M- ,w ' - Time / fl" ~'t/A. !,fine No. I Entry No. '.:? ?.. • 18C/ I r .h,'}ro U /.3 ( ~ 0 " ' · r{ Room No. / <- ~ . ._ /" Name of Mine Foreman, .) -t Married or Single" t i / r-'(, /,t.,.-.. JJ .J~rt.. Ct.-vr < What family, if any, How tong in emplo!! of Co.' I_ . l_,j-..f..-~~ Condition of Ufe or Circumstances, /lame and address of nearest lru11fg Relatwe, j ~~ut.A Was he temperate, ~ was he an efficient man, _A~J Where and in whose charge left,O vlAf,:;y--.7 r' ~ <.-:: (AA Name of Physician called, if any, -~J -- Yuv(,,,...,.,,._ r. , O Name and P. 0. Address of Witnesses, Nature and extent of Accident, 0 (Signature) Date 18 Cf-z-w / C<-U ( {/ Title, ~ - :I~ �''' �HT '(J.N' I v•'4 form 5314. p •\C!FIC R..\IL\VA Y. Mi ne No .......~ COAL Dl~PART:,!BN'l'. REPORT OF PERSONAL llVJUR Y. ,.,................. Gen'/ Supt's No..........fr...................... flame of Perso_n injured,,~.~ occupation, . 7t{ ~ r /L . , /"rv ?. = - '.{ Time J 0. JI/. Mine No. / Entry No. oate of Accident, Location, < · d~ ~ I 1101.. ,·,u·urcd in Mine, state whercf! 18'1/ f<.rn.-, '..;) I Room No. <7 ; f (lame of Mine Supt. ~ < -1 • • I / ', ;'3-(_ a ...--<./1 ( Name of Mine Foreman, < ,-(;,..., )1fA.,.. ,< Married or Singt( ··1 / t ,,, ~ -:> :; Age of Person _111Jure<. "! .• ,. . ;)-<--~.,,-.What Family, if any, • / I v, . - < How long in employ of Oo., I•/ Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, . : /_:._e.-__,_A.. >-,..A) , was he an efficient man, ~ Where and in whose charge left, --::A/ Name of Physician called, if any, ..Y) • • Name and P. o. Address of Witnesses . u'l~ Was he temperate'? ,I} ," 7 ,.,a,,_.{ Nature and extent of Accident, ~ (Signature) Date 89 18 �I \ I. STA'rEi\IENTS OF WITNESSES. �{JN'IvN PACIFIC RAILWAY. Mine No.....,@s..................... COAL PJ~P.\RT;\IENT. REPORT OF PERSONAL INJURY. occu/Jatio11, •• YN _./1/V\.,,V'?' Date of /lcc~lc11t, Gen'/ Supt's No......2...U ..................... 0 - --')1_ __.e...,,l/1~-vt..· Name of Person injured, J , /J-,;-,1 Time v stJ C/.._.,1/1, Mine No./ Entry !Jo. '2 .S 1aq1 Location, f~,- l// 1 "--~~.J ./~ If not i11jurcd in f.?111e, stl/te where.U /Jame of tr1ine Supt. {',I .-1(/ Age of Perso11 injured -1. .( ' .r2 ,(,4'- w <' ,✓ was he an efficient man, Name of Mine Foreman, r \ ,/ .A pondition of Life or Circumstances, ,,.,..,f.4A vi Was he temperate, lj,,,(,,o Where and in whose charge lef~ ' Name of Physician called, if any, r,,<lJ J ,,,,,,,,,,, J.,vt/V( (.;y Name and P. 0. Address of Witnesses, Nature and extent of Accident, 1J .,,w ; G u £L1 (Signature) Date C 11-1"-' toe - Married or Sing!(,,.- 1. ·~ ,'.> What Family, if any, How tong in employ of Oo., /0 >UV. Name and address of nearest fiuing Relatiue, 90 I 18 faf(,Ll 'J Room No. �S'I'ATEi\'IEN1'S OF wI'rNESSES. �Form 11314. lJ~Iu~ p.\C!FIC RAILWAY. COAL DEPARTlll~~T. ORT VF PERSONAL I/ll/URY. REP ,F Person injured, Name O" -C\ . Gen'/ Supt's No............9...L............... . 1 f. . • ,7-1--~ 0ccupat1on, D te of Accid,,,nt, J l,'i.J / o r -c... L:cation, lf( ' l ~ {I.,,.-}- ..,/\...,-\-------o/ If not i,,jurcd in Wnc, stale where. U Time 6 l°.U(. Mine No. I Entry No. so Room flo, L. Name of (line Supt. "9,,(,,() /~-!-,,? C Name of Mine Foreman, _,.} ( L /(}ewJ ( Age of Person injured I 7 . ✓f- cVJ,v !Aarried or Single) .,,,/ ~ What family, if any, How long in employ of Co.' ::S n vVCondition of Life or Circumstances Name and address of nearest liuing Relatiue, •1 ~ r ~ • ' was he an efficient man, ltt,,o Where and in whose charge le{}, t f?A-<' Name of Physician called, if any, l{ ~ - 0 ~he temperate, Lr. 0 <J Name and P. 0. Address of Witnesses, Nature and extent of Accident, (Signature) Date 18 Jw, f CL<,t( Title, ~~ -j~~ �S'l'ATEl\Il~N'fS OF wr'rNESSES. �Purm 0314, osIO~ p.\CIFIC RAILWAY. Mine No.st:~ ................. COAL DliPARTMHN'r. OF PERSONAL INJURY. REPORT C ,f Person injured, Name OJ , , . Iv... ~ t occupa ,on, • 1, ,.,: Acci~11t oate 01 7, ' ,) "°V ~ A_,,__J__ .1 Ct /~ J ~ ./'l..~,·; ~ ( J_1 t., Location, I t itl}"Ured Ill f,1111e, state where, (' I. <Ai . ;( . / Age of Person _injured ~ ?. Time I/ Mine No.l/ Entry No. ?, f ~ ifM /Jame of !,fine Supt. Gen'/ Supt's No......9,..b....................... 1$ _,,(.P.<. . - -1,,,1 r Room No. 1 I <;.) P-<l .,,/~ ( µ Name of Mine Foreman, nifo/ (---~ Married or 8 i VU((,1./VL,<.,(/()(_ 7 What Family, if any, ~ v (J How long in employ of Co.• '2_....,';::J-A--Ct,,.,.,,.,,-,--> Condition of Life or Circumstances, Name and address of nearest liolng Retatiue, 1i -v/ A. • Was he an efficient man, {p • A ~ ,, Where and in whose charge 'ft, /A)f- ;:;J ~ Name of Physician called, i any, /;),,-, ✓J-~ ~( r 1/ Was he temperate, Name and P. 0. Address of Witnesses , Nature and extent of Aceident, (Signature) Date l ll•ll-1> IOO 18 d' ~ iKI _,} Title, 1,{j_ vf,,v(_ -jfr/A...,,,,v~ �L'i"lTS OF WITNESSES. I STATE~....,~ J; �Por111 3314. UN'IO~ PACIFIC RAIL\V.\Y. Mine No..........~................. COAL DEPARTMENT. REPORT OF PERSON.dL INJURY. ~3 Gen'/ Supt's No...........9':!:.................. JJ1. fo~ Name of Person injured, _ {)_ ~r Occupatio11, J1;f _ ~ oate of Accige11t, < h,,i-r1 / ? -~ Location, } l,'- c I • J,1:, ./v1-'IA d-:~ If not injured in f.1ine, stafe where. 78 q; Time Io . Mine No. I a• n/f. Entry No. ,J/4-17.1. Room No. ,:; /J. • ✓,!.,.,1..{c.~r Name of Mine Supt. /_u 1 • ~v Name of Mine Foreman, ,,,,.,, / evi,,,1 ( Age of Person injured lAJ t' .,.... r..-.., Married or Singki n,{.e,( ~ L,-<J / What Family, if any, How long in employ of Oo., If 'jAAv,~ Condition of Ufe or Circumstances, Name and address of nearest liui,lg Relatiue, Was he an efficient man, ~~ Where and in whose charge left, (} ._/If.~ ....//1 " Name of Physician called, if any, A-r. ,/L r,-1""'- &/ ct Name and P. O. Address of Witnesses, Nature and extent of Accident, (Signature) Date 18 §,L f 0--v< ( /I ~ Title, ~ ~ - ; / �S'fA'I'Ei\IEN'fS OF WITNESSES. ~;)t~;,r:J ~ -?l,,(_p<A4( w~ &./>, ~ �Por111 3814. UNION PACIFIC RAILWAY. COAL DEPARTMENT. Mine No.......~ ...... 94 REPORT OF PERSONAL IN.JURY. •• d , _ Name of Person ll1JUre Gen'/ 8upt'e No.........9.....1£.................. :J ~. ~ ocoupation, 771.../Vl"L,//T t: oate of Aooi~ent, /''Ztfd / J ·a:...!1 Location, / /r•-c It ~ , . - vvt.A~,,.... 1 If not injured in Mine, sta e where. / .•,') 11:: Time 11. v r Mine No. 7 °7v ,,.1 Entry No. (/I , .f I / '(•1/ 1 I Room No. 17 flame of /,fine Supt. {j C1l I( 13..,( r,,....,v7 ( Name of Mine Foreman, J;;J fD ;:,,• . (fl • \ ' ,l_,< n.N/.) Age of Person injured ~ ;fA.,,,~ Married or Smgle __,,....,.i;,~ What Family, if any, How long in employ of Oo. • ~u...--/v.> Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, r }3--t,,,tJ, ...,....,. "7/1,,L,,(,lv lf //V"f( W,Ls he an efficient man, lj,u, Was J{J temperate, Where and in whose charge I/It, ,, y ~~ ;-.J.0 L,,<.---'--"Name of Physician called, if any, ,.,I)_ . /J'1rYi,;~ r Name and P. O. Address of Witnesses, "7' r/) / • ./ • ru-;; , . /It(,,,(,,,//\. A Nature and extent of Accident, (Signature) 78 �STA'l'Hi\IEN'l'S OF WITNESSES. 0, �Form SS14. UNION PACIFIC RAILWAY. Mine No....J ~...... COAL DBPARTMHNT. REPORT OF PERSONAL IN/UR Y. 95 Gen'/ Supt's No...../2..S...: .................. Name of Person injured, (t~ ~/J( Occupation, J/) ( ... . -1..,.r-Date of Accident, 1-tlV / r1 ~'t. location, •• ;f,(/'"(_,/1" _.J/];,,'VI-,..:.. ~ ., If not injured in Mine, stJte whereJ a .N,/, 18fi1 Time / 2 . Mine No. 7 Entry No. '< . Room No. C -9_.,w _ Name of Mine Foreman, (; _ [. {j; u rv"""' Name of Mine Supt. fJ . / 3 ,,( ~ ( Married or Smgle /_~r Age of Person injured 2 ~&c/'-J What Family, if any, Condition of life or Circumstances, How long in employ of Go., '2--<j-,<_.-·&c ., ., Name and address of near11st liuing Relatiue, - / .,,~ U.t I / ~- ( A., p- ~ , ,/ Was tl/J temper<ite, ~ v J Wiis he an efficient man, ( 4 Where and in whose charge t(jt, Name of Physician called, if any, i µ.. Name and P. 0. Address of Witnesses, Nature and extent o~ 1 'J Accident, ·JJ.. -IA/• ~/J /'l.v, o. _.,,c,L,() uj ,11 1YL tc{.,(. it...{ Ct ;,,v...., 1 l l i<Af J1t... ,d. 1 vl-i u , ,,.,._ 1 Cl',, c).. <. a(... c .J Ile h t L"'' t ll- l(,,._ (Signature) Date 18 f G_ ~ Title, 1/U. ~ 71w ~ f. � https://haylibrary.cvlcollections.org/files/original/7c2b25e4b4a734c7d59fb79591898dba.pdf 77cf0ef2295bd80dcf800c833682e3c1 PDF Text Text STATEMENTS OF WITNESSES. f f, e "' �UNION PACIFIC RAILWAY. Mine N0................. 6:.,?z;.,..,, ..,.................. COAL DEPART.IIIUNT. REPORT OF PERSONAL IN/UR Y. Name of Person injured, •, llen'/ Supt's NuJ.-.,.......................... c:71-- "-fa:-v. ~ { U v~ ,,/ / / v'a p :. Occupation, , ~ ~ ;,.: , ~:;/ .._ Date of Accide~1t, / ~-· . ". f c· / A Location, ( o:,. e.<'.. L,, •;. , ....:. _ • ff not i1,jured in Mine, state where. 96 Time)' C~t .,-<-,-' Mine No. 1 Entry No. ."1; 18f' I , / ~ Name of Mine Supt. "'i" e.c . /'-""(_ .·;.:.. :, c-,,\.... _ Name of Mine Foreman, / ~ ..,,d-<__ Age of Person injuretf ~/, ~ , ,,, Fr-,,-..,,. Married or Sing/eJ ~/ . ~ What Family, if any, ·" How long in employ of Oo., I? .4-(~-d,':;:;a: Condition of Life or Oircumstanoes, Name and address of nearest Relative, / liuing , Was he an efficient man, / ..4;o Was he temperate, Yto.L~,:..,,'<. _.(!t--...,,.G~ Where and in whose char~ left, ~u:J""7~ Name of Physician called, if any, 'S""" '-,,, P r / -;-~lfo-~" ' :J~ £' f Nature and extent of Acoident..-C / "-- °"'o/ Date . ., / ,,..,.. . ,_ (; ; , C ...~e,..,.....c-:.. ~ 18 r ?C<t; c,-/4 .,-. , - j .,r/4-.:...<d e-.r..l �STATE:\IENTS OF WITNESSES. / , . I ., .. ... ) .. / • f . ... . . ,:. . ' ( .. // • • <- ( ., (! ' ., ._ , , c.,/< / /, . . /l # L Cq .,. .,l,,,; ', .,. , , / '- C. / .. �Porm 8314. UNION PACIFIC RAILWAY. M', ne No. _(e .~,, ..................... ............, :..... COAL DEPAR'l'Mrrn·r. REPORT OF PERSONAL INJURY. .. d ~ ) , Name of_ Person /~~ure , . / ,-'/~ .·, Occupation, .... ( ( _. : <'" , Date of Accident, . '-) c · c <~ ' _( Location, ff not injured in Mine, state where. \ .,. ' Name of Mine Supt. , '...~·.. ' \ 1...-~· Time .: Mine No. 18 / I Name of Mine Foreman, ~__.,,,/--~,,,-:.., Married or Single (<c. <= / t..__.,, Age of Person injured ~ • 1. [ r. ,J What Family, if any, How long in employ of ao., .. • .,,. " ...... (,>£ Name and address of nearest liuing Relatiue, (Jondition of Life or Circumstances, Was he temperate/ 't:A 1 Was he an efficient man, i -t:<• - ; ,Where and in whose char e left, (/~) r.:.c.-,...tC.,1-'5. v'-' _ Name of Physician called, if any, , J:,.: .,,~/ , '( ~,, , /t?-,, t. Nalne and P. 0. Address of Witnesses, ' 1(L.,-1...c.· < Nature and extent of Accident, .. , . Gause, (" :(, _.;, / / ,t{.t'r .. ,;,- / , ... (. 4, - ,\ (Signature) Date Entry No, 18 Room No. r, , ,.-..-1._ �(_ I ' '· - •t ., ,I ( / </ l I. �Form 8814. UNION PACIFIC RAILWAY. Mine No...~~-~:..~ COAL DBP.AR'l'!IIRNT. REPORT OF PERSONAL INJURY. ................ 98 Gen'/ Supt's No.............y...r:i................. ,r- ~~ Name of Person injured, ½f:.ol '-),,o/ ,:,.,.;,-,,,._. r --.. ,v Occupation, ~ p , , , u ~ / e ~ /' I~ , •,,.Q . e c,...,oate of Acc,'dent , ,,, -. ~ . ,-.,,,,, Location, ( t ~•-c,-, ~✓ 7;>-; .•. "'<?'d ,/,? ,._, /. / If not i11jured in Mine, state where. t/ 187 I Time ~ Mine No. ;' ~ /"'o / J )- ra c.c.--,,,.. t.'l°;;;,,_,, Entry No. 1 o Room No. / ~ - / Name of fAine Supt.j>e-; ' ~ - l /)( ~-<.. Name of Mine Foreman, .--)a,-. ✓• cue£--~ (/ ' . / Age of Person injured ;,-," fAarried or Bingle /.?< t : ; ~ ~ What Family, if any, /, ,,, -; :cc<...,e,. V I ,;(t.ad.7 How long in employ of Oo., ) / ,.l,r<'<:<.--7/4 ., / Oond1tio11 of Life or Oircumstances, Name and address of nean st liuing Relatiue, I'"',(,,'- ~- c-,_ o·//J r :>--,,,,7• # -Was he an efficient man, fl,<, Was he temperate, Ax> Where and in whose chargf'tett, tLI--. ~~ Name of Physician ca/led, if any, A"° ../"' ) ( _ ~ ~ i Name and P. 0. Address of Witnesses, /7.! , ..t Nature and extent of Aooident, _:;1/7;,,,( ,.,,,-{_ , 7 ,-.•~- ,,J< (Signature)~ Date 78 Title, ��UNION PACIFIC RAILWAY, Mine No..., ~................. COAL DEPARTMENT. 99 REPORT OF PERSONAL INJURY. Gen'/ Supt's No...f...f........................... ;.\7/ G', .,7 <ff'v,-4--~ 78/ / Time ~ Mine No. L-( t /" /} Name of Mine S up • . • ~ r-., i .//-en c. ,'t: i':~ o Q'.. ,'-;-t tt/ Entry No. Room No. Name of Mine Foreman, / 1,., ,, d,,-...•c,C.:,..7_ Married or Single ,... .,. ·74- Age of Person injured ;J r What Family, if any, How long in employ of Co., . ., -- ,. Condition of life or Circumstances, ame and address of nearest liulng Relatiue, cf'~ /4 . N Was he an efficient man, ~ ~ - 7 ; Was he temperat~ Where and in whose charge fett, Name of Physician called, if any, ~ /'"l- /ZP-Y~ z~ Nature and extent of Acaid1mt, Cause, ~ "'e,,, 'Jrt:2,,? ~7 A,r~; ~ i / ~~ ,;z,-4':,C ~~ '--4?, (c,r;-y~_.,.,., J✓ : . ·r:;, caau_ IY~>w~~ . ~~ ~ I (Signature) Date I 11•11•tJ 101 k e ,t'<.: a:cd';:./(,?' ~--V'~ 7 L �STATEMENTS OF WITNESSES. �Porrn :131~. U~H.>~ P.\CIFIC R,\IL\VA Y. 1 ()0 Mine No.........±:............ ...... COAL DHl'.\RT:>IJ:NT, REPORT OF PERSONAL IN.JURY. Gen'/ Supt's No._ ....!..J?...~................. '1f2~ ~ Name of Person injured, C:C.~ Occupation, 3. y /t{ .,....,:.-,,-¥ Date of Accid(}_~1t, / • Location, l ( ~ ,< .<ao/ ·"i'I,< ✓,<\ -e:.c, 18'( I Time ,I /, ~ ~;__;3. d {<, <--t-vMine No. '-.Entry No. 't"' -1, ,--;. ►, ·nr;• t If not ;11jurad in Mine.' state where. ,, p !Jame of fltine St!pt. _;;,e•., • t?\. ' >- . cfJ. • ~ t'er~A-- Name of fAine Foreman, / r;,' Room No. d J~,..., I?"' .,_ --<-<~·- Age of Person i11j•1 red J Married or Single /'-;c ~, ..,._. 7 "· ✓ 7 t ·'"-' , ' t , < . , , ~ What Fam,'Ji/ y, , any, / t ( ~ -~...... How Jong in em})loy of Oo. • c1 A,._: . ,,;.1:: .:; ~o{,dition of life or Oircumstances, Name and address of nearest liuing Relatiuc, ( t ....,,,,. • r.;,,;..,_....; ./ Was he an efficient man, / ~/ • Where and in whose charge left, Name of Physician called, if any, ' 7 .,,,' ;~,,, .. ,."' / o ~ a G,"'- c/l~ G:,7 /l~· .,,I':....: )e~,...::;:_"'c.-- Name and P. O. Address of Witnesses, Nature and extent of Accident, c--:; t ~~ ~~ (Signature) Date Was he temperate, 78 :Y'= ~ 0 ~ / I �S'l'ATEMEN'fS OF WITNESSES• . '-;;-".'~;ftr-<?C,<P �tJSIO~ P.\CIFIC R.-\ILW.\. Y. CO.\L Dlil'AR'f.Mlrn'r. Mine No.........Z.,.,,....,.. . .. . ... . .i OnT <.JF PERSONAL IN/UR Y. REP"- () 1 Gen'/ 8upt's No.......!...<!.:. /............... if Person i11jured, ( <-'t~✓ ~ ~ . (lame ot· ~ ~· , ,,...,-,,/ ., • ~occlfpa /Qf1, , • C ._,,_,, • '- < : "d t _,,e;,..;, C1 Date of Ace, en , "'' ., l'~1c..,. Location, , \. . ,r ,,_ c--p; .;..-/,; If 110t 11•1'}·11red ill f.fine, state where. ~ P' 18 "'J- Time MineNo. . /lame of t,7in:i Supt . .t ~Ip ', "\. Age oif Person injur ed What Family, if any, ,, / I , _7 • ' .,. ( C,VvU Entry No. )/r~<'<.· ,,, Room No. • '.. , , r >\. ?--(I/-<E:a-r<J Name of Mine Foreman, L 1L ~.-( • ., l,farried or Single .... ~-- "-:1" ?,:- < How tong in employ of Co. , ' 7u..._,----4 Co11diti011 of life or Cir cumsta11ces, Nam, and address of nearest humg Rel atw c, • ,,.,;,-;,,., , ,d/2 ' / '~· ,., _,,,? /2 :«.,;,= ~ 111 he an efficient man, 'Jr,:,,, ,d was -~ :,,~,•.!:;;:_•:. ---i~.----,-~c:. / (., / Where a, ill whose charge 7eft, (d~•0...... Name of Physieian called, if any, .,,,,, y --,,, 7~ Name and P. O. Address of Witnesses, ,,_ Was he temperate/'~«-"> ,-,,, ,, q' u r#-r'A,. 'd? --'- ,:r - - ~7· ';It~ I I I (Signature) Date 18 �STA'l'El\IEN'l'S OF WI'l'NESSES. �Form n314. tJ)lIL>~ p,\CIFIC RAILWAY. Mine No.........l co.\L DEl'ART:\ll£NT. [?EPVRT VF PERSONAL INJURY. Name of Person in~re<C\_ Gen'/ Supt's No..........!....r!... ~.. ~ ~&~nJ ocoupation, ~/tac.,,<_~( oate of Accide~1t, ,, , / Locatio1r_ ~~ .J If not ;,,jured in Mine, sl t , where. J :/ /rr~· (lame of Mi1,e Si1pt. <>-f I U<A.- c::?' ::;/t ~~AY~ Age of Person injurer:;-j ,,~ What family, if any, tf How long in employ of Co., ~~ ?-. ~ Name and address of nearest /Jumg Retat,ue, was he an efficient man, a "j:~ Name of Mine Foreman, ,d,~,o(, ~~ Married or Single ~ r y/4 -.1 ,condition of Life or Circumstances, //4---v,e,~n7 .,~"<.:.• ~ / c, :f) r J oy£ y~ Was he temperate, /A::-o Where and in whose charge left, -y.cv;::,,,4.,,, Name of Physician called, if any, .....,so 7,,,. ., .J &.r~ Name and P.O. Address of Witnesses? Nature and extent of Accident, ., C ~( a & C~~ ;' 71'. . < ~ ~· ~ u-~ 0J US-', (Signature) Date ................ ..........1.()2 18 �POrlJ\ 3314. tJ~I O~ PACIFIC RAI LWAY. MineNo COAL Dl~PART:llEN'l'. ••••••t• •••7 103 7' tt••t •11•tu:••••••••••••• ·poRT OF PERSONAL IN/UR Y. Rh ~ , /i(l/110 0'J Parson injured, ' ,_, / , U,/:. ;7?eu~r-c:/ occupation, /l-1.. (A,:/,;,--r O te of Accide(1t, ,1 L:cation, (A;,•,~- V ~ r - vc.a,y ~ cff~:;z✓ r C 7 78/ -:r Time cvf Mine No./ / // c3-o Cc)t--?-d Entry No. )- Room No. ti not i,,jured i11 Mine, ~ where. o1 f,1i11e S_u_p t.1{~ •_~ 0{1,u,,,K_ Age of person ,1 ; ) Jw . re• . .1111ure Name of Mine Foreman, fl.t:lY\. -I' />, Crhl .-rt;i .. ,_., Na/lie v;t,at fanuly, if any, HoW long in employ of Co., Mamed • or Smgle • Pl..& ..-✓"c'.... . /u, /7 ( G "("' Vias he an effiotent man, ~ ;?-o /._ ,1;,/ . Where and in whose charge left, 71 ,l~ ?<• Name of Physician called, if any, J' '~Cv--r ~ Name and P. 0. Address of Witnesses, --.>I / / /4;.I /'a,c,..,c__ (Signature) 18 _ ., _/ .d) A T ,;.; ( :.,' 'i-% ? ti I.? ,;,, 'C.7LQ ~A:.,, ' Was he temperate, ,,.y~ 7 .. )lv-C,(//4/ ~ Nature and extent of Accident, c.£,,_,J', • / ~v v?- ..-..,..-t:-.e,.A- ~1o-c,,..A( I ?i ~11tcr~4,,(_,' Condition of Life or Circumstances Name and address . of nearest f,u111g Relatiue , Date ? (. J) .u, ;/Jcu,t-:,(,,£ �S'fA'rEMENTS OF WITNESSES. �l'orm 1131~. UN'l0~ l'.\CIFIC R.\IL\V..\.V. ~ 05 Mine No .......~ COAL DHl'ART:UHNT. ,..,,................ REPORT OF I'l:.'RSONAL INJURY. Gen'/ Supt's No... .1./!.,£°,,.................... Name of Person injured'. Cl . Occupatio11, ~ •4-, k , . ,-./ .~~ . , _.... • -~ovTime y, ti ,YJ/L, Mine No. / Entry No. fl../ Oate ~f ~ccident, : }-Cf./<A. I ! r-'{ Locat,011, /(o-vJ( (., '4.fa-·Ll,,IA...T ()'fr)fv If not i,,jured in Mine, strlle where.J U 78t;t Room No. ~. 1 ,r. • /r2 /,' Nan'e of Wns Supt. ~'t-l' · 4-' V _ ,r r, t ' I ( Name of Mine ~oreman,_ "lUJ . Age of Person injured ),,fA ~ ,, -o Marned or Strjle 11,1 t ,1,,1., t l/f.- c,{_ What Family, if any, lUU.J. How long in employ of Co., '.../ 1:,_rc.-rt/)-0 Condition of Life or Circumstances, Name and address of near<J,'lt liuri(g Relatiuc, l e ~w ( - j,/,},/4,lA"-~r' was he a11 effioient man, ~ (/ Wfs he temperate, .A;j f.4 Where and in whose charge 1!!.ft, ~ (/ Name of Physician called, if any, 0 ¾ Name and P. 0. Address of Witnesses, Nature and extent of Acoident, .Jb-w 1 / "r ['""< ~ cvr ff! L Date 78 /~ Olo1A1" L / ~ r-c • /J~( �STA'l'!i:i\II~NTS OF wrrNESSES. �'Ponn 8314. UNION PACIFIC RAILWAY, k.~. . . . . . . . 106 Mine No.... COAL DEPARTMENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No......../..P..f:................. ( Set ;ou..sj Name of Person injured, ~ cro . . a~"'<-&{__ occupation, •-{J oate of Acc(dent, rJc 1 \ / ';/ -~ 18 Cj1. Time / t) , Cr .'?"l/l , /J . ,_.,I ✓i <:' Entry No. ~--YLocation, . f..C,""-L// l t , .-· L 1.- l \...., -9 .J.,,,IJ-r,,, ,<, Mine No.$ If not i//jured in Mina, stat where. j A1__~ '7 ! /) Room No. .:J-6 "ame of Mine Supt. VAc . £) , / , 1_ {~t ,r,,/\ Name of Mine Foreman, ---=-✓-A_ .... /'l t/r C' ~ Age of Person injured :> 4 2!}-< ,a_,.. , :;) Married or Single _ QA. What Family, if any, (J How long in employ of Oo., a i-vt - I;,,} c,.-,t.. )Oondition of Life or Oircumstances, Name and address of nearest liuing Relf Jwe, (,/,A,,t.-J- /4u.l:<. <f:.if. 11 was he an ~fficient man, _l l . a , Where and m whose oharge f) , 1'1-o-ilOt?Vc.,,. Name of Physician called, i any, ~ ...- 1 ~ :J~ ,z':l}~ Was he temperate, .µ <I, Name and P. 0. Address of Witnesses, Natu e and extent of Accident, / ~ ~ /-r~v'v.ueA (Signature) Date 18 11\. 6--ry- C c . . . . - ~ ~ ~ Title, ~ ✓~ �S'l'ATE:MHN'fS OF WITNESSES. i �UNION PACIFIC RAILWAY, Mine No..............(·..~~V......... COAL DEPARTMUNT, REPORT OF PERSONAL INJURY. 1. 07 Gen'/ Supt's No..........l.. ..P..2 ............ ( ~ -o-tv?tf~ t Name of Person injured, ' ( ,._, /4 / • I Occupation, ,, """:. .....,,..._ '-'V ,,_,t._ Date of Accident, 1,,- ~ •, /1) ) _A; I Location, ,, t:- c L'l12..A..A,AA._.J/O If not injured in Mine, state where. (C 1..-L•"i Name of Mine Supt. 18 ')' y Time Mine No. / J, u 7h lv'...v'L Entry No. 'J,, '/,. - Room No. - - Name of Mine Foreman, _Jr.,u / (,,z. , / 4 Married or Single .l;r a,t-1,t.~/ ( Age of Person injured ,J,~ ,·'IJ'-.,,..i ,t_,,.<..J What Family, if any, ~ vv-·o How long in employ of Co., (,, 1/-; 1 , ,, //, , Condition of Life or Circumstances, Name and address of nearest living Relative, ._;: L'•-< / (,,._._._L Was he an efficient man, Was he temperate, Where and in whose charge left, ·-~ -;,-..-.....,,._....,,,.,,,-Name of Physician called, if any, ..-- v f (J ,,,.. ~ 7 t.A..) Name and P. 0. Address of Witnesses, Natu•·e and..extent of Accident, (Signature) Date E ll•ll•n IOI cJ ,-,L__ I(/ pt,,/':° Title, ~ : /~~ �,.,• STA'l'lii\1ENTS OF WITNESSES. ., I .. I " I �Form 1114. UNION PACIFIC RAILWAY, Mine No................!:?...................... COAL DEPARTMENT. 10 8 REPORT OF PERSONAL IN/UR Y. 'x Name of Person injured, {(,. (·), <.. ,;?;, : .. 'l ......,.....Occupation, 3 rd Date of Aocident, Location, If not injured in Mine, state where. ' :7.v0 18 r ')., Time A1ine No. I/, ~ ~ Entry No. Cl I y Room No. I/ I 1 1/r/,·/.:l Name of Mine Foreman, 01, r 'i ,, .... . -~ ,• •.{) / J /r<_ C / ( Married or Single 01 1 , , I < 1'~( Age of Person injured ._j ,:3 l / , " t ,1 1 ;;: ') £' r/ I / What Family, i.J any, ,/ 1, , • (:_ /4, ,v cLt,c ,- J How long in employ of (Jo,, J ~I ff~. /;c, (Jondition of Ufe or (Jircumstances, Name and address of nearest liuing Relative, / / ✓.,,,c.,,D, Al -t<.. , c.~ Was he an efficient man, Where and in whose charge left, Name of Physioian called, if any, Name of A1ine Supt. , ~- A Name and P. 0. Address of Witnesses, (Signature) Date 18 fol <-rf a-.J ~ Title, ~ (Y~ �, F WITNESSES. STATEMENTS 0 t I I .... �UNION PACIFIC RAILWAY, ~J.. . . 1 () Mine No............ COAL DEPARTllmNT. REPORT OF PERSONAL IN/UR Y. Gen'/ Supt's No.........../ ....~.../. ....... (~~ Name of Person injured, Occupation, Date of Accident, Location, ff not injured in Mine, state where. 78 f v Time Mine No. I I a,,dv-c/l t( I ? l'L, / Entry No. 'v / ' Room No. J} ( ,n r ) ., Name of Mine Supt. ..._._ ...1 -<l / (<-<:/( Name of Mine Foreman, 0-.;-/_.,._ (J><-<...-/C::, Age of Person injured Married or Sing/{ ,{ ,__V~ •7-·L,"- 1.4-.J '-" ,, _)_ .~. '-7~ l._ What Family, if any, •, How long in employ of Co., J ' ,{//.(c, ,_.,,J;~ Condition of Life or Circumstances, Name and address of nearest living Relative, Ud~ Was he an efficient man, ~11/ Was he temperate, ~v.;1.) Where and in whose charge left, ~,__,2L.,:, ~~ ~ ✓, v/2-#~ Name of Physician _called, if any, I -- Name and P. 0. Address of Witnesses. Nature and extent of Accident, Date �STATEMENTS Ofc' WITNESSES. L �Porm 8814. UNION PACIFIC RAILWAY. @:..~. . . . . . !"11 10· Mine No........ COAL DEPARTMENT. REPORT OF PERSONAL INJURY. ..<-L Gen'/ 8upt's No.....!.!....U .................. /l _ fr, Name of Person injured,. < 1 Occupation, -t,,l (.-</1,•l , ,,,.,, oate of AccidJnt, J_./J I / 6 . u_· Location, ,A.<>- c / ✓ t ._, ...~ ~ I. ;- ✓ If not i11jurecl in Mine, st te where. J{e . /lame of Mine Supt. ( / <f' . If. Age of Person injured ,_, -J ,,,, J ( ,., What Family, if any, (f, <- .__,,_ How long in employ of Oo., 7 11 t.< ' Name and address of nearest liuing Relatiue, Name of Mine Foreman, f',farried or Singfe_, } 1/ j I Room No. .--:i r7JJ ct,,.,/ r./J ) ;,'/( U v l ,c.,, •, 1 • ' '- Oondition of life or Circumstances, / ..... \ l ·h ...u'( Was he temperate, was he an efficient man, i ,.{./:> Where and in whose oharge 'fJ , _. 1 tJ- /: .. , Name of Physioian called, i anY{J .Y ) v Name and P. 0. Address of Witnesses, Entry No. 3 r, Mine No. / JJ,..- u (A ✓• ( Nature and extent of Aocident, J .j l (Signature) .J...( (,,{ (},w •~,.._.., ( 0 Title, ~ Date l lHl•n l,I. 101 1-'fvtv~<-A... �STATEMENTS OF WITNESSES. .. �UNION PACIFIC RAILWAY. REPORT OF Pl:."RSONAL INJURY. occupation, f { l ·t IL <( .1 . .............. Gen'/ Supt's Noh..../ .L!................... ~ i · (J ::i JC. 1., 0 Name of Person inju~ed, ~ .11 Mine No....~ COAL DEPARTMENT. I // , ,~, ., ,._.L ,,., 1 oate of Aocidef, /_f 6 ..J fr ' K Location, I\. l' r / l l /P l , \..-v-.. -rl· ,, If 110 t ;11jured in Mine, state /Jhere. I..Ii,: .... . (Jame of Mine Supt. - 1 (I Age of Person injured .::J 7 _y_· <- t--"- 181 'L Time / Mine No. / l ,< _,-t rJ lj iJ Jj ( ,,,, , / l Room No. Name of Mine Foreman, ; -, t ~' ~ , -• vv ,,. c,,,.,( ~ fAarried or Si,1{1fe _ • -c..'.~Jn ~ c, . , -.> What family, if any, I 1~0 , 11... . How Jong in employ of Co., -t-/ ·_ L , < ,,L Name and address of nearest liuinife1atiue, Entry No. :2 5 _ , J J Condition of Life or Circum stances, ,, I'<. {,,£, C,( c.v ,,1.,,(.. Was he temperate, 1 was he an efficient man, _ - ~ c./-> Where and in whose ohargp-'fe t, i,u, . / {;; a--z., i.-v~ Name of Physician called,½ any, ( _ / , 0 tr , - ) 1,,, ,,. Ct .:;__ Name and P. 0. Address of Witnesses, Nature and extent of Aoo/dent, ·/ lf).i, l,,,.,,,.,,,.,;.., f /,,, /l " , v< /.. <;J:.-wo (j) (AA.A( 0 Tit~ ✓~-~ (Signature) Date 111-11-1) 101 78 j ., �s·rATEl\IgNTS OF WITNESSES. ., �FOrUI 3314. U~H)N' P.\.CIFIC RAILWAY. COAL DEP.\.RT:\JHNT. Mine No.... ~.................:i12 ,1:pOR'f OF PERSONAL INJURY. A., Gen'/ Supt's No."······.............................. Name of Person injured, . ) ......,_,_, . _ / ~ t < 0COllpatiOl1, , ( /( ( l.L c(--6,,C-V\A.. ' v2,,\.,,-i ~(..l.,,-?- a Oate ~f Ac~nt; ~llc~_-c•:"-· r~ & • t..~ 789 L Time c3 ~ Looat1on, c,.,-iC. 1--A-- -~ ~ Mine No.</ <J Uu>- If not ii,jured in Mine, state tthcre. Name of Mine Supt. {( ,lO _ Age of Person injured What Family, if any, :i s - Ji . d (/ l~t",<_,,...,v,1 ( c/. .c_, c;...-- r=> How long in employ of Oo., ..:J- ~ c~ : J Name and address of nearest liui6j Relatiue, Oo11ditio11 of Life or Circumstances, /If; u· Name and P.O. Address of Witnesses, ~ , I ll-11,a, IOD Entry No. / L: Name of Mine Foreman:~ ~- ~ Married or'8in 1e t ..A,v(.&...e. f ?v~ was he an effiaient man, ~ Where and in wl~ose oharge_left, J/1/l,c.,1<..,( _ ~ ( I ( . . Name of Physician called, if any, ~- ) , ~ Date fJ. 'tv(, -(3 ~ 18 Was he temperate, ~../41,l - ,~ , 1f Room No, I 1.... �sTA'fEiVIEN'fS oF WITNESSES. �tJ~Iv~ PACIFIC RAILWAY. 1 i u'J COAL D1-:P,\RT)IE~T. Mine No.········ ~ ,.........,.,,............._, ___~ - tEfORT VF PERSO,V.1 L INJURY. Gen' / Supt 's No. ~. f,ame of Person injured, occupation, o_f Accident, Date . ..J,r.-. u--1. J- rex. ~ vu..~1 Gu-~ /1'1 ~,,,.. . I J [t>- c I L ~ .-) <ei.. % -rh.. , /co '-~Q l '"'ocatio11, If not illjured i11 flinc, stale w ere. -... ·························--· 7 u .., 18 c~ , <- Time / I f,'6· "me No. f,r/ Cl,(,,(A_ Entry No. / "2... Room No. 6 - ;J !Jame of Mine Supt. l.t-{A) . /1) . Name of Mine Foreman, I - (/., •J,g, Vt..{ .J f Age of person injured .L// !I L Married or Sittig/ n✓/ /.t, l l . ~f - o/ What family, if any, ~ (/ How long in employ of Co., '-:-'. >-i~ vt~. Condition of Life or Circumstances Name and address of nearest /Jumg Relatwe, . ~ ~ c ; , ( _ _ , ,, Was he an efficient man, v L'Ias 1,a temperate, •• Where and in whose charge I , Ct< l<w-£ I ( r}__,,,k. • Name of Physician called, if any, oO--r ~yi,,fYI,,;:;._ U ~ , 0 ,j;J" Name and P. 0. Address of Witnesses, Nature and extent of Accident, /6.. ~ ~ (Signature) Date ' ''"'"' .... 18 J: ~ / Title, ~ -if~ �ST.\TE)IENTS OF WITNESS.ES. �l'orm 831~. {J~Iv~ p_\.ClFIC RAfLWA Y . ~..........~~-1- 4 COAL D1U'.\RT~lliNT. •r OF p,t,"RSONAL REPOR I Mine No..... Il\TJUR Y. Gen'I Supt's No...................................... f2,!> Cl f?~ ~,..,}1,,,(,,( • ,, ne of Person 1·111red, /,a1 I occupatio11, . u- 1~ d ' 1...A,d (/4,( rf·-J ((/'-·L;,1 lJ , Co-t: ; ( • ~ ,j? Gt.A.... ~~ oate of Accide)'t, Location, iil}·urcd in Mine, state wfferc. If not Na me of Mine Supt. f;__ t ..(). Age of Person injured ":2 9 What Family, if any, 78 1/-Z Time 3 Jc....· C}{. 011 Mine No. '/ Entry No. / (I ,I)' IS . f.c,,........_,... / ,r:\ t l <.. ,.., v Name of Mine Foreman, / b -:1 , was t,e an efficient man, :tc.,..o Where and in whose chargf1et , Name of Physician ccr.lled, i any, . C di.A ..;,~'- (.,.! , ~ (/ V How long in employ of Co. ' '9.. ;:.;.,,c n y0 nd address of nearest llutQJ Retatiue, Name a j r Married or Sing-fe ,J Room No. ::; J ./. 6-y Condition of Life or Circumstances, '9. - ~_,,1..,. v..,.':1' . fl'C,,r,,,' /t _. ~ 7 /) ,:,;L..~ p J ~ , / 1) Y- , ··nr-~ Was 'l1 temperate, A-fa/j U Name and P. O. Address of Witnesses. Nature and extent of Accident, /"/(4 ,.,,,_t/J f3 l..t..,t..- vu. c,( {\ (Signature) Date l 11-111-tJ IOI 78 S). //;J · / / Uitle, ~ ~ ✓ ~l ��Porm 331~. ...~ p:\.CIFIC RAILWAY. tJ~IO·" • coAL DEPt\RT:'llEN'l'. 115 Mine No._. k - ; k . {............... 0.. Jlf:fOR T OF PERSONAL IN/UR Y. Gen'/ Supt's No. / ' n ,w Name o, person injuredGi .f occupation, l"J 1. ---i..,.. .f oate o, Accident, /C:o, ....,., ~4 - tV\.. . _ ,ur... ' f-l ;J,.,_,.,,.,,t..A (/ / .-,.. ,< 'l. 78 9 2.. Time/2 Mine No. Location, . 'tired in r!line, state where. If not u1J . "a11,·e of ti1i11e Supt. {/ J. w ' fJ . )✓ ·~- ,,{ "' , . .·---......-/ _,.,1-\_ Age 0 ; person injured ~ 2 {p .. ---<-:;::1-<- o. ~ \. What Fam~fy, if any, - , @' fl • , • L. Where and 111 whose cha, ge j.E1t, ame of Physician called, if ny, c1 ~,.....1,,....-; n arned or Single -·- }---M - __ \ --~ Condition of Life or Oiroumst . . ,..,✓, anoes, ./-.•f/- i c / LA ~ ·- / ' 1 ·- w l. I t. -r_,;1_,.,,-l,.(_~<~ nd address of nearest ltu111g Retat1ue, Name a "as he an efficient man, _.-/r <,/? . Room No. _ How tong 111 employ of Oo.' 7 .. - ;,,,-,t....tJ • . l,. M -,,;1 ,/ Entry No . Name of Mine Foreman, 11 " ......................... 1 /),, _ 4,/VL'd N ~ • J-.. ;-,-- I a - ~ -' as 1e empera:11:e, ~ -- _ ~, ---,A ' _ 1 __ p ( .11 r pfr.-\. --v.::11: ,"7/,4 a Name and P. 0. Address of Witnesses, • [{.,,,{,o. ( Nature and extent of Accident, .._J.J,__vv1. ~ (Signature) Date 18 f~/J. ~ Tit!e;//lA_ ~ rf~~ �STATEMBNTS OF WITNESSES. �Porm 3814. UXIO~ P.\.CIFIC RAI LWAY. Mine No.. COAL DltP.\RT:IIENT. ~~..............,-1 7 REPORT OF Pl:."RSO:\'AL lN.fUR. Y. Gen'/ Supt's No...................................... rJ ,,w , Name of Perso;1 !11jured, 0co11patio11, ) -7 / ( Date of Acci~,!J, , -t I { i c( a, (/di< c.,.( / Ir •vX t :J rJ Location, L~ t~ f~1( L. 1 t-< £ If not i11j11n::d III Mme, state where. (j Name of t.1ine Supt. ' 18"/l <1-v,~ Mine No. ') 0. lo . / ' . I 'J . /£< (' ; ( Age of Person injuri d ...y l' What Family, if any, / How long in employ of 0o., ( 11 / i / a l (\..\ .Y ,, ·c ,...., " Y · .., 1, Time ,.f/ -8 <' r, J 0 t ,l ;,,z,-t. Entry No. ' J,·t ( ~ Room No. /i Name of Mine Foreman, ;,; ,t, _,,. f.J; . , (I,_ O v C< l.vO l'i1arried or Single • ) -7 / ~ - 1 1. ~1 ~ ( J J 0ondition of Life or 0ircumstances, Name and address of nearest ligd Relatiue, Was he an efficient man, t,~ Where and in whose charge lettJ Was he temperate, l j ,<..,<J w-~/lft (!½,,.,_,( ·~ Name of Physician ea/led, if any, -~ Name and P. 0. Address of Witnesses, ; - -J-1 Nature and extent of Acoident, L _d.,l /j ~,. - r i i A· l. U-l 1...t.c/.. (Signature) Date (..., 18 $ __ ~,~ T i t l e , ~ - : /1 / J / ~ r/ �tJNION PACIFIC RAILWAY. COAL DEl'ARTlltENT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... Name of Person injuf~d, . :. ~1 • • 1(l'1 ILt, occupation, , I( , , ,r 1 'd t -'i. Date of Ace, en J , . r <·1 7 ...,.,,< Location, _l ' . I / ,,. ~} J~ l 1 , , If not illjured 111 Mme, state where. 7 78 1.:· Time t? . .11- ( Mine No. ff) _/4;-( Entry No. .7 g .1 Room No. 1V - Name of flfine Supt. ._/ t , ,,r.. / :5 ( r Name of Mine Foreman, ') 111 ./,,,a l i< Age of Person injured ·-r ~ Married or Single , 1, I /l 1 1 , ~ d 1 What Family, if any, • •• 1 ; 1 c How long in employ of Co., ..,,, / , 1 , ,., "'., Condition of life or Circumstances, Name and address of nearest liuing Relatiue, I., L 1'• 17 / Was he an efficient man, , : 1 c J (; Was the temperate, (_,/ t:..J / , Where and in whose oharge('eft, f 7., I/I . a,_,,; 7-1. ( {,/ Name of Physician called, 'i/ any, t, , , ,.✓ l l"., tv\. v / ,/ 11_ /A . ; /I /,I Name and P. O. Address of Witnesses, /',I I ( ;/4 Nature and extent of Acoident, _./ c> ae;, _.. ,,-,...,,., . ,< ,u ' {,1,- ~ /L / fl~( (Signature) Date 18 J.,'1/.., l •l' /a.(., ( l'taA.. h' �UNION PACIFIC RAILWAY. COAL DEPARTMENT. Gen'/ Supt's No ...................................... REPORT OF PERSONAL IN/UR Y. . Name of Person injured,, Occupation, • IJ t../1-U- I Date of Acci'd,t, ( l.., J ~ .•..<,,,(- _ ( . / ,/4 ' Locat1011, .L.'r- c 1 : '·':/ p t,Lt If not injured in Mine, state wYiere. C, ..J' (~ Time ..-<. Mine No. / 18 "1/2 ., 7 r?71/ . Entry No. '//I a., .... Room No. Name of Mine Foreman, ·d, . / . Name of Mine Supt. • , / r :i l:!. , , r. /i Married or Single ) l I a Age of Person injured ':I _ , < .-, r~ What Family, if any, 1,; , - 1 J .J r• l :_/. ,r ,-c •'How long in employ of l c n y"..J Oondition of Ufe or Oircumstances, : , Name and address of nearest li!!!Jg Relatiue, / a..-r~~ . )rJJ -v; r h,., ,A..,V\,~ j Was he an efficient man,, ,,,t,/ '- :> Was he tem/Jrate, Jf -- , /,-0 Where and in whose charge lyYt, Name of Physician callett,A any, !; 1 1 0 a u,< f -,, o/., Name and P. O. Address of Witnesses, Nature and extent of Accid,mt, 7(1_,., ..,-l.' . ~·d • Oause, , (( ttrCv<I n .:1.1 t i l, L:U-{,,~l <tf rta-ur>L a J t<" f ~ t fc I.! a. L (A. .,., . Cvu d 'k-t< if! ..,,/~ ... j tl4-t-v-<.. / tt ( - ' t/V~/ .. l t. 1 ''~ r I·.J f , I /4 £~,(,( u ~;v1:r, l·'r/NA, v wfucf c-Cr -zl.< , v ( . /~ /,, V J L {(;IAI /l- ,.fc, 1 t <c , , t h t • _(,,,:/ / ·1 ' 1\f.u f -'t>< I I c -, / ' ,{_ 11.~· ,,/ / 1 1 (; (Signature) Date 18 ,_ {L ✓,, �STA'rE:MENTS OF WITNESSES. l-1..----/ 1A JV X /{ { {._ ?< .............. __,_,.,-,, . .. ...I �UNION PACIFIC RAILWAY. Mine No...; , ; ~............... COAL DBPAR.TMnNT. REPORT OF PERSONAL INJURY. 120 Gen'/ Supt's No ...................................... Name of Person injured, CM~ Occupation, ~>- •M c / 1n r Date of Accident, {(~ lc1._ , t l ;:i_ ) . ' ';lJu- l ,,/l., 1 ~-' J • /...,t ,__, Locat ton, If not i11jured in Mine, statelwhere. 78 o/Jr Time ~-1 (/,it(. Mine No. 4Entry No. 7 ,, 7 Room No. 2 ✓ cj.-~ Name of Mine Supt.• \.i l :r _ ~ /( Name of Mine Foreman, ~~ 1 / Age of Person injured .:) 'i fAarried or ~ife _...., :, , .1 ,,{i p r What Family, if any, How long in employ of Co., :..J ,, : , , Condition of Life or Circumstancec, Name and address of nearest liuing Relatiue, lJ T r 1r' / :,..- l..,,1.,,,,J, Was he an efficient man, r./.J !I Was h temperate, '--( e..; , ,f) I' Where and in whose charge left, , l r t-O "" _ ....._.., __ r<-, _ .J Name of Physician called, if y, 1 .-A- N Cr,. '•' , / , , nJ, 1 J • I 1 Name and P. O. Address of Witnesses, • Nature and extent of Accident, J / / / , Q(ft....,,. -4 ~/ fr.,, jt/·v I /1 /, I< f:, I 1 , 1:•(i J r ,,, , . Cause: {l ll..<. I t-(ti,?,tu..- 17<,<A 1'1, r (Signature) Date 78 l<, �STATEMEN'fS OF WITNESSES. �UNION PACIFIC RAILWAY. ~...........................121 MineNo........ COAL DEPARTMENT, REPORT OF PERSONAL INJUR J": Gen'/ Supt's No ....................................... Name of Person injured, ( 1 (.\ c ( ( Occupation, / ' o /;L (;;(. r .. \ Date of Accitnt, . ' / ( r.t. ··/ d -~f Location, ,;-c.i( -- ..f a- - l,,,,.,,t,,,r.q., Jf not i11jured in Mine, state uihere. / 78 ?L Time /ZCl,1I·( Mine No, '-/ \J Entry No. J Room No. ';) o ,. Name of Mine Supt. ,A Name of Mine Foreman, , , ,,, Age of Person injured I .I Married or SinfJle ,,.6'<;, , u f 1; What Family, if any, / How long in employ of Co., • , I t ,., , Condition of Life or Circumstances, Name and address of nearest liuit(g Relatiue, /I r{~ , ;, Was he an efficient man, ( ; p ~ Where and in whose charge left, (1 ·r1 /• / ,t- ~ ~•A Name of Physician called, 'if any, r . ~. ,1 1 ~,, I ii,,.. ~ l; J Name and P. 0. Address of Witnesses , ,, Nature and extent of Accident, :IJ.. fl hY'vv/ u a.--0 -IX. ;;( { l , • I,, , 1 , ''- _/ (Signature) Date (\ 18 i _,f /Y3 , h,,J,,.LA>-y 0 Title, =-uA ~ --:1 (Fl, 4 I v,l a. .. .... �STATEMENTS OF wn·NESSES. -: ' I �t. Fornt 8314. UNION PACIFIC RAILWAY, Mine No ..... COAL DEPAR'l';\IKNT. REPORT OF PERSONAL IN/UR 1-': Name 0~ Person inJ.~qred, 'j • ,e 1,, .C; <Y Occupation, d -<>-~ r ·(< ">' Date of Acoi(lent, -} I ( n 1 ; / I_ Gen'/ Supt's No,_ .................................... / /1 l U' ( ' ~ J • r '/. t/ ') 181'/ 2 Time / 2 Location,• ,{ r r /' J "' · L L z... 1,,.1 If not injured in '11ille, stat, where. , I L 11 , _~• { Name of Mine Supt. l l.ll' Age of Person injured • c; What Family, if any, How long in employ of Oo., , . .n . t. Name and address of nearest liuing Relatiue, Was he an efficient man, ( / €-<1 Where and in whose charg1 left, f:/. Name of Physician called, -if any, ( Name and P. O. Address of Witnesses, a b.,,U.cl // 7 iut-dr 1- Cu,{ / tt. 1/u ~~e;(.uv{ Date /1.., ),l(. Entry No. / / 1 Room No. ~ / 1 Mine No. ... / I,,, Name of Mine Foreman, ,~ ., J,. , . ~') l Married or Single .J, t: ; tc , I Condition of life or Circumstances, /')" ( /(' ,j 1 •• • t • Jas'he temperate, I I I I c,.,J / fl j ( l l 1 I I I/ Nature and extent of Acoident, r?; 1 ,.; ~ ; Cause, ~...... ................ 122 fl i:_,,~ ,-( {)l ,{ //(. i.,~4 It. I tu ,,. . jr, l,ttr... /l 6 r, , t. 1 18 �s·rATEMENTS OF WITNESSES• • ,, {.. '· - ' . \ //t ~~.I( ,,... ' I. ' • • I '· ., '. '' �UNION PACIFIC RAILWAY. Mine No. • .••.••.........•• <-../ ,. ··••1••··············· COAL DEl>ART.MllNT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No ....................................... / ') Name of Person injl.!_!ed, ./.' Ocoupation, ::--/ r--- ~-r. r:t : -.-Date of Accid6{1t, • • .• c,'L-( 1 1 Location, [[---c / '-· •.., , :-If 110 t i11jured in Mine, slat/where. ..., 18 'l 2 Time / / l 11•1t,.I) 101 Entry No. n x Room No. ?--() Name of Mine Foreman, f' ,· , ( <.I · _ I /4 (. I• ·• Married or SiJ;gte ,,..,,_,:,._._;J ,t Condition of Life or Oiroumstances, A ~ ) -' ...-,< ~ \\J -·;J-:- I} -~ r Was 6• temperat";__,< 1 - >1 ll'f'I-,-;,,,. ~.1 (; , Nature and extent of Aooident, .(;, ~/ •4~; w-t,l/i Date /?_,/ l (.. Mine No. V. Name of Mine Supt._;; t: , • . , , Age of Person injured ,:J / V/hat Family, if any, How Jong in employ of Oo., / 1./ ,,., , ,,.. , Name and address of nearest liui11g Relative, / was he an efficient man, __ .--CJ_ t,..._; Where and in whose charge(rff,t, Name of Physician called, if'any, Name and P. O. Address of Witnesses, .<J v 18 ;</ r , ,, , ( J ()({ ( I / J f; •'.-'\ rA �S'fATElVIENTS OF WITNESSES. J \ • LA, ,.. ,~ _, {I • it.v< • I . " •• " L (" r._,)l ;._.._ /' (d /, /,( >' �tJ~l u:-i P.\CIFIC RAILWAY. ~...................124 ' Mine No.... COAL DJU'ART;\IJ•:~T. REPORT VF PERSONAL JNJUR Y. Gen'/ Supt's No..-.................................. flame of Person injured, -;J-...,.. ~ / < · ,, ,L>-,,._e<,~ -(j ~ occupat /0 , / Date of '1ccidc1!/' .,/JI I ,3 r.._X ef;: Locr.tion, ~ r-~ ( -" '-..l.I J ./lAAA. If not ;11jured 111 Mme, state where. r 18 'J 2. Time 1.../ ?~JU. ( )u._J Mine No. b . .e. 1:ame of r.Jine Supt. -11 .A,{' . /''5 - / c.,_ c:4 r Age of Person injurer! 'J :/ .., , t · ,i " " y Entry No. I,, Name of Mine Foreman, ) '-..... . Room No. 17 ,/4.u.t~/.y Married or Si11g.Je -:J,-J/c> ,.,,.G:,( ?J What family, if any, -.-r. How long in employ uf Oo., t •1m>. Oo11clition of Life or Circumstances, Name and address of nearest liuing Relatiue, --l ~-, 1 .,, -✓✓-; L • •"--< ~ I },v;/ II f ,. Was he an efficient man, l(:.J t:c Where and in whose charge e t, Name of Physician called, i any, o! ~. /J 5 I Was lfi temperate, ., t ! t , (j ,ff/0'< Name and P. 0. Address of Witnesses , Nature and extent of Accident, 1 Oa11s1, I [ I,\, IC.• l,l:,JL1 ~ l . ,,.,,.,. t.t,, a.. ~ , P; ,r7 ·L~ h !J f'rt<-c,~ul • C WV .;;1 tc u Ou1.i'l,tl1{ .A V7,,,, J ,✓tl A '1,1,,<) eM.J... ~l'"' l , /.~ .1, t.-1, •= I I I I I I I I 1· Date 18 �S'l'A'l'EMENTS OF WI1'NESSES. �Porm 331~. u~Iv~ P.\.CI FIC RAILWAY. COAT, DEPA R'.l'.MENT. Mine No...)..,.,.,..,........................... 12 ORT OF PERSONAL INJURY. REP Gen'/ Supt's No. ••••••••••.-•••••••••••••••••••o.u,, 18f 2. Time Mine No. 8 t e ,(} ) /~ ::? I Name of r.?ine up • • 7../,fJ. ,<,-, <?t- u ( Age of Person i11jured V V --:},f-' c " 0 ,,,--:;, What Family, if any, f . t?. lt,(, J Entry No. 2 Name of Mine Foreman, Room No. J :; fJ /,J 0 ((J. r( , { .( A/,:( 1, t,•;;, Married or Single 7,t-(C(.,,1,,~u·d f . (I . ·c How Jong i11 employ of Co.' ft -,; H--U, Condition of Life or Ciraumstanaes, and address of nearest liuing Relative, I' •;("} ( ~P . e N am - ,./ m L • u r-c1 ..Ai~ a A .-1,,v1./,:; was he an efficient man, A l /J (/.) ~ as he t mperate, Where and in w~ose aharge_'Jfi, y/l"r.A.-,._c ;,.;, 116 rL y (?c,..,<A-1/b . Name of Physia1an aalled, II[_, any, ,,G,-. / Y t1Y( cvt (j Name and P. O. Address of Witnesses , (Signature) Date 18 t. J~ ~ Title;-())__~ i M/J,t,cpv<A..._ �STA'l'Ei\IEN'l'S OF WITNESSES. ,, .i,, .i '.I .' I "., •If • t �Porm 331~. UNI0~ PACIFIC RAILW.\. Y. Mine No....~ ;................ COAL DIU'.\R.TlJllNT. 126 : REPVRT OF PERSONAL INJURY. Gen'/ Supt's No. .................................... Name of Persall injured, . l r:. /4.J a...-...."'- occupatio11, -yJ/l •• ~ oatt! of A~cipe11t, _...A/1..-..A-{.. ) •.rt. f 9 Location,'1 ( t-c ~ u . )..: .,-1.,,,. - •~ If 110t ifljured i11 Mine, stllt.e where. {) - flame of (;fine Supt. ·l1,,1 ti 18 t/1.. Time y..Lv P.'UA Mine No. Y Entr/No.~ l rr Room No. le.~ U /1 r.·/ . / j ( c<..,.,-t.//C Name of Mine Foreman, r ,c."V Age of Person injured ~ ~- -;:;. <. ,.., , .. - • - I' Married or Single What family, if any, U 07.d·t·1011 o,,.,, LJi-rc .' e or aircumstances, /low long in employ of Oo. , / 2 - 7:I' A ► .,) 1 Name and address of nearest fil/!!)g Relatiue, ;iJ,.. c,( as he an efficient man.!...---'1E_ /-.,..~ r he temperate, --- c_:j,vo t/Nas ''l Where and in whose chawe)eft, {l,;. Q ~ (/ Name of Physician ca!IM/;f any, Cf"k,_:..,,_"'.0-tJ- ~ Name and P. 0. Address of Witnesses . Nature and extent of Accident, (} 1-, ·L (Signature) Date 18 'S},v . ~ 0 / J.,.. /4.,1-{,,1 Ti t l e ~ 1 . . . ~ r rr_:-1 'l �S'fA'fEl\[ENTS OF WITNUSSES. ( �.......... Form asM. tJ~IJ~ p.\CIFIC R.\ILWAY. COAL DEPART;\mN'r. Mi ne No.. f ~ .,,,,,,.,,,............... 127 RE"PORT OF pi:,'/?SONAL INJURY. Gen '/ 8upt's No. • Name of Pe~so~ injured, .a/4 . ~ J . patio11, tCl)-(/.ii,·v· n,-v._,'-'(} 0CCU .1 t ( \ 1 .(_ " . l y_ oate of ~c(]lyen ',, :- -:/ ,v,.. / Locat/011. I (.0--~/JC .1: ~J~ 1--tv---vi.-v v:/:.' ., If not iJ1jured 111 M111a, SLlne where. (1<-l-l ,{lrlt 18 72- Time J Cc .;,.t,,t. Mine No. dY\.. Entry No. .,.,t-._ <-<---<.A(.. oC'. Room No. Name of Mine Supt.~(~ . -,Ki Cc-c..--!.--? ( Name of Mine Foreman C' 1·--;J ( ,r ·l-W. V Cr.,v/ \ Age of Person injured /;,'" .:S ,.,A ~ " Married or SJ11ggJe , 1. '_/ _,.. If-J,,.,._ What Family, if any, How long in employ of Oo., J Q. .• f- -L r,t, 1, ,,, Co11dition of Life or Ciroum,.tances Name and address of nearest liuinrfl?e!atiue, (}~v~ " , Was he an efficient man,_ e-z -- c....-0 1 Was he temperate, 1 • /: f J? Where and m ~/~ose o 1ar(!_e,~e t, ~ ~q.. ·-# J. y. { : Name of Phys1c1an oa/led, if any, X ·.,.-l(t ~_ /J- tJY( '""'-,j I .. U -A.., ? Name and P. O. Address of Witnesses , Nature and extent of Accident, 0 J (tJ V I • J/1 ~ rAi' 4/v'L•Ol<l...-OY\.. •••••••••••••••••••••••••uooo 1 �STAT.EMEN'fS OF WITNESSES. �Portn 3314, UNION" PACIFIC RAILWAY. Mine No..... COAL DEPARTi\mNT. REPORT OF PERSONAL INJURY. ,, ! Gen'/ Supt's No....................................... Name of Person injured, o<!l__ _/c,_,.,,,,_ Occupation, ·--t,r~ ~ ~ Date of A_c_o!f!!nt, {J ,AA-pt,,( / {} .,r;C Location, /_,.--d//4..A.-·~3/-'.) If not injured in fl4i'11e, sta4 where. I J Ov;,,ro 1~;f ~.................12~ J 189 Z. Time J 3 l!.. Mine No. f../-- a .U/(_, Entry No. 6- Name of W11e Supt .~..,(,,() , ?6 --tcv&t( Name of Mine Foreman, OtJ.7. ~ ~v6y Age of Person inj ured ¥ft; --;::/'<- ti/z/0 Married or )74a . , , ~ ( What Family, if any, ::2. Cl / How long in employ of Oo., I Af va,,,,vo Condition of life or Oircumst;.nces, Name and address of nearest liuifll Relative, --;{!_<>-UC _/A,,./IAA;..ty) ,f}_ s;4/t~ f_ 1 Was he an efficient man, G4 _,,--,,.,f" Where and in whose charge I l, Q/4 . -f} ~ Name of Physician called, i any, ~ ~ /Was he temperate, Name and P. 0. Address of Witnesses, Nature and extent of Accident, ;;ILt?..-ot Date cuu( ~ -~ 18 -~l/jA. t �OFFICE OF SUPERINTENDENT OF MINE~. '""'""'o . pacif\C Cotti co. union o ~ock Springs, W Y ·, po / 2 _'} ,,- (,,//l U .f d. - 189 2 1 f ( b-,y ·& ()Y't•-u/Y _.?iCt.J... c)._J .,,0 ,, ,/,. l trl!Y I ' - • J irL It I ... I l . Jf evcC<-·t;{kvv(. &,"- ,: 9. 4. {'VI/I ,,u). .,,/ l I ' . ( / , ' • I, I I • ' (If L 1J, I I, I 1 l( l( • v,,,.,,,.,. r--l 1 1.a-,- 7~ J ,:--l,,.,,,u1'\' fJ ( , ,-,1t l Ct,t..,t...d , (,c.1(c. , l ¼ 1 •' . •J ( ,-, 11 1 • / / ( (< l r{ J{ I ;) A , j-/~ t.. , )' / ' -1( ,'l -;ft!t.,~t II'"JI( c.((111l ·ft t·,,,,7 O{ttt;J ,, ,l.uftn.. 1v.c< t\. d ~ / {"-/4: :};1,v-iwt1 _7 I ht . ~ u , t r... ,"'( ✓-l..-OJ,1,t / u' !,.,,.., 71 trf>•A ; 11 _,,,/ I t.,,1 ~ t-t<.-ft '-· J . A rl'.;J • • q, I/u.t £ 4 l " ' t '"f. 1, -4, 0 -J . la ft , 2 .,_., . 'lot,d( cl,-w, , . -;J./,. . / ,.-K o w'"';}' .Io <I 1 , ; . , • , -t,. . I' ', f, ju " ' • v f """"'' ,,,;.,,_ • J. (7 (( .i I artvn ·I· w1 ." , rU I cl ""'' " I • L , I ( ,. • ~ .t IL , t ~U. f ('{t; .-(,'J ti.., II '"t j,,,," /;:<t'1 /u, L ~ r l L 4i /4 t J, (.( Cc,..c I h<La, ,..,, t,,, . . , ~ I IA( ' • /J.a ,,, , ·1 u ,. I t" - , " " (, " "3 a « ,, .,, - lr«.' I v<" ' - ~ , " c c , , t .< 1-,e'l m , . · / u. } , a , , ,~ , " " " - ' " ' v ' , A. I ) l,t"-&A I ,•,4' •//~~. _:i:,;•V.Lr'V... : -: fvu t r! a,.f.t,l .,.ft/AA J~.u--w l 0... (,) -j~.,_ . :,cAAA ~ -tw;< -~ .... u-,,i)tvJ-v.. . ) ...,(c1 ft.tvtK a C &V\ ,· f/. /.<l/Cd /.w.,t trfA-l,t,t..,dt,ttvLL'.( w ~t,{ . t L ~ 'ki,o , I 4 ~,, '1 11 1r,. , ,<;IM.,<:.( .;·1, ,A ttAJK C< ,,,... -:L...-c,u...:. ZtirA,.. t : •a.o . t fwit.. -z,, .,,~ t-rf.1, t u~y .:h J1'-:t ,,,fo .;O.(.,A,.l.,.11~'- ., - 0 . ' v a,.. t)1.,, t>f r .1.,lfv'- j-/.'- ~,-fu,L AA.-4< 1,~ ~ ,;,.v"t ; 1lr -c .•.f(_,,l,( •(~t -:t' !J pC(,i,7 l - ~ { . ( /L • ,J �c;:--;Iv~ P.\ClFIC R.\ILWAY. COAL DgP,\RT:\lBN'l'. Mine No.. 2 ~r.;;. . .. . .... . .. 129 . RHPORT VF PERSONAL IN/UR Y. Gen'/ 8upt_ 's No: ..................................... Jr-f Name of Person injured, ~-I f/1,,l,,,__-<.,J'r occupation, ' I f { ~ (/ . / oate of Ace~· ent, Q ~ / o .,t ' ,,, , I -,, Location, , l ~l,,,f'::... • - J ..-j - 't- '-"-'" '° ,,. If not i11jured in )1i11J, stdfo where. J • . /'J. , • came of Mme Supt. '7 , {,A) , . . . • IA/4.A/'V\. fAine No. v \j .I,' -/3 C • 18?7-. Time / 2 d • v? U,{, L,u._ ., £AA.,., \ - Entry No. J Room No. 1 h Name of Mme • Foreman, ,·, f • . •1()..J Age of Person 111JU1 ed S 3 -AJ L_ • P1A--l·L /}.1/ . C\/V 0 Mamed or 811fgle -7-;, { • "-'' l'lhat Family, if any, L/ ( 1 ~ r~ i How long in employ of Oo, , '3 - ~ cc..-vJ Condition of Life or Circumstances Name and address of nearest ll&/1g Retatiue, ; /'J ~ . . . Cu-- vJ\ ..,..-V-,· .,..,/v\..A..,Vra man, - /it;/1.,0 1-.,.,11 was he an effio,ent • ,,, , as he temperate, Where and III whose charge/ e , {AA .~ ~-Ji_ ,,,,d•, -· •H· Name of Physician called, 'if ,any, ~ . • Yt « f ,,;;,._ -• -tr" If . . ' r· L Name and P. O. Address of Witnesses, Vature and extent of Acoident, ::/~ =r ~ j, ,nC,._ ,~ a. ~, < £ ,,_ , ,( / ,.~_.;,, ,tJ.. , t .....r \ ,, ' 1M. (Signature) 18 ICI { 9 J~ f<J, Tltle;1,LA_~ -jI), l,,J,-1,t a.M... �S'l'A'rEMEN'rS OF WITNESSES. .f. ;I· : . .. l 1 I I i I .,J I "p �UNION PACIFIC RAILWAY. Mine No.....((l½. . ........ .......... COAL DEPARTMENT. 130 REPORT OF PERSONAL IN/UR Y. Gen'/ Supt's No....................................... Name of Person .injured~ ( 7. Jet ,,.r<-•(~ occupation,· f I {... 1 , ", ,,,.. ~ oate of Aocident,·J I' ..,,i , , '-, , ;-J ,. 78 12 Time / / a ,?1-{. Location,· J(c- l IL f '--. ... \../J- Lt• ,•, ~ Mine No. / Entry No. -:i 7 Room No. If not injured in ~fine, stat~,where. U ,.., Name of Mine Supt. _(/. Cf) . / • • .l j (4. r .1l Name of Mine Foreman, // (/J ( II V , a,,,r l Age of Person injured ✓-;llS • / t r-, . Married or Sing_le 1 ;-,' 1an. 1 L< rt What Family, if any, _/ "\..,,y How long in employ of (Jo.' '-I l r 1, • (Jondition of Life or 0ircumstanoes ame and address of nearest liuin Relatiue, / , ( _1 ' N I v "\. t 1...v\_ was he an efficient man, { /4.,,o Was he temperate,-f:!..t.,.:J Where and in whose oharg~ef[, • L iL/ -/l. ...,.,..,,.;_ Lt,-; Name of Physician called, if any, (j1 O 1 J J 1 0 i/'' l, I'(.. rJ!},,~ Name and P. 0. Address of Witnesses, ( c1·, ,/ .!' ' ' t " /1 { '/, 1 •/ q- • • • L< f C.,.\.! (Signature) Date r (, (?W ( Title,;)!~ < -1 ~ ~ /1, II �. • I l" \ ' I ' . I l •. I (' } ,1.1,\ { ' I -1; l ' (' (I} t :d 'I I :• ~ 'I ,, I . I• \ \ r. ( '", r rl1.'- ti' ·l· £I ·' ' I 'I • ' ' \ r I ' ' ! \ \ I I ,, ' I I ( l �Porm a314. UNION PACIFIC RAILWAY. Mine No.~ COAI. DEPARTMENT. REPORT OF PERSONAL INJURY. 131 •.,~.~-,.................. Gen'/ Supt's No ....................................... tr ,,tL( ( 1; , , Name of Person injured!,. , / Occupation, ) : I r, { /, l.. f ./✓<--f/r· ,..,,_ Date of Accic!pnt, '. ) .-M, \(. -:i_ u ..,--(I Location, O--l 1( _ J / . t. L. ~ i ''r lv. ,1 v 1 If not injured in Mine, state where. .' / I .. /t 181 'l Time Mine No. Y Entry No. / J. Room No. ; Name of "1ine Foreman, I / fl) ,1t c, I ,1 Name of Mine Supt. i )t I .. z\ . -;J l ·, I ;( Married or Single • 1 , I , 1 vt ltd Age of Person injured 3 y . {,,/ t 1"'1, 1 What Family, if any, i,[ /I 11 .__ Condition of Life or Circumstances, How long in employ of Co., 'J ( t"r , ,, , Name and address of nearest liuing R~li.tiue, ;(t,, c ;/ . l ; /1, 1 "~7/ Was he an effioient man, _., ( / v-, i Was he temperate,(J"' Where and in whose charge Jdft, {7 1 /4. .,,,..,.A Name of Physician called, if any, Ji': , ) 7 ,·r / IF>'\.. \ J Name and P. o. Address of Witnesses :v{)_ c/tl Nature and extent of Aooident, JJ a.,c~ Oausg, I) ll ·.,,1.,'t-{ ll-AL-4. _/-'h.<.. <::> I<GYJ. -<>"-.. 1./tA.A. ... <J {,...,d cu/1,, a tuA.1 . cJ ltA....()..A.',/L, 1,tA.,l Cl- C Cr. .:i:.,) , Date 78 61.Lr 1 ~ (((, J �~....................132 UNION PACIFIC RAILWAY. Mine No...... COAL DKPARTM~NT. REPORT OF PERSONA/, INJURY. Name of Person injured, ., (/?i( ( Gen'/ Supt's No....................................... ..1 • ;,( 0 I ✓~,, Occupation, ) /{ _ l "' u l Date of Acci~5nt, • _ ~t. I:. / ..,,_ Loaation, )L (J-C'/l/t, 1.J ,· J _ ~ L,,. v If not injured in Mi, e, sta where. 1 j --:r A <·) J (• l ~ , - 0 r Name of Mine Supt. ~ Cfl' /, C: / \ 1( ' I I/.,, c'c,_ /. ,._ Age of Person injured v:? What Family, if any, c..- .i How long in employ of Oo., Name and address of nearest fiuing Retatiue, ry r Condition of Life or Circumstances, Was he temperate, /'l P , ~ 1-lA. l{. --fj' c.,, C-\ ,/0--.Jt--c,.,I.GY" Name and P. O. Address of Witnesses, Nature and extent of Accident, A+c (Signature) Date Room No. Y...3 Name of Mine Foreman, fJ) , It,(/. Q.t, 1 Married or Stgle ) //r ~ ' )-,.(L< Was he an efficient man,__., ~ _ C.-D Where and in whose charg ft, Name of Physician called ,'f any, Time ,1Jt..-' -J,4 ·j{(, Mine No. / Entry No. ;2 s 18•/ l 78 ~ ( j .,.,._,,,,( uitl~ �Jtorm83lt. UNION PACIFIC RAILWAY. COAL DEPART:ltnNT, REPORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... eel. k Name of Person injured, . occupation, 'JUMA.,l,C oate of Accident, ~ ~ 7, Location, ~ f,t" ~ 3 If not injured in Mine, state where. i 18'/flJ Time Mine No. cJ P?1/4 / Entry No. .2 3 Room No. ?" cl Name of Mine Supt. ~ . /:. f.lp a e,/,___ Name of Mine Foreman, Jon- /Jc,A-lt Age of Person injured .tf 3 Married or Singtf •l?z#t-~ul What Family, if any, 7l hi,,(_ How Jong in employ of Co., 'f,,,laA..A._ Condition of Life or Circumstances, Name and address of nearest liufng Relatiue, ~~ was he an efficient man, 'jvt-Was he temperate, 1.,/A.__/ Where and in whose charge left, Name of Physician called, if any, ~ &<.- tD C/'dh,- J Name and P. O. Address of Witnesses, Nature and extent of Acoident, (Signature) Date l 11•1- IN �STATEMENTS OF WITNESSES. •' ,Ii ;I· I I, I ! ( , .,. .,I ... �UNION PACIFIC RAILWAY. COAL DBPARTi\rnNT. Mine No .......... ~ ................134 J?/;PORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... Name of Person i11jur:,d, .J/'nAJ. ~ t r 1 / ~ ~ ocoupation, /Jt/Ut,,,C,,-0 oate of Accident, /✓t,A--l<../ 2 CJ Location, If not i11jured in Mine, state where. 18 7:l Time Mine No. f' a. Jil I Entry No. 2, 6 - Room No. ti✓ ,. k' /J / Name of Mine 8 upt• ~.1,-I(.. / ,;LF t-( CA Name o• Mine Foreman , ' l'J/1, d , / L7 ./ 'J ?l-1, r( Age of Person injured J u Married or Sin le ,J,,l.Ujl,u_ What family, if any, . . How long in employ of Oo.' kf,,z,,-<v ;/( l'f t.- t. ✓ Oondition of Life or Oircumstances, Name and address of nearest liuing R~atiue, ~ ~ j was he an efficient man, .,...,{,,,:l Where and in whose charge left, @. Name of Physician called, if any, ~ /4 ~ Was he temperate, y_p,,4....,, 7z v-,,-~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, Oaus,, (Signature) 18 /1-- /~~\ Title, J1t,,u«_ /~a---.. �.. STATE~IENTS OF WITNESSES. �Pormaa1'. t]NION PACIFIC RAILWAY. MineNo...... fE~ . . . . COAL DEPART:'ilENT. 135~ REPORT OF PERSONAL IN/UR Y. Gen'/ Supt's No....................................... J t:{ e41'/-- fc.../(cu' 711~ t Name of Person injured, r occupation, oate of Accident, UA 1(7 , / - I L•,~ Location, {? er<! I, (lp.~t <-<.,< 'f4 C,,t.__ 18 P 1- Time Mine No. If not ;11jured in Mine, state where. 11ame of Mine Supt. ~ Age of Person injured , /, flt a e,l, 2% /0 8 Entry No. Room No. CJ ! )1/ • t3 t~PL, ' ~ / ' r t i J · U(/:Z, Married or Single ,{J,,f. <'i',.L<... Name of Mine Foreman I What Family, if any, ()1 V-vL.,Z w tong in employ of Oo., ~{""-« t-<rt..,tA< -1._ • of Life or Circumstances, . aond.,t,on Ho 7 Name and address of nearest liuing Relatiue, .7,.,,-z,.,IA--tC,U,( r,,(_ was he an efficient man, Where and in whose charge left, Name of Physician called, if any, Name and P. 0. Address of Witnesses , Nature and extent of Accident, (Signature) ~:~ .• (/4,/', 'll~1C(M Title, ~~~ ~ / ~~ �~ OF WITNESSES. STA'fEMEN TS ...,.. / '• /t ' I \ {. ,,1 { 0 ( I. •if• : , ,{?., :, ,, ,I t I 'r :• . l /r I- , , <~I tl I"- r '' I..' ~ ', . //2.r . ( ~ ·Jl'c l'" {(• ,. 'I, ., . /.c /, ;( t l,... - · ' . 1'-((. (. I • 'j p-1,, t u·,',,,;, 1..rt ; r1;,/J a 1 l { 0 ..-:~.'-0... ti£-e.L I;,( l . •. v,,,,_,,.z vd 1 .I .,"/ .I �{J~IG~ PACIFIC RAILWAY. COAL DHP.\RT:.LP.NT. Mine No....([} ...'...\ .................... NI:.·poRT \. OF PJ::RSON.rlL INJURY. ~ Person injured, t. / I\ r, 11amC 0'l · , 1I , 1 , occupa tI 011 I oate of Acci1e11t, ' ~'•; , - f -; Looatiun, /t <' If no " ·; Gen'/ Supt's No....................................... A 'f .(, L •• • ,I •• J.;/1 18/ l. Time V fi1i11e flo. / Entry No. 3 r1 t ;1,iured in Mi11e, stdtc where. Room No. 'J flame of Mine Supt. { I t, / c Aga of Person injured / (, / :' I,, Married or 8i11g/e1 1'/i1at Family, if any, Hotu Iona in employ of Oo., I I I 11 / ' nd address of nearest liuing Rclatiue, Hame a Was he an efficient man, . t f ..1 J Where and in whose charge '. 1,/t, Name of Physician called, if any, Nature and extent of Aooident, \ Ct •.;c-'1__ t t Was he temperate, I; I t, r l '( I (' (• l I / 1t , l (l I t< , , I t c' r1 i ./ ( t , II<. /,,., r1, (( r ,,. ! 1 l •L , j u~ I I (Signature) 18 1 '<<J JUL I ~, ..fu, 1 /11 1 r~t< ltc, (' ~11 t ,IJ,, ...<u( /;, .1 ,',, 1 /'/:, .·d Date J / I ,, , i , .{ ! Oondition of Life or Oircumstances, /, . 1rr ttt{ fr . J Name and p, O. Address of Witnesses , Oaus !, ) .,r .f O . 1 , Name of Mine Foreman, v ? •tu, i • Title, , / ' •, ft t..l <4''l n' • I / II..( " I 1,( J • c~ 1'l.. nu rt �STATEl\IEN'rS OF WITNESSES. ...,: ' ,. t I ' ... ..... �lJ~IJ~ p .-\.CIFIC R.\.IL\VAY. COAL DEP.\RT3lKNT. Mine No·- ~~--./ ORT OF PERSONAL INJURY. REP Gen'/ 8upt's No. A Cv-,,,--r ' ~ person injured, Name 0'l 1h. . 'lff. /vi C<...... occupation, A,,U,<.,,-Y oate of Acci~ent, ) ~ ~ 7 Location, reA ~ i/ not ;,,jured in Mine, ·slate where. ,e JA- ................. 137 ; •••••••u--•••••u0<oou,oouuooo 18/ 2. Time Mine No. Entry No. I Room No. ft o I: ~ .,C: (lame of lfine Supt. llfudt Name of Mine Foreman I a-, (J I10evi,,/\ Age of person injured :i- 3 Married or Sin le //J"''lei • , j'f;• l,1.A.-(.( C,,,'\ What family, if any, HoLU Jong in employ of Oo., JW :/~ ~ Condition of life or Oir ~ flame and address of nearest liuing Ftllatiue, .:/:,,i-u.Jt:l,,,ucA.. cums,ances, /...LA1,,as he an efficient man, "' Where and in whose charge le , ~ Name of Physician called, if any, ,,J2_j J 1~ ~ 7z Was he temperate, v-r-~ / '7....a4.._ Name and P. 0. Address of Witnesses, Nature and extent of Accident, (Signature) Date 78'/'J- r·JP~ 1 ~ t'tVLA< Title, ~ �STATEMENTS OF WITNESSES. .,. �~ trNiv•• RA IL WAY. • coAL DEPARTl\!llN'r. iEPOR Gen'/ Supt's No. ,; person injured, (Jall1C OJ. occt1Pat1011, . ,; {loaiden!!J fl oate OJ Mine No.........,,,.,...,l...................... r OF PERSONAL INJURY. ~ ':/~'f:"i7/ Lccatio11, . . ,iur•>d ill Mme, state where. If 1,ot II~ " ; f.1ine Supt. ~- ............................. /J '~ ~ ,£UM I 1 ,,, ~ /,,u 7 /4 ,, J v-e/i 7efr Time j/2..- Mine No. I Entry No . ~ WP ~ I l Room No. 1-/(3 vt e.,,,f Name of Mine Foreman ~ -z7 of Person m;ured ~/ 3 . , • / ad 1 Age . . //A . - " Mamed or Singt - ;/II , l'filat family, if a11y, •fvf/lAA J///l ~ c{ HoW tong in employ of Oo., 3 ~ t,{,,/l./.f__ Condition o., Life . d address of nearest liuing@elatiue / I t1 , '] or G,rcumstances, Name an , ~ ~ was /Jc an efficient man, ~ Was he temperate, (lame 01 . . Where and in whose charge left, flame of Physician called, if any, 138 t7 ~ ~ <L <!) ~ Name and P. O. Address of Witnesses , Nature and extent of Accident, Oaus1, (Signature) r /7~ Title, ~ i �S'l'A'I'EMHNTS OF WITNESSES. �l'orni 3311. . p \CIFI ~ R.\IL\V A\'. ·~[J :O. l• • coAL DF.P.\RT)lliNT. Mine No........ f ___ 139 'ERSON.rlL INJURY. p0RTOF P t. tE C .1 Person iniured, NittrlCOJ 'J ff.., J v,,, . ~, , ~U..-y J II'~ 0,_," ./ upatiOII, if Accident, A/ / -,' tf --- 1 , -{(_ v-d, , ., ;-! UA/y O$ oatB ~ /.Jcation,_ d 111 . f.1ine, state where. •,,ure ' If not "" • ,; Supt. '/.;J /ltf. , to••.1ofParson !,, "' m1u1 • • ·ed if Q;/ll • employ family, I , of Co., AgB OJ 11 1}I/hat J, 1{P'"i.. Time Mine No. Entry No.);vra5 Room ~ ~ z;c.>t>.. -4~ / , ( e/\ Name of Mine Foreman, -3 b /--lz~ r N f I, ~ ,, temperate, /-Was-he -0/ ~~ I') ,n AYY .}./2~/4 _ , ~ "7,,, - /' ~ ~ - / p 0. Address of Witnesses, Name and • Nature and extent of Accident, (Signature) 18' /_. z& ~ /Jj,~ vi Condition of Life or Circumstances, elatiue, Y ,<f) '?u Married or Single 6 (lame a e,n;cient man, ~shean 'JJ' Ia d • whose charge left, 1h re an m f. c Ph sician called, if any, 11ame of $' , Ut Ho• /ong 11d':ddress Of nearestliuin a 7//A.. I r-- �STATEMENTS OF WITNESSES. ◄ j/i ,, .,: j ,, '' l I �.. TS Ol•' vVI'l'NESSES. s·rA'l'f.~[RN ·I I �UNION p.\.CIFIC RAILWAY. COAL DllP.\RTillliNT. Mine No.........,,.......!f................ 141.· tEPOR1' OF PERSONAL INJURY Gen'/ Supt's No...................................... Name of Person injured, occupation,. oate of Acc1d~'!J, Location, (D~ if AJ/21 ~~ ~" r W~ Mme, stat~ t!t:'er~ .• • -, (L~f ·,u·ure-1 111 • If not l !01 ~. fl. Ill i7 $ I I,, ~: Name of f,fina Supt. a e,,I\ Age of Person injured What Family, if any, How long in employ vf Co,, '1,t ~ Name and address of nearest liuingtJ'letatiue, Was he an efficient man, L/v2Where and in whose charge left, Name of Physician called, if any, lllj';L Time Mine No. 8'(iO /J~ 1/ Entry No. ~ Room No. Name of Mine Foreman, ff(), j~ .. Married or SinlJk • './4/t f &._, Condition of Life or Circumstances, Was he temperate, t' ,1 • ·': ·)• ... Name and P. 0. Address of Witnesses, /, ·,J Nature and extent of Accident, Om1s1, (Signature) Date r-fl~ Title, ~ 1~ ~ �S'fATEMnN'rS OF wrrNESSES• ... �I J tJNION PACIFIC RAILWAY. COAL DRPARTll1':NT. •. ; ',_ Mine No........................................... pEPORT OF PERSONAL INJURY. Gen'/ Supt's No. . ~. /.); ,., ... ~ ·:· Name of Person injured, occupation, oate of Accident, 18 Time Mine No. Location, If not i11jured in Mine, state where. Name of Mine Supt. Entry No. Name of Mine Foreman, Age of Person injured !,tarried or Single What family, if any, How tong in employ of ao., Name and address of nearest liuing Relatiue, Oondition 0'J~ LJFc • J e or O,rcumstances , was he an effioient man, Was he temperate, Where and in whose charge left, Name of Physician called, if any, Name and P. O. Address of Witnesses ' Nature and extent of Aoofdent, l J l r, / ~l ') I{ 1 vf/ \,, / 1 II V Caus1, (Signature) ., .. Date ........ , Title, Room /lo. 142-S �5TA'f.E?iIEN'fS OF WITNESSES. �UNI ON PACI F I C RAI LWAY. COAL DEPARTMENT. REPORT OF PERSONAL INJURY. Name of Person injured, oate of Accident'. ,.) /c_trel, n-/ ~ ~ /( ~ Occupation, Gen'/ Supt's No.".................................... av., ?-· Location,_ . JJt, l ,u:rr If not ill)ured m Mine, state where. Name of !,fine Supt. l . q ~ « d. Age of Person injured fj O What Family, if any, How long in employ of Oo., r Entry No. ~ I t:-.Jry/..L,4- Oondition of Life or Oircumstancec, /4 / ( ere.At ~r Was he temperate, " v / 1-AA I#. . t.,•vt~ Name of Physician called, if any, ,JJJ-y 1 • ~~ Name and P. O. Address of Witnesses, Nature and extent of Accident, (Signature) 71n--d :i:)-)1{_ Married or Single Where and in wI1ose oharge Ie f,t, Date ~ I Name of Mine Foreman, \ Name and address of nearest liuing Refatiue, was he an efficient man, :2- 18??--Time Mine No. mcJ~ ;J11~ �STATE~lENTS OF WITNESSES. .,I l �~ UNION PACIFIC RAILWAY. Mine No................... ..[ COAL DEPARTMENT. .......... 144 REPORT OF PERSONAL IN/UR Y. Gen'/ Supt's No.".................................... Name of Person injured, ; r f U . /yd/ /"Y1,,, ·1,; , ,- L occupation, r I f/l/f/{A_,A,, oate of Accident, 0 ~ f: 6 'P. Location,_ . I_( v-e/l ~;.A ,, ' / ~ If not ituured 111 Mme, state w1,f ~ - ....,."" 1Ef?-z.. Time Mine No. Entry No. a__ Room /Jo. ~ Name of Mine Supt. ~ U h ' ( Name of Mine· Foreman, ~kt ~ t M.. Age of Person injured ~(o Married or Single ~J' .,,(!,L,, What Family, if any, How long in employ of Oo., Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, hat/ ~ ,,(!Jc;</~ was he an efficient man, l£tAWas he temperate, Where and in whose charge left, Name of Physician called, if any, ~ (/ -71,n-P~~ Name and P. 0. Address of Witnesses, Nature and extent of Accident, Cause, (Signature) Date A:Jnr$t~ Title,~ r~~ �,--- �UNION PACIFIC RAILWAY, Mi ne No. _............... . COAL DEPARTl\rnNT. REPORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... Name of Person injured, /(ct"1.-1A/ occupation, ~,,c,,,-~ oate of Accident, c::;:&~I' c: / II Location, r&-f, {);, .--u p If not injured in Mine, state w ere. ,g, 1,,,,~ iR 18 9 ).,,Time Mine No. V}- f. /)1A} 't Entry No(ft 1,?-t-0 Room No. f ? ~~ Name of Mine Supt. Name of Mine Foreman, I J J w / / [}& d.--1 Age of Person injured -:,1Married or Single cl Vlhat Family, if any, 3 How long in employ of Co., I l"v //1A. ~ Condition of life or Circumstances, !{ame and address of nearest liuing Relatiue, ~ a . . . f ' c / ~~ Vias he an efficient man, Was he temperate, ¼~ Where and in whose charge left, 0. ~ 1 ---/--r-aA ~ ~1 Name of Physician called, if any, / ,(_J)_.,,. ~~ '/1-11/ ~ F (fJ1 h Name and P. 0. Address of Witnesses , Nature and extent of Aooident, (Signature) I ll•t•N 101 ~/~~ Title, ~ 7~ ~ I I �OF WITNESSES. STA.TEMENTS a. .... �tJNION PACIFIC RAILWAY, 148 / COAL DgPARTMEN'l'. Mine No ........... ........,,,,................ . REPORT OF PERSONAL IN/UR J"'. Gen'/ Supt's No. Name of Person injured, a«- ~ L(,,-(,,,,u occupation, @.tt '1 oate of I . Acciden1t . ,, I ~ f , , Locat1011, W,r q/f . O'C1/Tl . • If not injured m Mme, stat here. Name of Mine Supt. Age of Person injured WI/at ramify, if any, ~/ 7~ ,~ ' 6 ..... / Entry No. Name of Mine ~oreman, &, was he an efficient man, !::f..,,,//2...., Where and in whose charge left, (J d- / Name of Physician called, if any, /7 /JU_, 0 'J--T11ne • 18/ M'1ne No. &I\ /7"""--,.__~// How long in employ of Co., / 2 ,,.VJ ~ r✓ame and address of nearest liuing /(pfatiue, 9-~ h. //) V ~1 /Jt( CtAA-i-, <f Marned or Sing Condition of Life or Circumstance" @/;u;u C0 ~au d I Name and P. 0. Address of Witnesses, (Signature) Date u,, .......... ............. . ......... . v, Was he temperate, y ~ . �S'fA'rEMENTS OF WITNESSES. j. ;ff J .,I ,,,'•, .,•..•· .;·/· , .j , ..,r '. ,, . �{JNION PACIFIC RAILWAY. 14 7 COAL DEPARTl\mNT. Mine No ...f............,,,. ............... REPORT OF PERSONAL INJURY. Gen'/ Supt's No....................................... Name of Person injured, (~CJ ,/( c....-,,._ / occupation, }? l _,,~ -UA~ Date of Accident, <:'i.-~ t 1/ •.J J _,, I\ Location, • -{ ~ r /( _,., JJ:,, ~~✓ ff not i11jured in Mine, state l!Jhere. /3 d Name of Mine Supt. - {'1 u >, -<.c-. Age of Person injured o ,A ·t>--c.~ 1 What family, if any, How Jong in employ of Co., Name and address of nearest liuing Retatiue, 78 1 / Time ,,. /, <?. 7,-;, ( . Mine No. lir; Ent ry No. , 1,,1); rI....._ ~ Room No. / 2. L Name of Mine Foreman, ~()_ }}.''I / I • Married or Single Condition of Life or Circumstances, Was he an efficient man, a---v .-l4 Where and in whose charge le , 4-u,,~· .tr- :;) -3 Name of Physician called, if y, /// . . '::f __.// LLf_.,ll C.CV"/ { / A• -4 Name and P. 0. Address of Witnesses, Nature and extent of Accident, r ) 0 d ' -rL/ ,,.,,,__,,,._ A / V//u,{M " • , . _. . , (Signature) Date l 11-11-Q IOI u1 Was he temperate, ,,~ e4 O (() "' -l-< Cl.,,j �STATEMENTS OF WITNESSES. I • - ..' I . :_. �~ p \. c IFIC R AI L \VA V. tJS'H).~ • . , Form U3l1. :t- 48 coAL DEP:\RT,;\,11,,N'l. Mine No..Y.., ...,...,....,.,................. ,r OF PERSONAL Il\lJUR Y. tEPOA Gen '/ Supt's No....................................... injured, • ~ '1~ 1 Person~ flame o. . ~ occt1/Jat1on, . 17. . .. '2. '2 :a__ci Acc1e11t, ~ pateO1 ( ~ • ~ Location, J d-'C/1. ;a~ U .• red ;11 fl/me, sta If ,,ot nl)U , Mine Supt. 4 /Jame 01 . .F Person il1Jured AgC OJ ........,.,_ ~ . ~ -€~ \ c 25 ~ ...., o . Where and in whose charge. 1(/t, Name O'1•.f Physician called, if any, D( tJ-C-,1( -df~ 4 w 'Was he1::.perate, if e-< ./} ~ir-r-. /,J ~ ,/.,, 1~ -✓. / . • V:....U,,,r-~ . ./ ~ , .:J6./4...~ ~ (Signature) /9;-o. Date Room No. 'Cf Condition of Life or Oircumstances, W ~ Address of Witnesses, . f'.;1• . Nature and extent of Accident, Entry No. IJJ Name of Mine Foreman,r:_;;l,_,. __,,1~ 1 Married or ~ e /f( ~ '\.__/ w;,a,, family, if any, Y. -:::1 tong in employ of Co., __, ~ How d address of nearest liuing Relatiue, flame a11 was he an efficient man, ~~ Name a/Id P• O• Mine No. t-1- where. 18 {/ ~ Tit!e';Vt{ ~ ~ �s·rATEMEN'fS oF WITNESSES. �~ 14 ~) ~l tJ~I0~ p.\CIFIC RAILWAY. Mine No• •·•••••• ••,...,,,,,,.,,,u,~•·••·•..,.... COAL Dl\P.\RT:lmNT. 7 t&PORJ' OF PERSON,,JL INJURY. Gen'/ Supt's No....................................... ·. (,_ ' /lame of Person injured, QccupatiOII, /? _../_ ( c.,,,...<-vv / ,...--.,-e,,.-c,/IL.~._.,...__ oat.i of 1tcoident, ~ L -;, "C...~ Location, /(,,~-1 ,4( _..,J./ J>, '\..,.:__,__..._,r If not it1jured in Mine, slate wher~. 78r.; '2.. Time o 7°.'-CU.. . Mine No. 7 Entry No. '2. Room No. flame of Mine Supt. 4 .-(,,V .,<[). )"5 -t_ "'--<.A < Name of Mine Foreman, 8_ .!!? _ ~ Age of Person injured ::::z. 7 Married or Single •-w ~ What family, if any, ,,, Jong in employ of Co., 5 . ~-c-.~.......,. cond't• 1 ton of Life or Circumstances . How flame and address of nearest !tu y Retatwe, <) _/J,_ .. , . t J, c l • "as ~ .,, he an effic,en man, 'Where and in whose char l ft, -f- c t A ~ Name of Physician called, if any, o<D '""-- cA-u--r-t,;;.._, Name and P. 0. Address of Witnesses, [}. /,() . Nature and extent of Accident,- Lt ~ 0 ~ .7cv--Lt. --/-tvv.... Was he temperate, lf_ v:, Q d . J.j.,,,__ ~ (Signature) Date 18 {!_,/J, ~ Title, vU/..,MA,<. ~ �STATEMENTS OF WITNESSES. �v~·1li•' p.\,CIFIC R.\ILWAV. ,,T 1~0 coAL DliPARTlleNT. MineNo.......~ ;.............. vT VF PERSONAL /NJUR Y. it,·fO" Gen'/ Supt's No. ___·······-········· .F Person injured, • 11ame 0, ""),\Al - - occupation,-yy; __..,,....,"""'~_ F Accident, ~ ....-,,vf. 0 oate ." ./1 tr(,,'/C V / Loc,1t1011, If 110 /C - .--tt.../L.t_A~/ r tJ Q -& • ,aq -z... Time Y (?--.a(. ~ ~~-:::::-J? frfine No. / LJ t iiiiured in Afi11e, stare where. 'J Entry No. .s 2.. Room !lo. I ')"lM O tv\,/( f.'amc of /.fine Supt. 4---<--0 • .,,6), ~ ( . Name of Mine ~oreman, ,F person injured !l. / ~ Meo, U ftfamed or 8inrJ' l'/hat family, if any, H0Ill Jong in employ of Co., I <i -,..,,vo . Condition of life or Circumstances and address· of nearest liuing Relatiue, ~ Name was he an efficient man, ~ Was he temperate, ~ J 7 I Where and in whose cha(iJ_teft, . / ~~ Name of Physician called, if any, ,<.0.,-,,- J\.- rrl~ -& !lame and P. O. Address of Witnesses, Nature and extent of Aaaident, Ai / 1 Cl.,""'- ~ ~~ ~ ; ~~ (Signature) Date 18 , fl= · (?~< (/ Title,'1,l( AMA ~ �sTA'fE:\[ENTS OF WITNESSES. �11111 vinu:< P.\C[FIC RAI LWAY. P Ol'ht 3314. 151 COAL DEPART:.m.:-.'l'. Mine No......~ ,.....,.,.,,,,.................. oT OF P/.:.1?SON.rlL INJURY. tJ:PO/l Gen'/ Supt's No. Q_ ,; parson injured, ~111eo1 .1 ate wher • (J A ·~ ✓ ~ • ~( ✓-7 t; ~ f,1i11e Supt.. q ,,,,, ~ person injured Age OJ What Family, if any, . ' / . lA.A~ Condition of Life or o· ,raumstanoes, ~ / 0 <.L- Was he temperate, .,..,._ '1', '/. ~ ~---:>n~ ---:1<4-u_ ~ Je,4 Nature and extent of Accident, -7'?) .A d--'1~ (Signature) Date Room No. YV . ., L-1...-l. ~ CJ ~.__,( ;JL,,/.JAA~½ Married or Single was he an effiaient m a n , ~ Name and P. 0. Address of Witnesses , Entry No. ~?... Q ./ . - -- o r - -. ',L.//~ r - , CIVu. -:rnv . address of nearest living Relative alld Where and in whose char{ff)6ft, J ~ flame of Physician called, if any, a..w, Name of Mine Foremcul-.-/, , C/ Ho1u tong in employ of Co., 11ame ooo oo oooo,oHooooHoooooooo ~ cl 11a111e o, • • Cvi..-t.. o ~ oco11patio11~@ ~ ·-· oateo f ~ ~ . ./'3-&. 18~ 2-- Time / ~ Locatio11,1.. . . Y) ~ Mine No. -3 If not ;,,jurad in n?me, looooooo u 18 Title, �~ :\ Cl FIC RA I I.,WAY. ~IV~ • tJ, co,\ - .--~~...."::.../.... 1~2 '" ) L pFPAllT;\IEN'l', • MineNo /4l.-r- --- , OF PERSONAL IN/UR Y. jlBpof(f Gen'/ Supt's No. d ••••• •• 1 d u r() ., person m ~-;....VVL e, ~-<:..-<A_ 11amc o,. -GM- rlO -occ!IPat1011, /, / 7 -t:X ., Acaisf!nt, _.,.. • .-!kvh - 011te ~J /Go--,vtf lu Locatw1, . i,.+,,J,,,~ . . . .,,d in Mme, state whe1 e. I 7-3 If ,,ot uya1.,L ~t .{j.//AJ _/). f5 - ~( of {#i11e Supt• 1,1ame 'I • .. ,; Person ll1JUred Age OJ 111,at Family, if any, ::3 / 1011g in employ of Co., ~ - / -"'-<A( , -.!:>-- ~ . &: Condition of Life or Circumstances, -✓~~ ./1-- o lA.J~ f/ature and extent of Accident, •;f~ ~~ Date ~r .o . , VV( DY}( Q:M. '-'C.f.AA/1__,/,I.,{/i_ Married or Single . V Room No. ~ 1 was he an efficient man, Where and in wl~ose cha _left, ~ 'd 'tL-~-oA:,....-<~•f'MA /lame of Physicmn called, if a11y, ~ ..A ir-v--t-~U - - - - (lame and p, O. Address of Witnesses, ~ Name of fllliHB. Foreman '-f" I U Holll and address o,,F nearest 1wmg • • Relatiue, 11ame 78 '7 -z_ Time '-I- (7 '1.,U . Mine No • / Entry No . ••••••••••••··············· Was he temperate,~ o-r- - 1., �STATEMENTS OF \VJ'rNESSES. �l'orm 1131~. t1SIV~ p.\CIFIC RAILWA V. Mine No ( ~ co.Al, DEl'ART;\IJtN'l'. • -•••to•••o•O•I OO U •••JfJflt♦ O•••••ooo•Ht 1h::) oj OF PERSONAL INJURY. NEPo,, Gen'/ Supt's No...................................... 'd ~~ l"0 ?,~ ~ Name of Per~on injured occupation, / &tAt..fJ:1 _ 7 18 'I .,_ Time oate of A c ~ -- ~ -:2- t, -=r--t... Location, L.Al/}=,~ If not i11jured ill Mine, stadlwhere. Mine No. a Date --~ Was he temperate, -!::f-v-::, Where and i11 whose char~t, ~ ~_,,.........,-. 7../4--v.... Name of Physician called, if err;;/ o<.!)._._ Jl1... ,,..,..+-fTV\. Nature and extent of Accident, Room No. Oondition of Ufe or Oircumstances, was he an efficient man, - ~ Name and P.O. Address of Witnesses, Entry No. Name of Mine Foreman, Married or Sin(!/ =z. . . s - ~ What family, if ally, HolU long in employ of Oo. , '3 """n-vO • Name and address of nearest liuing Relatiue, / <J-vw CJ 0vv1(, (lame of W11e Supt. q...A/41 • .,IP . -r-3 ~ ( . _ Ago of Person injured q --~. fl., ~-- ~_..-(.,-Y'"" (/) 0 /1 I~ / ~ u �STATE:\II-;N'fS OF WITNESSES. �p:\CIFIC RAILWAY, u~ro:-i • DEPARTMENT. • Mine No. .......~ ....... .. ................ co~L , OF PERSONAL INJURY. 1fi45 J?£p0Rf Gen'/ Supt's No...... .............................. ., person injured, ~ 7c-"~ ~'ame o, ... ~ occupation, ., Ur P.t-------v,...--t.."""""" ' -U,(_~ ...1,,<.,'AV'" / 9 -d. .1 Accident, l 8 ~ "2. Time q, Cl.A.AA., oate 0" , toeauon,- ~ ~ ~ Mine No. I Entry N0 . . ed in Mine, /late where. (/ • ~ Room No. _ ' If not 111}11r tame of lline ~u:t. '-4.....-(.A) • ..fD' ~ ., p ,son m1ured -5 L/ ~ Age o, e . Name of Mine Foreman,~ <.. 111arried or Si, e C/ ~ (? ~( . What family, if any, How long in employ of Oo., ---~ L':-~ Condition of Life or Oiraumstan address of nearest It~ Relatiue, c...-/ , ces, 11amsand -, ~~ was he an efficient m a n ~ Was he temperate , ~ Where and in whose aha . eft, ~ . _<]. R-e,,1~ t1ame of Physician calf , if any, 4 ~ r-i=l-(lv\. Name and P. O. Address of Witnesses. I 'Vt.Al (I Nature and extent of Accident, · ~ ~ (Signature) giw Date 18 (/ O aAA ( Title, '1,AA ~~ I �STATEMENTS OF WITNESSES. ] �Porm 331 1, UNiu~ PACIFIC RAILWA V:, V~ Mine No .................,......................... COAL DEPAR'l'.'IIEN•l', 155 REPORT OF P/:,,'RSON.r/L .INJURY. Gen'/ Supt's No._.................................... flame of Person injured, {?~lvt.. <J::> ~ Occupation, ~ - ~ Date of Accident, --<7-<J,:x. 2.-Q Location, ~ ~ ~ If not injured in Mine, s&ltc ~ 0 18 '1-i... Time <i tJu.,,lA. • ft?ine No. --,3 Entry No. / 2.. noom No. / 3 Name of Mine Supt• .q,..AAJ _ ,,,t{), ~ .....-{.""--<-4<._ Name of Mine Foreman, JtJ-0• ~~.A........, 1 Age of Person injured ~ 'i Married or Sin ,/. /I_ ~-<- ~ _.,,.;7'~ .-.,~-&<._ What Family, if any, c/ ,/ Hotu long in employ of Oo., / / -,,,,,,--<J, Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, ~~ . Was he an efficient man, ~ 0 ~ temperate~ Where and in whose charg(J/ft, -;?, t/4t Q '-(A,,( ~ (J Name of Physician called, if any, ~ --../J- lfrlr;;.;...._ Name and P. O. Address of Witnesses , 4~ Nature and extent of Accident, ~ ~ (Signature) 9-(I<). - ~ IDate 18 { / Title,~ ~ �STATEMENTS OF WI'l'NESSES. �UNIJ~ P.\.CLFIC R.\I LWAY. COAL DEl'.\RTMENT. REPORT <JF PERSON.,..JL INJURY. Gen'/ Supt's No....................................... Name of Perso11 injured, Ooeupation, _ • f cr.""'- t1~ Date of !coident, --<J..v;jiA -::c,_ / Looation, f/'-'t//(-4.-,,,;J-, ~ If not i1,jured in fl/line, state where.lJ 181 '- Time 7 Mine No. I J?. a,,{AA., Entry No. .:3 1 J Room No. \/ /Jeune of Mine Supt. ~f..-<,,<J , ,/J, 7J..,,{_,c,._.< ,. c Name of Mine Foreman, .,I,(/ ( / t,'vv/ \ Age of Person injured ;2 l -;:q--<-&i./?r• /. Married or Sin,, e ~.g_/2_ What Family, if any, U O How long in employ of Co.· / V ,-.-vo , Condition of Life or Oiroumstanoes, Name and address of 11earest Iiui11g Relative, ~ Was he an efficient man, ~ Was he temperate, ~ Where and in whose char e eft, g__ ~ C/ Name of Physician called, if at:1f/ --....vu. Q ..-...__ Name and P. 0. Address of Witnesses Nature and extent of Accident, ~ I JJ b. -~, ' ( ; "4, .,.,, rrlLM / (~ �STATEMENTS OF WITNESSES. f I ,. �UNIJ~ P.\.CIFIC R.\.ILWAY. COAl. DEI'.\~.'nurn1·. Mine No....1/..,..,...... ... ............... 157 REflORT OF PERSO,.\TAL IN/UR Y. Gen'/ Supt's No ....................................... ~r o~ t✓ame of Person injured, tj, V\;() V __._'..i__ occupation, ~ Date of Accident, ~ ~ -i--o~_ Locatio11, ~ ~~ ~ If not ill}ured in Mine, !fate where. fJ ~ O- Mine No. V Entry No. Room No. Name of Mine Supt. C}./4,() _ .,,,!J, ----r.3 ~ ( Name of Mine Foreman, (J_v--:1 Age of Person injured ~ ..S- ~ Married or Sif!iil-UJ..~ What Family, if any, ---I How /011g in employ of Oo., ~ Oondition of Life or Oiroumstances, Name a11d address of nearest liuing Relatiue, ~~ , A~ U ~ s he temperate-4,uo Was he an efficient m a n , ~ Where and i11 whose ehai~ft, Name of Physician called, if any, . Ot;t (J 7~ ..A- .-,-f;;:::,.,__ M-,,.-- Name and P. 0. Address of Witnesses, Nature and extent of Accident, (Signature) Date t 11-lt•tl lOD 9- 0 ,c:J ~ Title,-1AA.,.AA,,t,(_ ~ �STATEMENTS OF WITNESSES. �v;,;'I·'~ v• P.\ClFIC R,\IL\VAY. ~....................... 158 co,\ L D EP,\ R 'l')lllNT. Mine No...... REPORT OF PERSONAL INJURY: Gen'/ Supt's No ...................................... . Perso11 injured, () ~ -~ Name 01 ~~ occupatio1,;'tAA._ ... oate of A!J;ide11t, ' -3 ~ 0 ,_. ' - . ..,.~'-- ~ Location,l[fa----V7 ~~ If not ;,,jurad in fl/i11e, ,hate whercl.J {Jame of fr1ine Supt. ~ .....-(.,(.>-- ...,!J, ~ 18'} ,_ Time J Mine No. J r". '1,tlt. £11try No. -3 / (} r:3_,,,~ ( Name of Mine Foreman, Age of Perso11 i:1jured '2.. <i' ~ q'vt-<.> Room No. c.-.. 0 OvV7\ Married or St_ye ~ l'/hat Family, if a11y, U How tong in employ o! Co., . . Co11ditio11 of Life or Circumstances, nd address of nearest /1 111 Retatwe, V-_.:_ __ _ _, a Name • - -1- ~ was he an efficient man, -~ ... , Was he temperate,~ Where and in whose charg(!!_Jt, ~ -:::::;t~ ( Name of Physician called, if any, ~ A- J .--.-r--~ Name and P. O. Address of Witnesses, Nature a11d exte11t of Accident, ~ ~'- ~ ~ ~~"\ (Signature) Date 18 ,9vw (j> ~!( (I Titre:{))_ ~ ~ �STATEMEN1'S OF vVITNESSES. �l.J~IO~ PACIFIC RAILWAY. COAL DBl'.\RTi\U,:.N'l', Mi ne . No. .....~.,...... ,..................... j / 159 Rb-PORT OF PERSONAL JNJUR Y. Gen'/ Supt's No. ····················..,,,.......... tJalile of person injured, ocoupatio11,·W __,,,.,,/\~, oatc of Accident, (i)J ~ { .If)a .. -A/4.t_· ~--U,{,~ A <..,L ,_C'f.. 78 o/ '- Time v(l .'1ll( , Mine No. v Looatio11, / ( , - - < A ~ ~ ff not ;,,jured in ft7ine, stfdte where. U Entry No. l Room No. 2 v 4 tJame of Mine Supt. ...u>. ,,/tJ, 73._L C<--C..A( Age of Person injured ~ .sVfhat Family, if any, --3 (J011 d·t· • or <Jiroums~ances 1 ron of Life . H01u long i11 employ of Oo., ~ flame and address of nearest Ir , g Relative, ~ ~ ~ 4 , was he an efficient man, Where and in whose oh ye left, ; : ; ; ~ Name of Physician call , if any,~ J\.-- ,-,:,-,:;,.___ Name and P. 0. Address of Witnesses , ~ Nature and extent of Aooident, Was he temperate~ C l . . _ ~- -.ff e,::r ~ ~ < -~ (Signature) 9 -1;"<) ~ Date 78 ( Ti t ! ~ �Purm 33H. tJ~I0N° PACIFIC RAILWAY. COAL DEPAR'l'llt;;NT. Mine No...~ . ,...,,.,,.,............... J?Ef'OR1' OF PERSONAL f.NJUR Y. Gen'/ Supt's No....................................... W -@ • · in , ~ erson injured, Name 01 P occupation, A ? ~ oate of Accident, Location,~/ ~ L_<L- t~ o u +.r ~ /~- ~ If 110 11jured 111 fl1111e; state where. ''ameof Mine Supt. 4 Age of Person injured ,1 .---<» ,--<P. 189'"2-. Time ,.s- 7 ~ Mine No. 1 (J -;<UC:., ~ ~ -Lv ~ -y-:2,_ ✓ 1 Entry No. Name of Mine Foreman .._ .,n Jr(7,,z__1(_ Marrred or 8i11g e ___.J',., /. ,, _ , ( . ' ~,_,.., .:3...:5~ --::r-.....- - - --,--0 u • fe ' _.... M'l What family, if any, ? 'A.,{_ How long in employ of Oo.' ~ ~ Name and address of nearest lie,Jf1g Relatiue, was he a11 efficient man, Room No. ""'- f( Oondition of life or Oircumstanees, W o...R.,._.a Was he temperate, ~ L,o Where and in whose charge_jeft, ~ -; ~ (lame of Physician called, if any, o<Q...._ J~ ~ Na me and P. O. Address of Witnesses , ./A;- t , '\--t..(_ Nature and extent of Accident, ~-u+ (/ _ ._, (.!/4,(..-,{ bY\.. ~ ,, (Signature) Date 78 �STATEi'IInNTS OF WITNESSES. �~ p.\. ClFIC R AIL W .\ Y. v~JJ,-. Por ,n 9314. 'L pEl'ART;.IENT. COt> , Mine No••..<rk,.~·-········ 1 {) if OF pi:,'J?SONAL IN/UR Y. j Rf';pOA Gen'/ Supt's No. ,; Person injured, ~ ..--<2. , ; / 11a111e o;. /?.~ ~"occripat1011,. . •.A . /":,) . • ~ ' .c Acc1de111, tY c,;r- L./ ,. . ' "f.) 78 q ?_Time 2- ·-;,? -;-Uf_ . oate ~1 (/ () • ~ Locat1011, . . . . Mine No. I Entry No. • • i,·ec/ in Mme, state where. w- / ~ 1f not1flJI (/ - Cl).\__ . J ~ ············•-♦••···•· . .· · · ·· • . . . . . . . . ~ Room No. R. '73 ,1,z111e o1 r,tine Supt. {::; .,.,uJ I' 1 ~ ~ f ~_oreman, -7: ~ . _ ,; Perso11 injured ✓-/ I ~ '~ ~ ~~- , A<fe 01 U • ., Mamed or/ingle --;,i,r.✓• _,,, ~ : , J , t family, if any, ~..., Vvt..ee.t VI/IO • employ of Oo. , .,L/ () r l -· 0 d't• ,J: • · 111 Hotll fong . . ~'fr' on 1 /On OJ Life or Otrcumstances, d address of nearest lw111g Ralat(t/e, , -.1 / J ( ~ /1.,, Name an , , UJ--t....? - - tf' , ~ 11 , , _ _ , -J i:: ' was he a11 efficient man, Where and ;11 whose charge. 0 Physician called, 1 any, n, Name 1 ~ t e 1 7 0 J·ate, 1AJ - ~ ~ lj_✓., (/ c;lf)_/I .v /\_ ,-,,---..,~ /lame and p, o. Address of Witnesses , , , ,~ 1 - ':.:::AJ. ' d ~ Nature and extent of Aooident,<Ywr w-~ ~ 1· I (Signature) -I, ~~ ~ Date Title, 78 titvU()I{ -/#'Y~·~•<...e<..vt �/! STATlt\fENTS OF wrrNESSES. �p \ClFIC RAILWAY. -- ~ru~ • D~pARTi\lENT, tJ• co,\L 162 Mine No.....~..................... , F PERSONAL IN/UR Y. r.poRr o • jlP Gen'/ Supt's No. •• •o• •••••••••••••••uo,,,.,, a~. • .f person injured, _A ( ~ ° ' - - L 1111me o; • ~ occllPlltiOl1, . t -""-~"'-",~,-_/, 'G O ~ .f Accllfe11 , 0,1tC OJ -~✓ .J ( • ucatio11,/Lu--0'1 . ~ ~ l . . d iu Mme, sta where. 7 189'- Time /2. a.-v flline No I • 7.0 "U{_ E. t • n ry No. :::2... <t Jf not i,ijUIB of f,fine Supt. //I/Ille 1 .f . • person in1ure AgC0J . d -{!;...-<,,0 - .f!?. r6 __p~ (_ ~ I ~ d . <MA\ jV/J(lf fl11 ' nd p o Address of Witnesses, flame a • • g CJ Married or Sino -.,,0 (./ c mily if any, , ✓ I g in empIoY o1 0o. , /4.., -:!:::f<---Cc..,/yO 011 HotU d address of nearest liui[jg' Relative, 11ame a11 all efficient man, was I,e • and ;11 whose charge efl , 1:1t,ere • •f Physician called, 1 any, 11ame 01 Name of Mine Foreman, Room No. 1 1 - ~ '1 • - ~ . Gond't, ion of Life or Circumstances, Was he temperate, / /J,4J _ _ • - . ,,., ~ / , t { . , , ~ r vcu.A //ature and extent of Accident, ~ u. ~ 18 .::,i(,/Vv\.. ,' �STA,.I'EMENTS OF WITNESSES. �Porin 33l~. {]~Iv~ P.\.ClFIC RAILWAY. COAL DHPART:IU,:NT. .. Mine No .... ~ ................·-········· 163 JJ;PORi OF PERSONAL IN/UR Y. Gen'/ Supt's No.................:.................... .~ Person injured, 11ame O'J • g(!J o......... :- . , -- - ~ . occupation, ~~ oate of Accident, {/J,.c.,1 2-.. 9 4 Locatio11, ~~ ~ If not i,,jured in rAine, stateff»here. 0 (2 o/~ 787c... Time 7 tl. Yl/1.,, Mine No. Y Entry No. Room No. g f/ame of Mine Supt. AA) ~ ~ . ,S ~ ( Name of Mine Fqr.e"'f:l.n, u--- ~ Age of Person injured -G V. ~ Married or Sine;; ~ What Family, if any, long in employ of Oo. • ~ Oondition of Life or Oircumstances, and address of nearest li![jf1g Relatiue, #;..,ta..:,,_ Oct.. 4 :::e 7 /4, was he an effioient man, --!::f.vo Where and in whose char(:/eft, ~ --f ~ Name of Physician called, if any, ~ _..._ .___,/\-.. vv( d{ ~ Was he temperate,~ () Name and P. o. Address of Witnessed - ~ Nature and extent of Accident, '--:1 ( ~u....cA... ~ ~ (Signature) Date 78 9 ,..a ~ {J Title, U{ ~ ~ �STA'fE:\IE~'fS OF WIT~ESSES. I ~ 9 --z_ fie)!" j •~ r/J -o J J f2u. ~ /4 g~ CJU,-,<-f f fda-, 9 ~ ~~ ~ ~ ~ a..&...;- ~ a Afaf -k,.._,, • w~ .,fo _;f-i,._ A ~rL.,..,, 4: rt °1 , ~ "'---- ~ ~ 1 ~ ~ ~ 7 a.""1' """ -tf.,_, ~ . -,,.,._,..A~ "'-- ~ <,vu.,a .,,,_,,~ . ~ ~ ~• .~ a o_ �~ ,.. p \ClFH.: 1<.,-u1..,w a Y . 0 ~ro~ • Por,n 3314. . <tpi'\.RT.:\IENT. coAL D ,~ Mine No ........(2t.M. ,.,..11,,..,,,,.,,,,1,,,,...... ,, OF PBRSONAL llVJUR 11: cpoRT ti, Gen'/ Supt's No. Ct, ---~ " person injured, ,,ame o, 1 ,.......,,,,,;1 ' • 0cc11PatiOll, ,f ' rr,~ /;;, ~ g --d.-- Accident, 1· ~ le,&1 18r '- Time 0ateOJ ,--__,,/ J ~ ~ ~ ' atioil, l ~ ~ L-0C• .. ·ed ill Mine, stat where. I ~_,., Mine No. a-· I/ oot ul)III eof r,ti11e Supt. ,4-.,.,UJ . .,!} , -~ C d ' .1 person injure .3 {p ~ Meo, .. u Vhttt family, if any, 1 , gin employ of Oo., .~. ~ . Hoio ,on Nature and extent of Accident, Uaus~, a, ~ 'J J ~ , 0 ~ "\.. ~ i ----d ~ 1 (Signature) Date 18 o· e or 1roumstanoes, Was he temperate, ~ ~ Ou: x 'L ~ ~ ~ , r# .. 0ond it1011 o.,, Li.,, efficient man, ~ and in whose charge J~t;, _✓.J~ -{b ~ w11ere . 1n J'r tr-rt . ..r-t1ame o,,1 Pliysician called, if any; "'-11 _.....,__ I.I"'. £J I Marned or Bi, d address of nearest !rum 'Relat1Ue, and p o Address of Witnesses, • • Entry No. • j1(1S le I a11 • 11ame I Name 01 Mine Foreman vam ' 11ame an •••••••••••••••••••••················· <- f Room No. ,/ 0 a..--t4( ~r ~. , �,T tJ~Ju.'j p-\.CIFIC R.\IL\\'AY. • Mine No....✓ .J~....... coAL DEl'ART.:llliNT. 16 v'{ OF PERSONAL li'l]URY. tf:fO" Gen'/ Supt's No ....................................... 8 ~ ~mco1 Person injured, ~ , occupatio11, ./)1 ~ t• of Accident, ~ / 2 -- ~ Oll t: /f) • v ./( ---a..,.,..., ' Location, U ~ . • _- 1- ~ . •ured in Mme, state where. U 78 9 ._ Time ~ Mine No. 11 7 a., ?-vi. . Entry No. 2.. Room No. If 11ot Ill} r ie of Mine Supt. 11an .. if Person m1ured Age o . What family, if any, J2, ......c..o ,LJ . ~ < 3 o/ Name of Mine Foreman, ~ Cl ./.'l c._ -<. - . c:-.. c..,- ~ Married or Single ~ ~ , r;;.J .s-- ~ Q ~ , Condition of Life or Circumstances, ,,d address of nearest liuing Relatiue, ~ , . , _ ... L '-:d _ . __ -~ -~ &, long in employ of Co., Holtl t 7 ~. Namea '--'~~ 7 _ , . ~ . . . . was he an efficient man, ~ Was he temperate, Liu, Where and in whose charg(!fft, - ~ ':::7 ~ ._. >' , 0 • Physician oa/led, ff any, cJ.S)._ ~ ,,; Name O" Name and P• O• Address of Witnesses, JI .../Yu •... , _,'I--._ . ~~ Nature and extent of Accident, , (Signature) 18 e, (J, ~ Title,'-1A.)_ ~ -:f ~ �STA'fEl\fENTS OF WITNESSES. �_.......ACJitIC RAILWAY. ~10N p. I""' (). co,\1, pJ;;J'.\RT.illE:'\'r. -- JF pf;RSON.,JL l,\'.fUR Y: , •1•f'OR1 l /1, .1 Gen'/ Supt's No. person injured, 0/4. /11. ~ occ11pat;o11, . • /hrv .2 ==.El .1 Aac1dent, .../ ' , oott'OJ /J. A A ~ • (!oilla OJ. cation, I ~ - • :/ 1/),,\_9 18 7"'-Time a Mine No. 1 ~, Lo .. dill ft?ine, st te where.I If JIOt ;,u111e of f,fi11e Supt. ~ - - « ) • //1!/ilC .. d ,1 person m1ura tge OJ . G ·············•·.. ············· L° , ~ ~ c v-.114. r--u Entry No. 2 -s- Room No. y3 Name of Mine Foreman,~ ( ) Married or Si, I /J,t ~\ L/~ t ramify, if a11y, / "t 'v1.Al..u,( in employ of Oo., 3 ~ Ho!U /ongd address of nearest lium( Relative, m,a @ .J:~:tion of Life or Oircumstances, 11amca11 , an efficient man, ~ was ,1e din whose charge le ,. '.2.-CJ Where an . ,1 Physician called, if any, flame 01 ~~1 Was he temperate, ~ U p o. Address of Witnesses , • v7 (lame and • , ~~ Nature and extent of Accident, ~ 4 ~ Cause, (Signature) Oate 18 5)-1,v.> u a Title~ Q..A..--1( ~ i~ �STA'r.EMENTS OF WITNESSES. �UKION PACIFI C RAILWAY. ~.. 187 co..\L DJ~P.\RT;>,mNT. MineNo... RfP0 /l'''/' OF Pl.!:RSONAL I NJURY. Gen'/ Supt's No....................................... _.,,_-.,, __,., .. ~'lt--r5?_ o/ rfl. ~v~ ·oacupation, ~ onte~f Aacide)}} _;; ~b j ,,,..,,~ 1 8 J~Time.L/-. 30 P.Ju._ _ LocaliOII, ,f.~Vl -:_.,_J _,'_-~ ..,_,,.7 Mme f✓o. 7 Entry No . ~ Room fi.'o.)_ ~ If ;iot ii,jarea Mme, wlie1 c. .F Person injured, ~~ O~ \../'-'"r 111 Stain ft:; jJ:._~~ Nameo/ Mine Supt. Age of Person it7Jurec What Family, if any, c/- <P How long in employ of Oo.' tf ~ £cl. f . ~ Married or Single ~ ~~ o n d it ion of Ufe or Circumstances, Name and addr~ss of nearest living Relative, Was he an efficient man, Name of Mine Foreman, '-1,-1-o 1'/t, Where and in whose charge Name of Physician called, if any, ~ / . . . _ v, , / ~ j -"' _ - r- ~ ~ ~ / - " ' ~ J .---C:.....~\ fl Was he tr,;;,;;;.,,: - ~ -~ rl2-.-__d...A-< ~ ~ lJ'r- ~ • v' - -7 .... Name and P. O. Address of Witnesses, Nature and extent of A c c i d e n t ¥ / ~ ~ /L,._~ / ~ (Signature) Date~ ; , t 11•11-,i 10a 10/Y ~- cf_. ~ Title,~- �STATE~IENTS OF WITNESSES. �v~ro~ PACIFIC R,\IL\VA Y. co,\l, pEPART:IIENT . Rf:fOR'f OF PERSONAL IN/UR J": Gen'/ Supt's No, .......................... . , :-......~ ~ o']c person injured, fl p {!ame . ,,,AJJ ~ oacu/Jation, / I/ •' o,f Accident, -f'J i. J() ~~ 78 9 • , 011t~ Loc11tio:;, U\... 0-'VV\.:,__ ./.,__ :_ f i, • Tnne IO O in Mine, state where. flftne No. v " ;,,iured ~ ~ ~ If wr / Ot r:ame of f,fine Supt". . . r/ ~ ffoW fong i11 employ of Co., fr',. '"" a11d addr~ss af 11earest liui11g llelatiue,..,,,o / II Name O'"' Ii''" 'J ,,,me Foreman, Married or Single ,, , • , _ , • _ "\. AgC of person 111111re,, IYMt family, if any, ~ was t,e a11 ejfia1e11t man, !'/here and in whose charge left, a_ ~ ~ E try No. '.2--·f'Vl. ~ Room No. ~ 71 ~ 1ameof Physioia11 called, if a11y, v Name and P. 0. Address of Witnesses I ~\ 11 O~llditio of life or Circumstances, .JG D ~ J-.£- - cf' 7 Was he temperate, ~ 0 -y' 1/ature and extent of Accident, Cause, , (Signature) 18 tf y ~ Title, ~ �STATEMENTS OF WITNESSES. �► ~ p:\.CIFI C RAILWAY. t;~IV• Pur1111131-1. • coAL DEPAR'l':lrnNT. Mine No. ......~ ) ,..,,..,....... ,,.,,................. 1£! ~.) f.J •7' OF PERSONAL l.NJUR Y: REPN Gen '/ Supt's No. 7891- Time ~ Mine No. 1 ,,1a1ne a1 f,7i11e Supt. ,, ~ :-x? . ~ - - r 1 person i11juretJV7 q :J. • / Aae 0, o<- ~ ,;hat family, if any ~ HotU tong in employ of Oo., / 2. ~ d address of nearest living Relative 0 _ N1t1!1C a/I I o. . •n.,{. Entry No. ~,amo of Mine Foreman, ti) 11 Married or Si I -=> • , '-' ..., CJ a/\~\ , vl __ - ~ ' - <><JC~ Was he temperate, ~ " he an efficient ma,,, ~ t1here and in whose charge et , - ~ - t-i., ~ : - -- . n Cl r-/ ~-~~ 1 Physician called, if any, ~ ___,, t--..,............,.._ Nam11 0'J A Name and P. O. Address of Witnesses , Nature and extent of Accident,-~ ,' / _, _ _ 1 ~ /J - 0 "1..-v-~~ Room flJo. / r, ~,. Oondition of Life 01, · Oweumstances, uias ••••••uoo,, ,,.,, , ,,., , .,,.,,, �l'ur111 a:11 ,. ...... , p..\.CIFIC RAILWAY. ,,~Iv~ l• pf.r.\R'f;ILENT. " -- coAL . • Mine No•...,,~................ ' VF pERSONAL INJURY. Rf:·rilN r 1. Gen'/ 8upt's No, ...................................... persOll injured, a ••a1;10 0 /, -~ : , o-:iip.1t1on, a ,t.,_ -IA.(>. I J/1 • (A. _ t,_ _ o(J../~ .- ~ ...::re...._ • if Accident, ytn-v / S - 0,1ttO /J. _ ./ ~~- u ~ -: , .. -~din Mme, s~at uhe1 e. 18 97...... Ti ~ lll1e '3 Mine No. J~,ti0II, L 1 70 ti n,t 11Ull v 1 ~Pl,1. Entry No. (]-'- 1 . of /,1illC Supt.- t;. ·7? . ~ ca111IJ~ ~gcof Perso11.i11j11red Whilt familY, if any, :2. 7 ~ Name of Mine Foreman, :::J_ r,J ~ e _~ Married or Single R 00117 No• ~ JJ·/ ~.-v,....;. ..c..-< ,:g in employ of Oo.' / . . 2 ~ ~ Oondition of Life 01. • Ho1010 d address of nearest ~wng Relative,~ Oircumstances, 11amean ~ · Vv , /ean Was he\fJ?mperate ·~ was 4.A---> 1 efficient m a n , ~ Where and in ~l~ose char . '{t, ~ pJ,ys101a11 called, if any, //ame 0IJ W +G'\_.. ~) ,A . , (J _r- r l.AryJ '-"""- /lame and P. O. Address of Witnesses, 1/ature and extent of Accident, (Signature) e. ~ ~ Title~ fot-l ,,,.,I-ti ... 18 ':f~~ �sTA'rEMEN'fS OF WI'I'NESSES. �. •~ p.\.CIFI~ R.\IL\\'.\ \'. l'~lvcoAL pEP.\RT)Jlo:NT. Mine No.-:;3- • •,• • •••• ..•N • •I • ••••••••••••••• 171 Gen'/ Supt's No ·- -.. ....... ....... -. c ;:.,me 01 _,,, person injured, , - )? {_,..\,/Y"'-",[.;'V" • o..v::,p tt10;1, ,._ -:--v 2 ' of Accident, o.,.t . / ~ A t ' -<:),-, Y • -r:~ ·? . PU , 18 'l L Time ' / '11'~ t · ,,i·•r •din I.fine, siate 'luherc. O If [IJ IIJ" ., tr.c,./•0;1, • Entry No. z.. y Mine No. (3 ';J ..e •I'?t: • ---<?_., ~ came 01 !.fme Supt . . • • 1• /loom /lo. 2 / 1 Name of !Aine Foreman, . , of person mJured 2 Go __, ~ 0. f f l ~ ~ ·-f::1 ~ ,... :..ot,.. ,.ge . ~ Marned or Smale C., ~ 6 rm1Crt family, if any, ~ • HottJ tong in employ of Oo., ~. ..:::1-~ Condition of Life or Cir ,:ame and address of nearest liuifig/Relatiue, ~ cumstances, was he an efficient man, ~ r e« I!!!!/ - r ~ Where and in whose charge Uame of Physician called, if any, 0 a .:::J ~ Was he temperate, ~ ~ y (j Name and P. 0. Address of Witnesses, Nature and extent of Accident, -~ ~ <f -~ "J"""'-4~ Title,'7/v._ ~ --! v,,, ~ ' (Signature) YIA Dllte 18 v- �s·rA'tEMENTS OF w11~NESSES. �~ p .\.CIFIC R.\I LWA Y. tJ~IV· • CO•\ L l'orm 8314. . DEPART:Ul-.NT. Mine No......f ................................ OF pJ::RSONAL INJURY. t£fOR 1 Gen'/ Supt's No. .; Person injured, ~ ,..-u, . ''till1e O; 11 / ocot1Patio11, .& • Accident, • I , • , -- hrv oatJ.~J !f?»--v/< _.(.}_ Lo~a,1r11, . , . •red in Mme, state wha, a. If 11ot lll}t , '.2. ~ ff ············~--............... 0 " (A r ...,,.., ~ - l89 2..... Time 3 ~ ~ MineNo. g f) _,.__, Supt. ~. 7P. --<2.-v.,,,_~ ~ f!ame 01, /.line • , ,1 Person injured ...:3 .:3 ·"!::::1--<- ~ figs OJ <':". ./ What family, if any, W ~ <r .--z-vt. Entry No. ;--IA,; . Name of Mine Foreman, o<"O . - )-1,1_ • U -7 flame and P. O. Address of Witnesses , ~~ ~'t.A.--L ~ (Signature) 78 Room No."?.. , e --l,,__ = Marned or Single /'vt ~ • Holll long in employ of Oo., / (-! -~ Condition of Life or Circumstances <:.. --<2,,,i,, • and address of nearest IJUihg Re!atiue, U( (lame ~ - rr~ ~ was he an aj]iaient man, . ~ Wailhe temVerate, ~ Whore and in whose char~t, ~ flame of Physician called, if any, uE-.:>-.,.... ~ /lature and extent of Accident, 1 72 Title,-1/IA. ~ 7 �, .,.. . OF \VI'f1'°ESSES. STA'fEl\II•,.N L., �Form 13N. . , .... p.\C!FIC RAILWAY. {j:S 1v•'I coAL DT~PART::'lmN'l'. Mine No. ~ H .,,,.,,.,,,,,,.,,,,,,,,,,,,,,,,. 173 o'f cJF PJ::RSONAL /1\'.fUR y t£fO,~ Gen'/ Supt's No. •••••••••••U••••••••••••••••••••••••• ~ U-< u--1.,... _, . . c:-A1 ~ .1 Person injured, (lame 01 ,._,.,._uvv occupation, ., Accident, - _/J,- <1--V '2. ft 4 L!JC/ltioll, 7 ~ ( ~ (._ p .- \ ,' ~;r 0ate01 r~A'V If not ;,,jured in Mine, state Jfhere. 11a111e o1 Mine Supt. 11 1 Age of Person_injurcd <./ - ~ -e....-,-...,. 0 °'-"A\ CJ Condition of Life or Circumstances .9_:{-~ , Was he temperate, ~ (/ Name and P. 0. Address of Witnesses , Date Room No. ::; 3 Name o·-F M' r 'J me roreman, v-r...u OJ Ma rried or Sin e ~ .!J-4._ was he an efficient man, - ~ Where and in whose charge <ftl, Q _ ~~ (lame of Physician called, if any, ..10_., J r v--r-fCM.. Nature and extent of Accident, Entry No. -:; ~ ef Ct. J"2. - _,,.,,,-, · ~~ !2.. / 0(,. :vvt , (J What family, if any, Ho1u Jong in employ of Oo.' ~ _</. ~ . t1ame and address of nearest l1u111g Relatwe, , 789 -z.. Time / I Mine No. / en--... 18 ' ~ �S1'A'f.El\IEN'l'S OF WI'l'NESSES. ~,E)~ �Mine No. ~ •••••{!, ..,.....,... , 11,,,, ....... Gen'/ Supt's No. .F person injured, ,,nmn°1 . 0 n//0//t -;ilP'' 11• ~ ~ ccide11t, / /') ~ _.A.....---<:.. '7 ~ 18 CJ Lfone . Mine No. '-J ' t 4. , 1 \. -, • "- ! gi ll "n1. . Entry No. - ~ Room No. 1 c., of (ifine Supt. 7( ~ ~ * • Name o.c M' .. , d 6 - <.) _ • ~ '1 tne Foreman if Perso11111JUJe ~ , ..L..O )/lit 1.goo ·1y if any, - : : J ~ ' Married or Single • • .4C<.4 What fa1111 , , .c .../J1.. ~ /ong in emp/o!J 01 Co.' / ~ ~ Oondition 0 -c • • Ho10 d address of nearest ltum-g' Relative, ~ _ _ 0 '1 Life or Circumstances "amean , ~~ "-J/7 _ ' n le a,i efficient man, ., • ' ~(. ~ • Was 1 ~ Washetem ~t and ;11 whose charg6e/rt, ·*I I a- •./)_ rate, U..A~ 11here . . 7 v., ~ , .; Physia1an called, if any, //ame 0~ f/ame ! '1 ...................................... .M ./I~ llJ/t'Of ~ - - - " A ( _ ~ ' .-atioll~ I ~ ~ b1' . . . din t,fi11e, sta e where. U I/ not uu1ne . 17 ......... -e,. e flame and p, O. Address of Witnesses, l I.I 1/ature and extent of Accident, f' I :,, l (Signature) ...,....,, j J Tit/e, f/Vl ~ 18 '-:::Irv ~,....,._.e<A- �STA'f.EMENTS OF WITNESSES. �'{J~I0N P.\CIFIC RAILWAY. 17 5 COAL DJ<;l'AR'l'l\IEN'l'. Mine No ,......;i··········:••:,u ••••..,......... REPORT OF PERSONAL INJURY. Gen'/ Supt's No. ••••••••••••••••••••·•·········· (Jame of Person injured, ,fi~ - - 0 ~ ( ~ occupation, .,,LQ~...,..~ U oate of Accident, /..J)...,..___ ~ -,-·4. v1 _ Location, •••I (..,.)--v-1(__ ~ If 110t i11jured in Mine, state where. Time I <:?.W. Mine No. g Entry No. 18~2- ~ ·0 _ Room No. (lame of Mine Supt. - -;e. ~ Name of Mine ~oreman, .,<.Q ./'Yt. . ~ Age of Person injured / q ~ Mamed or Single ~ What family, if any, How long in employ of Co., L./ 1"1.-Oot1d ition of Life or Oiroumstances .. ' Name and address of nearest liuing R e l ~ c ~ '~ was he an effioient man, - ~ ~ a s h(jemperate,o Where and in whose oharge<Ji.f); /lame of Physician called, if any, ~r4tM. e ~ flame and P. 0. Address of Witnesses, Nature and extent of Accident, (Signature) Do.te 18 �STATE:\IENTS OF WITNESSES. �~ pAC!FIC RAILWAY. tJ~JO· coi\.L p~PARTME:NT. 17(~•U. Mine No ........~ ,r OF PERSONAL INJURY. . ·:•:..:•1•,1:1.uru,, .. , •• , •••,.,, ;f,fOR Gen'/ Supt's No. .f /,1t1file OJ I ✓-- (/ "'I--~. person injured, 1.0 ' atiOII, occUP .;([ .....-•vifi-.,>-'<..--V /I_ _ . C .::, ., 2 ~ Accident, < / v v-v - ...._ p1t.J OJ ·J , • ,,·011 1'cp----v1r - / ,:z_ ,,.Jo - ~ 7:1 (.;{..... ; LOCII' I • (/,,,, :.>f---L . iiured in Mme, state where. < .J .f 7 8 9 2 Time Y- <P}/1,/ . Mine No. I Entry No. ._~ ..., I Room No. If not II~ //6nle Of Mine Supt. •0. . . ,1 Person u1}ured ( J.gCOJ What family, Iif any, fr • - ::2. .s-~ ~ . iJ/:. ·1 Name ,-F M• • oJ Jne Foreman, M . ,,., arned or 8(ng/ .....,._A.>..r-(--c.-,...-"-' - 1 / - Ho!U Jong in employ of Oo.' 0 ;:?1-~ aud address of nearest liuirfg Relative, 11ame Condition of Li //ame of Physician called, if any, ,/ 0--v- . h Cr.-·t .,_, ,,.,.,..~ . . A -_, J--vu,..:=; ~ -.........,., _ _,.,, , /'.J ) ~ ,,..~ . 'fe or Otrcumstanoes l"/ .J was he an efficient man, ~~ ,.A/'.) here and in whose charge/ff,, ·:1-cvt-~- -v 17 ........................... , ) I,,.,_/C.,,.s---v,( ~ ' • - - - • ite, ~ Was he tempe - c-.,,.-1'-;;""' flame a11d P. 0. Address of Witnesses. '/"?:, C\.A.X. , , /Jllureand extent of Aeeident, ~ " 1 ·L ~ 18 £..~ ~ O\AA( \ �STATEME~'rS OF WITNESSES. �r-:=uS PACIFIC RAILWAY. 1 l tJ::-- Form 33M. coAL DEPAR'l';\IENT. Mine No......l?J. • ~ I 1 ' tE pac't OF Ph.RSONAL IN'.fUR.Y I' • 1 17,....,' ,, ............. . .............................. Gen'/ Supt's No 1 r:,,mc 0'1 1f ,(?: U -;._,___ person injured, ..-{A.II. ~ 0cc1I/JatiOII, ~ .,, •( ~ 0,1, of Ac'/'111t, <.../J-in, ,::,_ -.....<. iocatioll, :;--tA~~ ~ If ,,ot ;,,jured ill f.1i11e, st!lte where. U 0 78 CJ '-Time ...,~ -PYVC, Mine No. 1 Entry No. -3 3 ~•ame of /Aine Supt. -<q' _---;f. igeof persD11_i11jured 5-,y:: ~ ~ J//;lt Family, if any, 0.. ,. long in employ of Co., / '2.. ...,_,,.,,,, Name of Mine Foremall, r (I) ---,,i( <MA\_ Married,,'"~ f!'Jfe 7- 0011d 1"''ame and address of nearest liuing Relative ' • ~/ /J ition of life, or Circu,nstances, . L<;-c,,,,,;( - ~ Room No.-3 ~ was he an effi01ent man, ~ - •••t1? ~ Where and in ~/~ose charge~ -i_Q ~ > - < A . W1 she temperate,~ uame of Physician called, if any, _ .__../\--g~~ CJ ~ flame and P. O. Address of Witnesses ' /lature and extent of Accident, 18 �S'fATEl\IENTS OF WITNESSES. •I } ' I • ·[ 11 '/•'ii,. ,, ·,..,:I �tJN'ION PACII<'IC RAII/\VAY. COAL UEl'.\RT~ll>NT. Mi ne No ••~ ,................... 1 78 t-EPORT OF PERSO.NAL 1/VJUR y Gen'/ Supt's No....................................... 1:amC 01 Pe, sou injured, , /lo ~ 0cc11p:ztio11, -:VX-~ oata of Accident, ~..O ~ / ~ • ' Loaat1on, ( /7,) /L,v--tA{ ~ ./'L.-\..... ff not i,,jured in Mille, state VJ ere. //ame of Mine ~u~t. 11 Age of Pe~son _ 1Jured What Family, if a 11 y, 78 o/2 Time / u Mine No. 1 ~ CL , ~ , 2. ~ Entry No. Room No. ~ U( . ~ ~ Name of Mine Foreman, , · ~ Q:> ~ =2 4, ~ ~ How tong in employ of Go., ::z ~ flame and address of nearest liuifi.g_lltelatiue, C/- Condition of Life or Circumstances, ~ was he an efficient man, ~ Where and in whose oharg(}Yt, 0. {lame of Physician called, if any, ..<.J} .A. /lame and P. O. Address of Witnesses , ~~ Married or S~- - ~ Was he temperate, ~ t3 ~ /lature and extent of Accident, 78 ~~ , v'~ , 0 \ �STATEMENTS OF WITNESSES. �lf~ION PACIFIC RAII,WAY. CO \L DEP,\l{T:IIENT. Mine No....... ~............... 1 78 RJ::POR'F OF PRRS<J.V.ll, INJURY. Gen'/ Supt's No ....................................... IJ • ,1 118 of Person injured, A{ Olfi ~ ,,a, ' Occup ttion, , _ / ) 1 . ~ //l ~~~ oat.? of ficaidc:;3, p,C.._V ~ 2.. 18""/·t- Time t/ Location, 1J&1.,4( ---<J/4,. --V:.7 Cv .;:I o Mine No. I If not i,,jurcd in Mine, state whMe. (J i /,). )'Z/{. Entry No. 2. i f Name of Mine ~a:t. /q _·'7'r . ___.Q _ ~ ~ Room !Jo. Name of Mine Forema~ Q:> ~ ( Age of Person 111Jured ~ I ~ r) Married Olfi/11!!;/ ~ What Family, if any, How Jong in employ of Oo., Oondition of Life or Oircumstanceo, (lame and address of nearest liuing Relative, - .:::7~ "'-v--A..._ t ~ Was he tem11emta, ~ Was he an efficient man, ,...-,,~ Where and in whose charg<'(TelJ/ Name of Physician called, if any, (....-VH--\. - 7 7 ~• ~ J'r- Name and P. 0. Address of Witnesses, _J ~ /1 Nature and extent of Accident, l h Date 18 d'Yt;::..__ U ~ �STATEl\IENTS OF WITNESSES. �► Foru1 3314. roN PACIFIC RAILWAY. '{JlN • MineNo ....~........... COAL DEPAR'l':.'IJ.EN'l'. vJ' OF PERSONAL N.EP01\ 180 IN/UR Y. Gen'/ Supt's No ....................................... 0 d, ~ - • Name o,f Perso11 uinjur~e ~ • -<J? I 0COUj)fld0I., ..-: -<,,~ 0 ~-o ..,r:Z. ,LO~ / -3 ./ ~ . ( ~ . -. (/ ..,'v-'-'lA.dt ~ ;Jccident, vate o1 "':J Location, • • !/· .,,d in Mme, stata where. If not"' 111 " (Jame of Mine Sup£". @.,,.,,.._ Mine No. Room Mo. Name o f ~ Foreman, ·J ~ -;,~~~............._ Married or Single ../)1. ~ t : < 0 ~ Condition of Life or Circumstances, ~ 4:J__.(~ ~ Where and in whose charg ef • called, 1 • any, 1 Name 01,; P'iysician Was he an efficient man, Name and P.O. Address of Witnesses, Entry No. U7-tv . g- _,,,,...,, ./1c ~ . ·-'?! ~-7{! . ~ Age of Person injured --1/- 9 II/hat Family, if any, f, Jong in employ of Co., 3 d . •~ How • nearest 1·tumg • Re/at.w , d address of Name an a .7/IA.. 78 &/'2--Time / V Was he temperate,~ u°?. ~- @A-~ Nature and extent of Accident, Clv\. ~ ;1'....tvu<.._ '.e(M .;?\..,,<...a /} ~~ r I I, l (Signature) 4 18 'd ~ : J G A , U v t , ~ Title, ~ -f1vv-~ �STATEiIENTS OF WITNESSES. ~ �u~ros PACIFIC RAIL\VAY. ~~............... 181 co,\r, DEl'AR'f;IU,:N'f. Mine No.... }l'Hf'ORT iJF PERSO.V.•11, INJURY. Gen'/ Supt's No. H•·••••·····••••••••••••·•·····•••..O .--J occllj)1tio11, ...,.~ ~ ~ ~ Location,~( ..-,,<1-;r~/\.._,..:....._.. _ .-,, -::1 oat.i of Accid,wt, ~~ c..' . ~~ _,............,_ "' . "·- f/ame of Person i11jun.d, .1-0 ..11.~ / If 110t ii,jured in Mine, slata whe, e. ~ 0 78 q l.. Time y 0 Mine No. V Q M.., Entry No. tr, Room No. 3 flame of Mine Supt. ~ :?? . ~ Name of !Aine Foreman, r Ago of Person injured 3 2.. -r. ~ Married or S i n ~ ~ 111,at Family, if any, "'-I ow long in employ of Co., I ~ C011d.ition of Life or Circumstances, H /J Name and address of nearest liuin'g' Relatiue, t A...AJ-v?L-Q. was he an efficient man, ~ • ./\..--\.A,\. 3/? WaQ he temperate,;r ~ Where and in whose charge I 'ft, flame of Physician called, if any, tl?,- .. 1 ~ ,._.I\- rr(;;......._ Name and P. 0. Address of Witnessed ,,__,, Nature and extent of Accident, ,J ~ ~ , 1 �STATEMENTS OF WITNESSES• ✓ )""'' Ji(cLf{~ . ./ �r 'PACIFIC RAILWAY. tJ~I01N . coAJ, DEPARTJ\IENT. RfipOR Mine No .......... )f ,,,...,..,..,,.,,................. -- t VF PERSON,·/ L IN/UR Y Gen'/ Supt's No....................................... ~L...._ • c--A·( aAf.... • 1 person injured, d l ' -,,-- [i'ameo. ocaupat1011, 10 " r.:._"/.... 1 I 18 1 2- Time / tJ . .:3 tJ Q. ), Vl oatt1~} /fo--cAc --<krr~~-<.r Lo11at1011, . • , ~ Mine No. ~ Entry No. ~ .e Accident, ""'-· --~ . • ·or/ in .11me, state w,1c 1 • , If ;1ot 11'}UI" /Jame of Mine Supt. • 4-. c:;e_ noo111 f✓o. / .!., - &: Name of Mine Foreman, J.[}. }1/{. ~ Person injured ~ -~~ Aae o1 _,,,.-, Married or Single ~.~ • ;.; any c _J w11at family, I; I long in employ of Oo., -..:3 / / - i . , ~ ~ Oondition of Life or Oircumstances, HoW d address of nearest liuinf(!P latiue, 11ame an . / ~.Ol/4~ n en;cient man, was I,e a 'JI' Was he tempernte, ~A,,._,'i_ t:..,?,U-...<f J Where and in whose charg . (lame o,,,; Physician called, 1 any, -;!j.,u, JJ Name and P. a. Address of Witnesses Nature and extent of Accident, .,,.,o ~ __,-,1~ CL CAJ t ,,__,..._ ~( . 1 W¼.C( I· (Signature) �STAT.El\IENTS OF wr1~NESSES. �,T 0NI 01., PACIFIC RAI LWAY. cO,\ L DRP.\R'rl\IENT. Mine No.. v'f' OF PERSONAL IN.fUR J': Rf:"f01, J M O,+ parson injured, f,111/IICJ 'J I • oci•UP dt0/1, - 71L ' ~'\,..C Gen'/ Supt's No...................................... Ci..-1.-1.U4 /(; / --~ '- ,..L /CJ.... ,.,......( ,+ Accident C-c. 1- \. u .. n r lj Y 1 oato ~ IJ , / (. 41, \..£.l-L.-<;-, 1.9cauo11, I •• ra'I in Mine, state w a, e. If not ll')ll ' ~.............,,, ................. 1R:J ./"'A . 7Bc; -3 Time / 0 Mine No. ..:..~ Lv;,,j , /Jame of !,tine Supt. .12.t. - /(. .- ~v--'e. G,..........,,-< ~ ,+ Person injured !:2- 7 ~ Age 01 U Wha t F,ami/y, if any, in employ of Oo., 3 - n ~ , HOlli lo/lg t 1· • R I t· d Name an address of neares 1u111g ea 1ue, ~.YI/(. Entry No. '::2 ~ Name of Mine Foreman, Room fi/o. ~ L n ,t IJ'Y , C<.,vt... -~ /\.JL/..,.',,~ Married or Bing l e ~ {J ,-- Oondition of Life or Circumstances, ~~ Was he an effioient man, Wlts he temperate, ~ , and in whose charge w,,ere flame 0'J,-+ Physioia11 called, 1 ·~ J\- vl'""r /j (NI. flame a/Id P• O• Address of Witnesses, ,.,,,. and extent of Aooident, Cause,.,,:!. f . ~ . , v ~· r- ,r -&~ --<A,,Le,( 1 ~ 'f ~ L , -f_"' "-'\ ~ ( J , ~ --- b - ~~ ~ _.A..,~ Jd(~ ,/,/~ (Signature) 7,,i,\_ n,-;:\- ~ - J~=->< , 78 Ti t l e ~ �1 STATEMEN TS OF WITNESSES. �, ,,~ PACIFIC RAILWAY. lJ~ 1V• co,\L vm•ARTMJ-:NT. Mine No......a~i,...................... . oot OF PERSONAL 11\fJUR Y. Rf;P I' ,, Gen'/ Supt's No • ·-························..·-..······ .·. '' ' 0 18 '7 7--Time Mine No. 1 Entry No. .:, . '> Room No. ': l I {lame of fl1i11e Supt. f l1 . ) ( • ~'vv UM,,,_ ~ l Name of f,1ine Foreman, {) c ) . M ..0 J °'-"'-'? Mamed or 8infeJ - J"l, I \ ~~ Age of person .injured -~ .3 ~-~ JVhat family, if any, • ./ /:vvS::. HollJ tong in employ of Oo., I I. 7. ~A"A..,,,-Y-:, Condition 0'J-F li-F • Je 01• 01rcumsta11ces, /:.1 flame and address of neares, hurng Relative, V c..0 ---1 4 ( was he an effioient man, _A~J /i Where and in whose oharge /efi, /lame of Physician ca/led, if any, Cu j )--- . 4 ff •.,,-,..,.,....,' --r: Was fe temperate, -~ 0 kt--<~.-\ 4 ., J y ,r v(....;,..~ flame and P. O. Address of Witnesses, .::J- ~ _/)_ . 1 u2 V?A- t:,\/'._ • __ -../ ~ , o..A,..A<./4.., ) (Signature) f) (} ovvJl tlfi,v- 0 Ti t l e ~ 18 184 -:1~~ �STATEl\IRNTS OF WITNESSES. , /, ' /J / , / , -t. < I ' { L"- < -L. ✓ " '- �Form 331-1. \CIFIC RAILWAY. •Ju~ p. tJ.;'\ coAL - p~PARTllEN'f, Mine No • ,r:RSONAL IN/UR Y. ,r o F P. R£pOI< /lJ) f . , . , ~ H • • • • • • o o , . ,,,,,,,,,., µ V Person injured, -'/. - ~ I- • /,'llllle O1. ~ oect1PCdfOII, Gen'/ Supt's No..... ................................ -- W ~ f/._. /\,vvl..,-V 3 .... ~ - ;;-) oate of Aco1f/~(~;ti _ cation, if~,? ~ L0 . . . din Mine, stat w/Jere. If ,,ot [lljlll e ~ 789-3. Time Mine No.J Name of Mine Foreman, () ,,.IL,_ p,meof n,;ne Sl/pt.__e; _/(. ~ AgC of person _injured -'--? '.2 'L. ~ jV/1/lt famify, if any, , t /~ 1 ,1 7 ~ ~ t,v--Qvv~ (Signature) 9-crL{_} Title, 78 ' Was he temperate!.---rr -4t/\A.a o k 8 ~ I t;:J./4_ 0 . . (lame and p• • Address of Witnesses , J - ) · .__/...~'_.c_,,,.J....A,-,.-.. f/ature and extent of Accident, Cf' ,._..,.,\ Condition of Life or CiroumBtance I -waswhe anaefficient man, ·~·~ r / d in whose charge1~1efi, A a1 Where \0~ Physician called, any _ J\- ,-A0 _ flame I Room No. '2---u Married or Ef!j/Jle ../0 ~ C 1 in employ of Go., / tf - J. ,_,., -t), How ongd ddress of nearest living Relative, O.~ ~ Entry No. :i... ~ �~ l)N"ll)~ l cOA FIC RAILWAY. • L pEPARTilmNT. Mine No.......~~A......... T OF PERSONAL INJURY. t&f'ON 186 Gen'/ Supt's No. . ................................. ,,,- ~ .1 person inj"Jj'ed, 11(1/lle O; / /I occupation,. ( _) · {) · ,1_ /J'. -'(T n,....,___ (} ~ • oate of Acc1f.!:f'.. . ~ ~ · Location, U ~ , ., • . • . di// Mme, sla I[ not nl)UI e .• d ~ .,'1./~ ..,V\__ , ~ whe1e. / D · C? ~ ~.....fu J f- /> - <f. ,i__ y Age of Person . 1Jure ·--' / -~ r:amily if any, v ~ t 11 (I' h ~ ':C:!::- ,e of nfine Supt. {~ . / ( •- - ~ 1111n !) ~ -, 78'),3 Time 'J C/ J"'l/\ ' Mine No. Entry No . /!.~~(__ Room No. Name of Mine Foreman · ' J. _e Married or sr,Je ~ ~ IY/111 ri I . 0 .. HotU long i11 employ of o., . . '.2... ;:::;-:--~ _ Oond1t1011 of Life or Oircumstances, ~;✓ .. d add.ress of nearest !1u111g ReI'tftiue, 1 //ame an L /l.-rv""--.,.y ., vv was he an efficient man, _A,!J(./.) ' Wai he temZte,/ ~ nd in whose charge W . , . . t/J A Where a . v, tr ~ .~ Physician called, if any, ./:'J-r". , / J-- r/4,.,_._ /lame O; ...A/¼ , tr/JJI /lame a/Id P• O• Address of Witnesses, 1/ature and extent of Accident, ~ (Signature) 'Jh h1 -r: . -:-.I A -x3~ Title, Cf?U/~ 18 �ST.•VI'Jri\IENTS OF WITNESSES. I It r r I . r, I..... ¢;.~t~ Q. C' tv\ ...It, . . . . J l r f, &\...._'-~ . I J~ (\ . .• �U);Iv~ P.\.CIFI C R,\I LW.\. Y. CO.\L DEPART:111.u,·r. Mine No,.~.............,....................... • 187 REPORT OF PERSON. LL INJURY. Gen'/ Supt's No.- .......................... J Name of Person injured, c £...... _ (;:,tr~ occupation, ~ _,/J (..,... ... .,__~ /" I A oati'! of Accident, ,,, r / a.. .........._ /I 60>--ff Location, C./.J p "'-..___ If not injured in f.fi112, sta!IYt.':Jherc. • J ~-v Mine No. -3 r"J flame of t,fine Supt. -P1_ 1e. . - ✓ ~ --t....,._,.,...._._._7 Age of Person injured Room flo.,S'-1 Name of Mine Foreman,- hr/ n - ,. ~ ~~~ Married or Single ~ --3 I ~ What Family, if any, '-::I .' Hotu long in employ of Co., / Entry No. 6, --;J ~ l) ~ . Condition of Life or Circumstances, Name and address of nearest liuing Relatiue, was he an efficient man, ~ Was he temperate, -~ Where and in whose charg(lft, ~ ...~ . : . . . J ~ Name of Physician called, if any, Jd- l A rrl;.,._, J¾ d Name and P. 0. Address of Witnesses , Nature and extent of Accident, d J ~ ~ "tf~~:CU, f-'y l ( A . f f . IAA1 "' " Q.,-,' r•,, . '~"!/ tlv.. " ~ f2 A ; , 1/1.. • (Signature) _/11 IIYJ a,u.. ... ~M/(T7r'·'- i , Date 18 I , ..':-t- ' ~~ Title,{!, ~ �STA'l'El\1ENTS OF WITNESSES. �uSiv~ PACIFIC RAILWAY. COAL DF.P.\RT.M£NT. ., R£fORT OF l'ERSO.V.·1/, IA'.fUR Y . Gen'/ Supt's No. .J~ Name of Person injur1;,d, ~ ocaupation, _/I[~~ J oat~ of Accident, / c....A. " ' 1 Location, ~-<.- l .,) If not it1jured 111 Mme, state where. / / • c-'-A.. f.; ~ 'J, C.~-r J 0 18 7 3 Time -3 Mine No. ~ 0 . >-zA. . Entry No. :? --0 v.rC . ._./ ,:ame of frfine Supt. • 1.AI' u__ ~ Name of Mine Foreman,'-UA-vr Age of Person_injured 3 ~ Q Married or Single What family, if any, How long in employ of Oo., 2. ........,.,.._. ,.___,,,£.., Condition of life or Circumstances, Name and address of nearest liuing Retatiue, _;_:._,.A~ , ~-~ /2:7 -~ was he an efficient man, ... ~ Was he temperate, Cu Where and in whose charge~, ~~ J ~ ._ X Name of Physician called, if any, ~ - -. ..../\-- rvf""Name and P. O. Address of Witnesoec. Room No. ·; v -J Nature and extent of Accident, :;z.j CM-U'w ~ ~ +~ ~ ) (Signature) I ; 18 r �STATEMENTS OF WITNESSES. �p . ~ u~rvN P ..\.CIFIC RAILWA V . Porm 3314. COAL DEPART!llENT. Mine No. • 1 ·3/-: ; .0#r·•··:••tt: i: •1•••• ........... , RfiPORT OF PERSONAL INJURY. Gen'/ Supt's No ....................................... (i}_ (}) , Name of Person i,~rjurd, . r ~~~ occupation, _<>-:"' - c ~ (J -oate of Accident, C _Ct..-V'7 ::et.. . -/i;.7 78 ?.:J Time g ~ r.i "l..-?.,. Locat1011, (I l.,/4>--'l/. ~ : ,, . ~ ~ c-r '-~ r.-,v .I Mine No. l / If t i11jured i11 Mme, state Icre. U 3✓-..J .' T- :-; --.J' Entry No. x_ y 110 t1ame of Mine Supt. . . Age of Person t17Jured Room No. '(j _,,J 4 • ;(I. -./~ Name of Mi Fi ne ~reman,_ q 7~ What Family, if any, ---.3 ~ .. (k) Mamed or St g e r , , 1 _ ~ 1 t How Jong in employ of Oo., ~ •• of Life or a· 0ond1t1on t Name and address of nearest Iiuing Retatiue, ~~( A/,h , trcums ances, Was he an efficient man, . Where and III whose char Name of Physician calfed, , Oa- ~ any, --o·~~ WasQ1e temperate 1t ' ~ J'f- ~OYv Name and P. 0. Address of Witnesses, Nature and extent of Accident, /'3 Oo../44L ~ - 4 ~ (Signature) Date 18 ~ rr ~~ ( / Title,~ ~ J �STA'rEl\IENTS Ofo WITNESSES. ,I C f( (·,, , ,. - 6 . ;\ I> ') 71 (_c ) /I {( )<. .(/ \) I 1,.,_ ,.,. ... ,. fr-,,c,,1' J / ., I ,-, // , ,,, l >'.,' r , ,;7 I ,, .. 1 r.r ,r--. ..._,1 I / �1.JN°ION' PACIFIC RAIL\VAY, co.\L m;P•\RT)m~T. Mine No. __"···-···( .................. 1!J01 Rf.f"JRT cJF PERSON.LL IN.JURY. Gen'/ Supt's No • -•••••••••••••••••••••uo,... • • U - • O • TBJ -J.. Time j ' Mine No. / 4::'.G<.,<- Entry No. Room N(). A r.amJ of (.fine Supt. Name of Mine Foreman , (/ u/ ;J P--/'--/G<7 Married or Sm e •)':"\ ¥ Age of Person injured 1~11at Family, if any, Haiu Jong in employ of Co., . _9 7t-< q-.,.,.z,/l., 1 /lame and address of nearest ltumg Relatiue, ' ~<--~-,-<.. <.. Comiition of life or Circumstances • ( GI· ✓J,t~ "'- IYas he an afficient man, f.../4/J Where and in whose charge left,( ' (lame of Physician called, if any, Was he temperate' / ( J ., Name and P. 0. Address of Witnesses, { ,f-ever Nature and extent of Accident, / -// ( ,/kr~ fa/ (/ Cause, r2.cr~ (Signature) 18 rA t _./ �....<---C--""- a �tJNION PACIFIC RAILWAY. COAL D£P.\RTMJ;NT. Mine No.............,..,..,...(. ................ rponT VF PERSON✓JL /.\'JURY. /?1; J\ Gen'/ Supt's No ....................................... . . .1 7 /Ir(( ' / (lame of Person u11urcyJ , { (/ ti- Jif, .. .,, t ·o,1 7-r-,r•I ocaupa , ' tf < ( ' •e-<.A oate of Accid~1t, -~ 1 c..· ( K.. / !f a Loaatio11, l ,)fJ R,t{( -!)/:~";.--:" J /to/-r, If not iiifured in Mine, state idhe1 e. r Name of Mine Supt. iBf 3 Time flline No. ~ /? ( JJ:-<-~_.., ,...,..-" Ago of Person injured r ~ Entry No. I ,:;' ,:;- Room No. Name of Mine Foreman,/: ' -z_ C rJ Married or Si gle J / ,r;- /o What Family, if any, 'Jiu. , tJ C(,,.../-HoW fo11g in employ of Co., ?w o -:i• .'►. /ru✓-. <1101J Condition of Life or Circumstances , A) :~ , Name and address of nearest liuing Relatiue/ ,9 ,1. /( r -!};tJ ,,. , ·,. " ~ /4;,, r Was ha an efficient man, ,J....-< .,., I//( n -:r/ / A ..-< ..A Wllere and in whose charge left, ( 1 _ .,,1·r / l/ ,,_"1.1a111e 0'J-F Physician called, if any, • ·""'. c.--crr -r-ffYl-/ { /, d --1 ( p( Was he i{,11J)erate, (1'4 .,, ( 1 --- ? Name and P. 0. Address of Witnesses,/ J v Nature and extent of Acccident /2 - (~ fl - ,.~ ~ ! \ Cause, f L ~ L ~ a, ~ ,z-e (' -< ./4.,vr -16,rn.-,,. ?./4- e~ 1 ~ ~ k~ (Blg11ature) , - _ I Date (il ,t,,<., Title, e1~ L • ~~ ~ ��tJNION PACIFIC RAILWAY. co AL Dl~PAlt'rilt EN'l'. 7 Mine No. 1()'} · r •11••,···••1t••· ..••••••••• _ ,, REPORT VF PJ::,RSON.,JL lNJUR Y. Gen'/ Supt's No. ffamc of PcrsO// ;,uurad, Y/t,,_',;ee_ ) . (! ,_jW ·,rnu r occ11patio11, . (, •, a. ~- oate of Accide11t,C ft uv/4:Z ;' . / ~ • . Locat1011, l/ • -✓IC . -· r--c.z-{L . . . • If not i1'}t1red III Mme, s,ate here. / ((<( ,H • A'- , ✓ •.f; ~~ flame of Mine Supt. Age of Person injured ~K I . me /111ne No • 7 (?& 1 Entry No. z_ Room No. ~- t5 ~~ J - r.c.c- ,u,- . ~f,f' ~-/ 1N..{ ~n / v 18 r'JJ Ti ~ Name of ll?ine ~oreman,6~.,{5 Marned or Smgle ~ c.,,;,~ What Family, if any, C:::~ ~(~ 0 ~ How long in employ of Oo., flrn-c0 ( ?-. > ./4<.....,,,,,z/._,, t.-,,.L-,._,O011d1t1on . • of Life o·1 Name and address of near,tsl living Relative _--£..{,t hi. or rc11msta11ces, , c/'lC~lc,,) ~ ~ / W.is he an efficient man, ~ 7 c -<=,-, •• 4 a,,,~ . ~-..c:..--o Was he tem , Where and 111 whose charge left, ~ • ,;;;:;_ ,✓~ poi ate, - ~ Name of Physician called, if any, 4- ~ < v/ C --~ ~ . , .... Q ~c.~~~ ~ Name and P. 0. Address of Witnesses , Nature and extent of Accident, ~ f - hv ~ t'~I'./~ tL. ~ ~ ~7 ~ cTY--<.,.A...- f ,,~ £-,u,-7 ~ £ - ~c_ ~J-__. kc~ ~ (Signature) ,. Date /~ f b-.:z...e-- 18 6cfP~ L <!~vi ;'[~ ~ c_ / c. ,r:::.. �------ STATEMENTS 1~ Jr<YZL,,J.( IJu~¾ OF WITNESSES. �UNION PACIFIC RAILWAY, COAL DEPAR'l'Zl!EN'r. Mine No............................................ Rl:.-PORT OF PERSONAL INJURY. Gen'/ Supt's No ....................................... 1.. ./ 4/( 7 v - rJY'tt.tt< . ...~., ,,a,,ie 0'J-F Person ,1 injured, /4'( ,1 occ11patio11, 1 l( 0-/·-<- 1, U.f},\.\ ., t) ,,J / , / 'd oat~ of ficc1 ,en , '\ ,,. -<--~ Location, C/(t.e II... (.J~,~<·•:7 J If not ;1,jured in Mine, state wfla, a. uam• of Mine Suptt-ffc, Age of Person injured ('/hat Fam'.ly, if any, How long 111 employ of Oo., / ",, I...,, ·1J fJ 78<j-3 Time Mine No. , Entry No. ({_ t ( l;:i <.·A<. d,, - <.-✓--v~0 A~ .. . c:-/'(J--u/4., ( I-/- ) Jtc,d1<Z'°k.> Oond1t1011 of Life or Oircumstances r'J) ., {11. //. ' \ //.._y~.AV' ~ 'l"l-,....-t:' ./r.!:.(,o WJs he an efficient man, - ~...e---o. . as he temperate, Where and in ~l~ose charge _left, ~~ Name of Physician called, if any, oJy ~ ,,,,111e and address of 11ear1st liuing Relative, IH J- flame and P. 0. Address of Witnesses, Cause, (Signature) Date 18 I/& Title, Room /Vo. � https://haylibrary.cvlcollections.org/files/original/d62fe4c679844c8072e139af8272b821.pdf d8456cf33d9755e0e84d15e6507b799f PDF Text Text - - - - -- -~----- STATEi\IENTS OF WITNESSES. �tJ~ION PACIFIC RAILWAY, co.\L oRP.\RTl!ENT. Mine No. c..5·--·-- x&fVR'F OF PERSO.'\'AL INJURY. Jrfr/4-.,, Gen'/ 8upt's No. _ Ylil -✓i p,m,of p,18.,,, injured, Occupation, c/( @ oate of .A::cid~n~ .,, ~'4~7., Location, ( If notiiijured 111 Mme, slate whe, e. - r,,,, / } f{ame of (,fine Supt. t _<!:1/lu /{~ C7~ I . // ,A' o 18'/¢.3 Time • ftfine No. ¢-.. /)'JtJ ,, ,, d ~ ~ ; , /<-/ ,3 Entry No. - + Age of Person injured 4-o l'/hat family, if any, <f>m-u / S :Jr~,(. ., Name of Mine Foreman, . Where and in whose charge left, Name of Physician ca/led, if any, ~ ~~el~ Marned or 8,ng/e {; Condition of life or Circumstances name and address of near 1st liuing Ralatiua, IVJS he an efficient man, Room No. ..31/ ,,, 7.~J L,, ~-<..-c • , -. ..- , HoW long in employ uf Oo., -----.................... a/ g .,_~r //, , /,,: //(' /u,<--<-<.-,,/(___, rY "r A---,, I ¼. (/t!-0 Was he temperate .- a-~'"'-P /),.. ('._ ~4-r ) c:ir,,. c%_ /lame and P. 0. Address of Witnesses , Nature and extent of Accident, -£~ £;;;._J_ 4✓ Cause, J! -l~ ~~ ~ l~ (Signature) ...,.__,_ Title,~ 18 ~~ �STATEMENTS OF WITNESSES. �lJ~ION PACIFIC RAILWAY. coAI, DEl'ARTi\lENT. Mine No. .................... ft£PORT OF PERSONAL INJURY'. Gen'/ Supt's No. "··················· ............................. ~- • (lam a o1 person injurod,a_ '-U-'...,. :-t.<.~ occupation, L-:;:,;?.?£---.-:-~------oate of Accid~nt, ~ ( iw- UJ / i< Location,(/;~\.. ~ - - . 2{ l ..,~_0 I/ not Mured m (l/111e, slate where. f/ame of Mine Supt. M. J, Age of Person injured What Family, if any, l8/...3 Time Mine No. 1 -<- <:.---.-~ J / .2 (Ji>kc..,,, Entry f✓o. ,..3 / C0 v-cL~,....., I Name of Mine Foreman, ;t...-o "::.:J Married or 8mgle How Jong in employ of Oo., <0.,..,...7--<.,.--.,-Q /Jame a11d address of neanst liuin~elatiue, w.1s he an efficient man, Was he temperate, Where and in whose charge left, Name of Physician called, if any, Name and P. 0. Address of Witnesses , Nature and extent of Accident, /;)~ aause, ~ Date 18 ~ Room No. // �C, i) c' ~ Af/Y~ {J>µ_,,/4 ,- -t' ~ 7?( V'/2~ /v-r' ?- '>' //-7'3 �~ CRAILWAY. COAL DEPART:IIE.NT. Mine No..........,,..,,,.,.,....................... RT OF PERSONA L IN/UR Y. tEPO ~ (, ) C-; --, . 0 ,._ V\/ "f . lrl-<..-,,,. ..__,'-- oatt 0! Acfigent, ,. 1.. / 'ejj (fo_~-- - if/-r~-·-;; v - What Family, if any, Howfong in employ of Oo. , :;2 7 .-,,-~ Name and address of nearest /,uing Relatiue, I was he an efficient man, Where and in whose charge left, Name of Physician called, if any, Time Mine No. ~ o - - ~..__, (/ It<.,, 7 Entry No. ~3 r.) _, - - · --< / 4 ( 7-G,z.-r-o . 78/3 /rd .,, o ·(. 11ame of Mine sup t • t:::;,L~ ~ {J / I ~ . Q-1 'l' ' ·a - JI --- Location, If not i,ifared 111 Mme, state where. Age of Person injured Gen'/ Supt's No '···································"• dr..✓, ...-v-....,, person injure4~1' c/,.,-r ~ 11ame o1 . occupat,011, 1 ~}. if ~ ~ r;f✓,~ Room No. r · Name of Mine Foreman, ~ /~ ~ . Marned or Single - ~ Oond,·t·ton of Life • or (] • ---i c 4~ trc~mstances, ~ J/;:h as he temperate, if--c ~ uf-~ h flame and P. O. Address of Witnesses, 1. I I ' llature and extent of Accident, ,, 11 I 1 Oause, ti>"-/ ~ .....<.--<./'- ' 1' I I I L (Signature) 78 �S'fATEJ\IEN'fS OF V{ITNESSES. ;:~ ,~ { _)). I I' It �-~ pAC!FIC RAI LWAV. tJ~Iv• co,\L DlH-'AR'fi\m.N'l'. Mi ne No..........,..,.,.,..,,,.,.,,................. vt OF PERSONAL INJURY. pf:PO,, Gen'/ Supt's No 1f),-· ( f> • ..... ·················..,,........... .f parson injured, (. / ~ .-c.,(_ f _ {/ame o1 <--~ , ~ occupation, --r- -, . . , _ _ :ricJ of Accicj1)'1t, 1/.+ 4t: -:i-y _<fl..4'-..... / fl ~ f;'(,,-e/f ( --<- ...... ~ -,t;_ 0 i,,cation, '-~ I ~ 'c/-r? ·,,;ured in Mine, state where. f[ll0t l ~ £ ""ameof Afine s_u.pt• .f/H?. !-,-~ Age of Person 111Jured ·1 if a11y What fanll y, , , _,. -"18 7 2-> Time ./(') c>-e_-~-4- 'l-4 < Mine No. $ Entry No. .q--<-<--<Room No. v• 0 . ., Name of Mine For -::::I- VF~ ,,::;-~ { _vi,..., ., V 7 ,., - t,e__,, .., f£r %~ , ema11, Married or Single /"" . '7~ ( / /Z<- Horu long in employ of Co., () Ju-r~v-? Condition of L1;-F. • '/ame and address of nearest living Relative, r ~ _ J e or 0,rcumstances II A-l-~'3/ R.-/ "-J ' was he an efficient man, ( - --/'r-0 · I Ia I ft . / _✓, p Was he temperate ( Whore and III w 10se a 1 rge e , -:;, \._.q fA- AJ!-.1'-C- u ,/ ' } ~,,,, , ...... ..., oY .?L.-v- r--t.;;:.,,._, /lame of Physician called, if any, /lame and P. 0. Address of Witnesses , Nature and extent of Aocident, 0-,,,--- Cause, ~ r ~ fo?L c, /-~ r;vL~ I / "., y P ~ f'.d - rxh , " r -,,,.,,.~ - : : : ; - , /fy,,;7 �STATEl\IENTS OF WITNESSES. �.,............-re RAILWA'l. tJ~rv~ pACIF T Porm 331-1, 19S 3 coAL DEPARTMENT. Mine No. - . . . . . . . . . . . . . . , .• • ? I , uF PERSONAL IN/UR Y. , pf,POA 1 ru•,• •••••••••••••••• • Gen'/ Supt's No , ...................................... I<< ' ., person injured, 9t{: 11ame o, \ l,; . occupat1011, . if Acpdlf')f, / £, , ; oate~ l /l~c---, ( [ocattoll, . 1 ✓->-'- <. ..__ ffe.Jl.S.,,;11_ _ ,, -' . //lP" f fYIV M ____.,,., ~,o =r ¥."'? -~l { zl- / 0 ~ U TB/ <.::J Time Mine No • t ;,,jured in Mme, slate where. ~ /24.-A \' .ft. ff 110 • Supt• t: " • '..'7!J 1 //ame of f,fme /,._ • ., person injured \ Ageo, "'1 . 1w1at family, if any,1 0 z~ '-· , ..- J,- ,(.....-r ~ 3 ?- v"t·✓-· vl, ( /, ~ ~l' vc, Entry No . 0 ame of Mine Foreman, . Mamed or Single -.!:. ) Room No. it N //. t ~ J -.. <J ft..._.'1"--t....,(_ u c7 "" /r;?--71 l'7 ~ f. 4 ! lnv- .. ~ /a--,__ -¼,,. - _ ,,,~ • HolU long in employ O 0 ·' c-T~- r -<..- --fe- -""- ·, ½:> Condition O • !lame and addr~ss of nearest liuing Retdtr6e, ~,.-, Life or Otrcums!;jnoes, ~ was he an efficient man, Where and in whose charge left, /lame of Physician called, if any, ....::::r,~ -....-.:~ - / ~L 0y- ~~ -ii O ....... ff~ Wa he temperate, /lame and P. O. Address of Witnesses, /lature and extent of Acoiden~ ~ Caus :, <:_ ~ I -:i__~ .e-,"--',<._.. rj'~ ~ , ,,(:_ ,,--:;, �STA~I'El\1ENTS OF WITNESSES. �~ p.-\CI .~ ,IV· LI• coAL . ,. c~r1.,1R FIC RAIL \VAY. -- "'.p,\R'l';\lEN'r, p,~ • Mi ne No. ~RsONA L lfl/URY. 'f oF PE -&.r~ o11 injurerj;-.-, of pers ~~ L - - r ~ ~ •• µation, ~ e4?- - - - . c : o,;!I Ap(igj)it, a)A, - . . ~ -4 - 1(1( \ 0]0 , ,,.,,,,.......................:.: Gen'/ Supt's No. ··················••............. . \'•lfrlC s.1tr ~! LA,--e..-1C 1 18~Time ~i° Mine No. '-7 Entry No. / t1r.1t101,_ in Mine, state where. ti11Jllfed ~ -i.__ Room No. / ,rno t / / L/ e_) P - <-< IA...P I .1 r,fine Sup .?-7 \. :::> r.e~me 01 • d <._/-= .1 Person i111ure ~ 1.aeo, . 1.....9 •• .1 if any, (JI w11at fanu y, ,-F Oo. J-b?--.- v" ) _:J.u,..,,.r-0 ()Gondition~ij Life . r Oircumsta11ces, • ill employ O; I • • . .C/ 1:,./. ~r. )~ ' Ho•o Jong ./ ~ ''P , /71 0,-F nearest /tu,ng Relat,ue, • d address 1 ~ f L i''ame an eFnaient man, ......-: as he temperate, __ "::.;:_~ ,/J _V ---rf--./ \ ~/ l'1'as he an 'JI' . I ft ~ r-r-~ r d • whose charge e , Where~: p;,;sician called, if any, /lameo, _ /2-... _ CXJ Y ~ ~~ Nature and extent of Accident, Cause, Title, 78 ~c:JY~ �STATEi\1ENTS OF WI'l'NESSES. �Form 331-1. UNI0~ PACIFIC RAIL\V_\Y. COAL DEPART"lENT. Mine No.........,..,,...,..,....................... Jl/:,'PORT OF PERSONAL INJUR 1": Gen'/ Supt's No....................................... -1£.,._,_¼__~ Name of. Person?&"nj _, occupat1011, -;>-.... o(_ - ,._, a,,. (2.t...___ J, oateofA ~ . o 1 Locatioll, ~,.._r If not ii,jured in Mine, state where. - <l;:;;-v Name of Mine S u p t . ~ - , ~ - / Age of Person injured :J- 7 What Family, if any, 78 /'3.,Time /o ~~- .... --r <-- Mine No. 4- Entry No. J~-~ h Vw--€.---1 ~ ~-r , c;f-c---= , Wa~ h~ temperate, Where and in whose charge lefi, c.q:y d,e;...~, - #v--~ ~z::t Name of Physician called, if any, o(Jv-- )Lv,,....z.,,r,,,.., Nature and extent of Accident; .· .e . , ~ .,_. ... ,~_~/ I , Oause, ----------- ~ Jo <f~ . Room No. Name of Mine Forema1L =~ Marr~ mgle ~c..-....~~ /7) Gondition of Li[§ or O~rcumstances, Was he an efficient man, ~ct._ /~ /+ How long in employ of Go., L/Name and address of nearest /wing Relative, Date a:.....----- ~ <7,,~ 7 �S'fATE1''!ENTS OF WITNESSES. �·ruN" PACIFIC RAI LWAY. tl1' l • co,\L DliPART:\IENT. JtEPOR Gen'/ Supt's No. ,; Person injured, .ll.,_..-., = 1 occupation, - ) l --- t.A-.-;, -1 - ,1 Accident, ~ t'.A, ' "-"<-- l ri ""J £ 11ame OJ ' ., Mine No.......~................... 'f VF PERSONAL IN.fUR Y. .__ 18 7, 3 Time oate OJ _ 1 ,..., :::, . . Location, { 't t 'l-(L_/"~'1,A.r t ;,,itirad in Mine, ti.ate where. If no 'J (lame of Mine Supt. Mine No. / ·-9 /4,fJ ~ /d.,.{..a..--,.:--1 < Person injured $ ;l. -,-~ Age 'J ,// w,1at family, if any, (_/ 1 Hotu long in employ of Co. , -::i ;::::::f-<-~ fuf.r(a flame and address of nearest I • g Relative, 0; Entry No. Room No. Name of Mine Foreman, 1 ~ M ~ -/ 1AA1 o,_..y--/ ( arried or 8 ~~~ e _-, . .::3, 3 Condition 0'J-F LJ;-F a· J e or trcumstances 3-_____,_,_--{ a _ ,....a{_ d ' was he an effiaient man, --vf.-vo Was he temperate, -<-_/.- e<:> Where and in ~l~ose ahcy;g:!f(( ~ ~ :::Jv!-~~ Q flame of Phys1c1a11 called, if any, ~ - --1\--- ~ 1/ature and extent of Aaaident, Date ··············"··········..,,... �STATEMENTS OF WITNESSES. �~ tJ~ryON PACIFIC RAIL\VAY. COAL Dl~P.\R.Tllg::--T. "/;·p0RT OF PERSONAL IN/UR Y. ,, Gen'/ Supt's No. of Persall injured, ,.,.? .. • 18 . - JJ,l ()CC!JP!ltiOII, , ; . < 1 l c1 ~~( / ,_ ...__ .,. ~ ...._ 1 I{ not i,,jured in 'Aine, st ,te whc , c. (/ -, 18 'l '3Time / I Mine Na. I , _J £,, 7,.-a'1~ L..A _.,..._,,, ( wame of !,fine Supt. ~ - Age of Person injured ;Lu ,111at Family, if any, (ffe.,,q~ HoUJ tong in employ of Oo., / . t. -►>'t,.,() • 1 came and address of neanst humg Relatiue, II , ~ J "l. l. •J ..., OJP of Acci<~nt,- - • t 1/ . :. .; / ✓ - t'. . l{,e-- ( Jl Ji-> \..AA..A. , CI- J l;f <J "IJ Locat10n, 11 h -,I. tA Entry No. Name of Mine Foreman, !.farried or • _J / -~ 81 Room No. ~ ::, 3 () 1 J ' 'lcY Yb l_~ r, r ··/( Oo11d1·tion • OJ,+ LJ,-F. • J e or 01rcumstances l "-.A _,,(_ f""t ' w,s he an efJfoient man,~ . ( ' - 1.,...--:::i Where and in whose chaJA]rf' ft, 7 i i r,,i. / ~ l t"c ./( <• flame of Physician called. if any, t:/-9 _ , , /v- ~ • ._,, Was he temperate, _ if ,., / 0 "'-c-r-.--.,_,~~ • --4-v,_ Name and P. O. Address of Witnesses, --yz,,-uvt Nature and extent of Accident, (Signature) Date 18 {J_ 1 w~ {J~( O Title, ullu-u y /°); 4.. t ~ v \ �< �UNION PACIFIC RAILWAY. Form 0914. COAL Ditl'AR'rl\IENT. Mi ne No.............,....,.,.,,..,,............... 20'_) 0 REPORT OF PERSONAL INJURY. Gen'/ Supt's No ....................................... ~ Name of Person i11jureu1, • 'l~ ocoupa.tion, .7'( tL-c-<-d--a__.., 9-i..t t.. •l ,"l.,,l._./4 _ ' pt_ Date of AccideiJt, ,8"" -:>~ t -u r l /. )~ ' Looation,V L'.J- c-_:l ·{ 0- - ;,-, } , ...! -1 <> If not injured 111 Mme, state where. .--e o 0 (:;.,,f...__ ~. . /~J-tJ Name of Mine Supt. ~ - /\ y --n-_.<- ,: · n-<lAge of Person injured / o 78f ~ Time /o df- -C.-(' .,,_--.~ c__ cc_~ Mine No. . . __::•, Entry No. 2. ·.2.- Room No. a J What Family, if any, How long in employ of Oo., ~J- o ·J1,c,,.-..,,._z;;/v:, Condition of Life or Oircumstanoes, Name and address of neanst liuing Relative, ~"< r4-,,,'-../ ,;1;y--,, w.,s he an efficient man, t/ c',{,..:._ / c. -.,, ,.. .v----fWas he temperate, Where and in whose charge left, Name of Physician oal/ed, if any, Name and P. 0. Address of Witn~;sesu ),4 v . )t," I ~ /.t01L--'/u Nature and extent of Accident, 0 _../,-I' - C/ /)""c.lA ,.,tu--r .A _g Name of Mine Foreman, //h£.f' / t; c.-< ~~ Married or Smgle U ~ -Cc aJuc-~//7'-, �STATJi.i\IENTS OF vVITNESSES. �OF WITNESSES. STA'rEMENTS �tJNION PACIF I C RAILWAY. ·', /' ,.. , / V Mine No. ......................,.................... / , 205 REPOR T OF PJ.::RSON.·JL INJURY. Gen'/ Supt's No ...................................... ) Nama of Person injured, C occupation, z ' I..... t:,(!,/A_; ,,. • ./. \.,;(' . /,{ ~/ 11 Date 0JVL 1.·ic·!fc t , ~;:2 ~ --3 '7' ~ .. ~.-::.v.-- ,Locatio_'V_ l (}-<'//_ ✓. - - - __.,, -::, '' .}--i_,_, , ~ 7 If 11ot 11uurad 111 fr1111e, stata where. .,e Name of mine Supt. ~./.'? ~ Age of Person injured ~ ' r - <- ~ 18 ~~ Time MineNo. 7 What Family, if any, How long in employ uf Co. , / "' ) /, , 7. Name and address of 11eanst /iuin a ;c;ati~;"·, .,/ ;') Where and in whose charge left, -7 0 Name of Physician called, if any, , Married : Co nd ;tion of Life or Circumstances, '. " .) ~ Wus Ii~ 7- temperate (./\ c> - <. . -/ , / / 4,,lr, G--·o -;;; -.,,:;?T L ' --;::.? , _-t7- ,.._..,c._ J ' c;/ r • .:_:t Name and P. 0. Address of Witnesses , 'f t<.. .. () ~ .(I I 1- .. ~ ., )I;. ,ti. (8/gna~ Date if /tc__,. ;c;=<ro ( .,_ ) c><~ tt-<>.--< Entry No. - Room No. Name of Mine Foreman V"\.~ '-6- I W1s he an ejfiaient man, • 0 -- /U.? ·l''LA---'--- 18 �STATEMENTS OF WITNESSES. �v~roN PACIFIC RAILWAY. COAL Dl~PART:'llEN'l'. Mine No......,.,,........,,,.,..,,................. RM·l>O}'T \ OF PERSONA L INJURY. r Gen'/ Supt's No....................................... , Person i11jur;1::, UdZ,( t1a111e 0'J ~ ~~ ~~ r'_ fldZ;, -e. v occupation, , •• r -g:::Date of A~nt, , I...:.; Location, /lJ-e.--,,-C J/"-.~ r ) If not injured in Mine, state where. 78f'.3 Time Mine No. l I i Name of Mine S u p t . ~ ~ c . . / Age of Person injured What Family, if any, :? Entry No. Name of Mine 7 ~ r- Mam Room No. .?- C.:. , _-cr;;,,,..~-b ?---;:i:C--#&-~c..-;,e_, :!J,,)"rZJ How long in employ of Go., 3 q ,e_d " " ~ . . , (Jondition of Life or Oiroumsianoes, Name and addr~ss of near.1st liuinp Relat~ue,/cr-:~-c,...--<L<....,, / / I "-/ Wus he an efficient man, J q ~<- ~ Where and in whose oharge left, Name of Physician oalled, if any, '-1~~ Was he temperate, .~ cd"Y ~ -- Name and p, O. Address of Witnesses, ~ Nature and extent of Aocident, Cause, . I J, Title, ~cJY~ �tJ~roN pACIFIC RAILWAY. co,\I, ])El' ART.:\l l~NT. . Mine No. .........................,... ••••••••······ }''1' OF PERSONAL INJURY. . t:JJ'O l Gen'/ Supt's No. •••••••••0,0,,, ,,,,,.,.,,,., Room fJo. Condition • 1J e 01. 0trcumstances, o' _ 0'1~ U-F <:.0-c~ -.e-~ _ , / ~- , ~ w.is he a11 efficient man, / , /\....._ Was he temperate, Where and in whose charge left, {lame of Physician called, if any, uame a11d P. 0. Address of Witnesses, Nature and extent of Accident, Oau8e, (Signature) I Date 78 ar--~ ' 2(),-• �STATIDIENTS OF WITNESSES. _..., ,.., ~ ,1-t...J t7}V �{)'N°IO~ PACIFIC RAILWA y. COAL om•AR'rl\U!:NT. Mine No, ......... . i : •,i••: •:••, •1•u,,, .. , •••, ... ,,_. J?£PORT OF PERSONAL liVJURY. r Gen'/ Supt's 11/o, I g/ ~ f 4--c a -;r 0A.-<.,,,t~· ,./·. I . . . Ci / ) {Jame of Person 1/IJ~reo,~ . --<" ~ v i --, •..__.......ocouf)at /011, • ,, O!li!i of ppijent, ~~ (o ~7 78;<-= Time Y 9-e..-L.,,_..q_4c_ CJ Locatio~ ,!l~\.. <> If not ;1yured in Mine, stafo where. r. , Name of Mine Sup(j{. "',. e o,f Person injured ;;z .?'>·r/-< - - 1'"1 ..,-.::. Ag What Family, if any, How long in employ of Co., 'l- •; < - P- .,.. "' 0 'lame and address of nearest<fiui11g Relatiue, / .J o;.di~on of Life or Ciroumst-anoes, t.· L , !! i-· ~}-7 -/..0)/4 0 11 I, Q ~ Entry No. Room No. { _,, f <..... _<--f<_.,.... Where and in whose charge left, 'lame o,f Physician called, if any, 7 I!· / t...,t'.--, ( .::J // • r- (_ l'l . was he an efficient man, 41,, ,' Mine No. ~ --- I " ··,! ••••••••••••••••••••••••,.•••••• ~pt': ;: , \ ; 1I " 2 (.)E ~ _ -;2. , <7 - -= Was he temJJerate ·) ~ - ..r- ~rr~~ /lame and P. 0. Address of Witnesses , i Nature and extent of Accident, p L.e-~ vr-~~ r Cause, ~(_ a I } Oqte Title,~ _,/= C7~ / �\, .l' /;' 1/, ((✓ (f_,( ' < 9-,.._vL-- • ,//( /,._; '; >' 1f) j t}--v.,,"'t' ef If- l~ ('A---E-/(. , C.C,~/ /;--<- Jr~- ~ ~ - /4,,_ ;.~~ It,_~ -A j{,,~ /4 ( pi' 1 ,:,,.,,,,.r p ( , /t -f!/ 4~ 'L~ ,/L 1/- f ~~ zfCz �Porm 3314, pc\CIFIC RAILWAY. •~tu~ • tJ• co,\L ,,5pOR - Dlil' c\.RT,;\lEN'r. ~ Mine No. ........,..,...,,...,,,,,................... '[ OF PERSONAL IN/UR Y. {' a / -J , ,f persan inju~•!: /,amc . Gen'/ 8upt's No. •••••••••••u,,,.,,,,,,.,,,, ~ (. ~ • , L.J-4( 2 • ~.-£A'-· _.., '"" -(.. -"- ~juy~ '?7/J .....,,/[:;- oce11/Jat1011, oateof/ cfsJmit, ~7j}-p.- r-,. . ati011, 1/-i'r--e.,/\ J. (.,.~- r- .....- ? ';1 .. ·ed in Mine, sral'e where. toe 209 • 1a7 '7/, ;J-'l! ✓ ~ Time Mine No. .A If 11ot 1111111 <6...Jtt ie of f;Ji11e S u p t ~ '4_,.(__A_,.,] \..__ ' " Name of Mine Foreman, CV~ ;2 p. l'r'~ ....::.:::, o Marned or Single c-, Age o1 . }.,..,L ,, A ~ . .,,.,vC::.,C--/C--C-~ r ,.._,,~ WM t c:amily, if any, H,,, /ontt in employ of Oo., /vtJ--v-vUr"' 7 "J,-,u-,r,,J,;L Condition of U-Fe or Oiroum t Ow , Jr ~ . ,, ,/,, J' sanoes d address o,-F 11earesti'. ,umg RI e at·we, ,.,_, ,..r• , //dll ,I Person injured fl 1 f/ame atI 1 .m • t man was he an ep,a,en ' Where and in whose charge_ left, /lame of Physician called, if any, /-""-- /JL-1',(...(,.___-<--L ...c-& / -/ __::;z. c .c.< -~ . Was he temperate, ,- "t--= /2-~ V (/ :=---..:, oOy- /---L--r - ~ /lame and P. O. Address of Witnesses, 1/ature and extent of Accident-, .✓ ,,u:7--..-~r- f! Cause, J Date 18 1 t. �Porm 831\1 . \CIFIC RAILWAY. .,rv~ p. l· --- p-tf,\RTAfE:NT. ,, coi\L Mine No I fl ll11 , .,,,..,,, , , ,,,, if OF pERSONAL INJURY. r'i:pJ/1 1 C... _11iiC OJ 1 1 ~ ¼ YI ~ / 0- ~ ?:t- . • . . red in t,1we, srate w l[ ootllY e. 18.Jl....3 Time ~ Mine No. /~ rJ.---J.-..__ v - do - ................., <- (7°~ Entry Na. ...:!3/ Room fi a. ._;:J ___p~ 11 Name of Mine Forem 1·ameof Mine ~u'.(:/d - - / ~ ~ L .1 person ul}ured '?-J • 1.jeOJ - ,t,1/4A-- tii:~P;{ ti~; tc; , nt, ! 21 O /Ua, • I e.1te cr111io '•1 Gen'/ Supt's N0............. -8%( pers<! l)I~ ~ • red, · ... . ... . ....., . , .:r,•• ·· · Married or . ' t familY, if any, d Ho1u tia fongin employ of ao., //41. .'/4~~ address of nearest /Jumg Relative alld &ame ' Condition o.1: Lifi 01•• 'J e Circumstances ir,,re/JJldin whose eharge left, J~ ~ //ame of Physician called, if any, C-:,?~(/'Y'..:, , he an efficient man, 11as 1 c ? .c.---'O Wash ~ e temperate, ~ - pame and P. O. Address of Witnesses , nature and extent of Accident, Cause, ~ ~A.. • ~ - 2'~ ~,</ ~ uC, ~ ~ 18 I L~ 1 ~/L. S-,C ~ L ��tJ~IU~ p.\CIFIC RAIL\V.\. V. co,\L DIWART)IEN'r. Mine No. -···•:··:::::.-·••..., . Pt , OF PERSONAL IN/UR Y. • .. ,.:::nu1o ............, 211 - - i1:f01, I ,,! Gen'/ Supt's No. vi"--··~ u~- , p,rsan injured 11ame01 q, • 4( ......_____ occupation, nt, ( ~ @ ' ~ :l--¥oateof A~aia /// Locatio11, . . ·············•·..,,................... ,. /' 1/ ·not iiifared 111 M m L ~ ~~ ?;J-v- 780-3 1/ Time ~~ ~ --'---", ~ 0 ,..., What FnmllY, if any, ~ l 2-) ~ . : , ' ; = - . ,'/ame of Mine Supt.7 .. Age of person _11uured rK ,,--,, -: Mine No. 7 Entry No. £ Room No. Name o-F M' ~ ,,, fl~ 'J tne ~oreman, ~ Marned or Bingle ~e«..c, Hoiufongin employ ,-F of Oo., ~ ..3> • • of Li"'e 0ond1t10n t . . ~~ 0• /Jame and address o1 neares 1,u111g Relative, ~ ~ ~ 1' o~ 1rcumstances, was he an efficient man, Where and in whose charge left, /lame of Physician called, if any, ~ ?' ~C ~ ~ ,, ,.::; c'./~ Was he temperate, _:_z__, -ft"' ~ ~~ U - V /lame and P. O. Address of Witnesses , ... 1/ature and extent of Accident, <... ii, I I �Portu 3314. ~, p.\c!FIC RAILWAY. •'\lv~ t;, I)~f.\RTm;;NT, coAL -- Mine No. ·······,,,..,.... •• • 1:::1:,:,., .... .......... . 2:1 .. uF pf;RSON.tlL IN/UR Y. ,;£f~,1 ,fl -~- ., person injured, ,:an:o OJ , Gen'/ Supt's No. .......................... ~ eJcZ-?- ~ ~~ 7-:-- ,1rcupatio11,il vo.1t<i of Aocid - ...... tr?-,,,,,._,c::::-"'7-- Y- :q:;:- 787'3 Time ~ ~ JJ__ - Mine No. A' me of tfine Supt. Name of Mine Foreman, was he all efficient man, Where and in whose charge left, Entry No. '3 / 2.- Room No. a ,; person i,ifured ~ 1.ge o, . _ \ ~ ~ _ ~ ->1J What family, if any, ~~na ;11 employ of Oo., ~ HoW Io , .. • nd address of nearest II g Relatiue 11amc a ~ ~~ ~ ratiol1, . 10 . ·ured in Mme, state w ere. I/ not 11U -;,;:-~- r ~/ . Mamed or Single / ) • r::>\.J 11/r"..L-.:> Condition of Li-Fe or a·1rcumstances J' I , Was he temperate, er-° /lams of Physician called, if any, /,'ams and P. O. Address of Witnesses, 1/ature and extent of Accident, L., Cause, ~ et:z ~ ~ ~ a1o ~~ ~ (Signature) 18 L fj,L/;vr- ~ k tJ;,--,1_4J ~ ~~~- �l'orm 3314. Mine No..........,....,,..... ................... ,,:, Gen'/ Supt's No. ~ ~<.J Entry No. 11am8 ,1 person injured Age 01 Whal family, if any, Room No. Name of 'frm--rtt::"TOreman, l1fnr-r. ,. 0. _; ~/Ccf1.11 of i,fi11e Supt. r .;J-/ Married or Single ~ ./4--<- 01vJong ;11 employ of Co., . . H f/ameand address of nearest lwmg Relative, rt,, he .,, ej/ioient man, Where and in whose charge left, //ameof Physician called, if any, _/J Cond1t1on •• 0 -t: u~ 1 ~ he~ temperate, --1,_-, Was name and P. O. Address of Witnesses, 1/ature and extent of Accident, Ca11se, ~ k;-~ (Signature) /fr/:f-~ J r /_ Title,~ 18 , /~ /Ctr~<-d,_ 'J , Je or Circumstances, C/ ~ ............................ ~ �,IENTS OF \VI1'N ESSES. STATE1l J. . j I •i) , l.. , ~r I:{ /;d<? J,,u~ ti/ ~~L k--/L,p~~ t- /&_,,,,,u(, r 4 ~ ~ ~ ~- �'(JNION PACIFIC RAILVlAY, COAL Dl~PAR'l'l\ll•:l';''I', Mine No. .... ········•,•. ''"'"1 ••·1~•···•• .. , ..... . . . ,r.pORT OF PERSONAL INJURY: J.,, Gen'/ Supt's No....................................... 1 me of Person injured, Mt occupation, ("},4 oate ~f A~ ent, y t ' % (o [ocat1011, v ~ (_ ~_.,,...-----;<> ff not j11Jured in Mine, state where. 787-3 Time Mine No. p,me of Mine S u p ~ ~ C Age of Person injured What Family, if any, //ow long in employ of Co., Name and address of nean:st living Retatiue, V/u.s he au efficient man, Where and in whose charge left, Name of Physician called, if any, Y- Entry No. / tJ Room No. Name of Mine Mar £ Condition of Life ?r Oiroumstances, ~ ~ ~--r. Was he temperate, Name and P. 0. Address of Witnesses, Nature and extent of Accident, 0ause, tfjz ~ L:., ~C,_,~ ~ ~ £_ ~- ?r,dZ 94J ~ tY)UL If ~ ~ /~~ r t:t;__ ~ Date 18 Title~fft~ �STA'r.Ei\IENTS OF WITNESSES. ~~b /te,/ + ~ j .,) J· n ,t:, I 0 ;) f f r ,l,,,vk . .k J,--,J. (} J{( / v-cct ,w.. ~ /4,u/ Cl (:;A_,,.,,_ ')U:J- ,£-.,,t -1. ~u~~ ;;;l;u,v ~ e,Yj¼-M (/,,z,c_,A_ };vt- ~ /J" ;_._._ /( U..,.yt- Jiu; ~ ,J ~ fa,~ ,t_~ 1? 1,-t.. ;t.. I/ ;{_, ~ -~ ~ I" ~-i,. 4u -,,-.,~ '7 -L_ ~ ,<-{ bf:c Mvt( ~. Ph ,{/Y)r~ 4;f j ~ tllu./ f (/J 1t.A- •1/U-v; ~ ~ J/ cz:_ ,£ vJ<, /j,,,,,,_,,_,,,,;~ ?,_,;) ~ , f l ' - !Jyr,_<7 ~ utf- r ~ --<A,<_. v\{_µv-~ ~ (, u �UNION PACIFIC RAILWAY. COAL DJU'.\RT:\lEN'l'. ,. Mine No........,............. . . . . . . . . . 2 15 REPORT OF PERSONA/, IN.JURY. Gen'/ Supt's No....................................... flame of Ferso11 i11jurod, ~ Oocupatio11, ~ Date ~f A'°lcnt, vJ:.~ Y~c /c::,__;_,__ <h., LocatlVII, RJ-r-.~r If not iJ1jurcd i11 Mme, state where. / ~ ,t:;'e;:,,, T• 1/_) : >. 18f..__, , nne / ~cl fl1ine No. / (Jl4__ Entry No. I " Name of Mine Supt~,,____.___,,<Age of Person injured '--1- '-I What Family, if any, How long in employ of Oo., /45'~ Condition of Life or Circumstances, flame and arldress of near: st liui1'i"('Retatiue, Wt1s he a11 efficient man, <7.__.-a Was he temperate, Where and in whose oharge left, Name of Physician called, if any, Name and P. 0. Address of Witnesses, Nature and extent of Accident, Cause, i! ! ;. ~ ~ ..2--J' Room fllo. �uNION PACIFIC RAILWAY. COAL DBPAR'l':\iEN'l'. Mine No. ... .............., ....,................ REPORT OF PERSONAL INJURY. Gen'/ Supt's No. ,,,,, of Person i,Uured, ~ ' - ~ 11 occup1tio11, oate of ~ nt, ~A}/,nu~ c,,,~ "'7J • Locatio11,~~J<. p 18 Jt?- Time / c> t.J <!Z,. ~ IYiine No ~l/ If not i11}ured III Mme, sla!'e where. • ..iJ Enfry No. 4 --<-<-<--- .2 :2-- Room No. Name of Mi11e S u p t . c f ~ ~ ' - Name of Mine Foreman /j)f //°(j/W/-0 /( • Age of Person injured ,;;i. I Married or Single .A' _ -- , :> -<...<_ ('/hat Family, if any, How long in employ of 0o., ~ ~ 0ondition of life or 0ircumstanoes, Name and address of near,"!st liuiny Relati?:: I VI.is he an efficient man, Was he temperate, Where and in whose oharge left, Name of Physician called, if any, Name and P. 0. Address of Witnesses. Nature and extent of Accident, .. Cause, I... (Signature) Date l ll•l f.r, lt a ./ 78 L • �N' pA.ClFIC RAILWAY. vNl Ol - coAI, pr:P,\R'l'l\il•)N'l'. Mine No. .... ,,~•,,1•1•1 •••• 1••1 •·u • , ., .........., , . , , Gen '/ Supt's No. ·········••o,,,, ••••...•••...••• Room No. f<__ Name of Mine Foreman, ~ / : /] /Jame of Mine Supt. Age of person injured .d Marne or Single Whal Family, if any, How tong in employ of (Jo. , J--<tJ IP__,.,c,f l° /lame and address of nearest living Re!dtiue, iv11s he an efficient man, aondition of life or o·,rcumstances, Was /Je temperate, <),,.L-v Where and in whose charge left, flame of Physician called, if any, flame and P. O. Address of Witnesses, Nature and extent of Accident, Cause, .. I ,I A Date 78 , ~ ~./-0 ~--4_ �STA'rEl\IEN'fS OF WITNESSES. ,, �'(JNION PACIFIC RAILWAY. COAL DEl'AR1'.MENT, Mine No. • •t••••1r•• ····················· 21C.' .. C R!JfORT OF Ph'RSONAI, INJURY. ~-~~ Gen'/ Supt's No ....................................... Mame of Perso11 i i , j 1 1 r £ OCCll/1 atJO II, ~_;;pf=_ <~ oate 01 ~~5ent, -~~ / / Looation u ~ < . . . / ~ If not i,,jured in fl/inc, state where, 1h..... ''c/-6 781-..3 Time Mine No. 7 Entry No. Room No. Name of Mine Foreman, ~ flame of Mine S Age of Person injured Married or Single What family, if any, How long in employ of Co., ~ ' I - J , , ~ !Jame and address of nearest liuing Relatiue, was he an efficient man, 7b C, ~: Cof! dition of Life or Circumstances, Was he temperate, Where and in whose charge left, Name of Physician called, if any, d--= Name and P. O. Address of Witnesses, Nature and extent of Accident, Cause, t ~ it_ ~ ~ ~ L~~ L ~ p ~ t!!aw;' ~ ~ ,/C ~ ,. (Signature)~~~--, A Date 78 Title, ~ c:::77~ �OF WITNESSES. 1 STATEl\1ENTS ar- CC dtiu a aJ-- ~~ -;d ~ ~ ~ i,,__,, ~'f L ~. ~ j /4c:;;.,_,__._ d:;__ &<--r c....,.--,-- 4'. r -~ h ~ .,,__ ~ f/?0 ~ J C!.a-,, <.-<-<.., ~ C!?eu._l U' �f/ N pACIFIC RAILWAY. tJ1' IO1 coAI. pEl'ARTi\lRN'l'. Mine No, ········· ··1•:,•,... ,.,,~. ..... ........... o'J' OF PERSONAL INJURY. J?Epo,, Gen'/ Supt's No. , perso11 i11jured, . ;f?l{_ '-" - ........................... r---"<. -rh.J ,c,,r- /--J c - t1.-...-;?' / 78 /..:. ?0 • .,.. ,,me l lt-J'--e/1~7"<;;.:., _J ,,-' Mine No. oate of Ac~r1:J13t, If 110 • - . . t_,. t'.-f'.A.-·">"--,-<.__.-'- occu/lat1011, Location, ?i-----;'.7a__ J O v) (,'(!Ille O; 21 C t i,iiured i11 tt/ine, state where. a.~ , - ~ / 7~ flame of Mine Supf::, . . I Age of person 111jurec . if - 1 /4? / ,, • Name o.; M' 'J 1111e Foreman ~ _./ _ , <-o 4 __.,,'-1'C....0 Married or Sing/ /w . e /r,,C. tf(..,"'" '--<--<-c______, Co11d,'t•,011 of life o a· 1 /J/d_ . / <.-!- ?'L J ( ,_/ w,,at Fam'.fy, ~ any, ,1-r iv /oJ1g 111 employ of Co., Ho (/r~ ,, -,.<-.'::- ,..,., • ~ /lame and address of nearest liuing . was he an effio1ent man, Where and in whose charge left, Name of Physician called, if any, l-,'-=:'> tatiue, /J ,, _ .,,1 , ~ c _ _ & / - . , 1 -,-.-...-,_-7--:7 ~- .?i]/-· fe#- ,~ •~ (i:_' r ':~_umstanoes, /}_., / Was he temperate o -P I' .. e_--r ' Name and P. O. Address of Witnesses, Nature and extent of Accident, OauBe, / r;-11,i),t,A- ~ r 4 ~ ~ ~ z_.C-- .,i '1- <l/ / / l , 7· ?/ .£7 /1 ./ / ?,·" /: ,(/-;<t.4(,v~ :J•-f £.J;?,/ . fv{!,</1' ~~ <.v<~ ~~ /4;,,y~ ..t,;_,h--<-<--r~*/4?;;,;,;,,, 78 �STATEMENTS OF ·wrTNESSES. . ( ,~ .,,.·4- . . ...,,1 , ( _ / ' ...._ , / /1 I ( ,. /4 / /.1 ' ~~ L..._., z~ ✓- l . r t r c, f .-L, ··I-· ....-~ a~ I)- -~ ? ~ ~ I~ t'/7/,(_.,0 r , ,,,-£,t<--4(t--~ /l- ~ 4 7'.~--- p-Z:,,t.-V{/?V &4J-?G(_..(__ vr/T ~ ~M-)¥ ~ ~ t/'>\...._ c}~ ~ + ----r ,.;--&,, v/'~~ / -s ' ►t::-u.-.. \ .<. I / --,,_, 7. • ...:;::;, I ~ dtJ-Mc_, !?0- /I'-'- / -~ ... d:,'-0 2~ ¥~ ~~ �Por111 331t, . ,~ p.-\CIFIC RAILWA 'l. tJ~lV• 220 co.\L pHJ',\RTi.\IENT. Mine No. .:··:•"t"••tr·,,............. .• ,t oF PERSONAL INJURY. , NEpOR Gen'/ Supt's No. • •••••••••••••••••·•········· .f 1:amc o1_ person injured, 0ccupailOII, ant, , 1 0~; Acct:;i oa.e Loc/ltioll, 1 ~ ~~ C7 ~~ c ~~ ?--<= .(/ 12~ --p . .iured in Mine, slate where. ff not ,,~ .I i' TB?'~ Time .;7» Mine No. / Entry No. ~r° /-< / r:ameof f,fi11e Supt. /.~. / ~~ , ..__ ---.. . person injured 3 '--/Age 0~1 What family, if any, HolU tong in employ of Co., ~ ....£....u-,-:, and address of nearest liui,'}yf Relative, (lam e Was he an efficient man, ~ , Where and in whose charge left, Name of Physician called, if any, Name of Mine Forema~ CJ 1--;,:-..("- -'/Co Married or ing/e (' '<::-~ ~ Condition of Life or (Jircun7 ~ / • ~"'-~ -~~ ~:- stances, Was he tempemte, /;,L/ "~~ Name and P. O. Address of Witnesses, I 11 11 Nature and extent of Aacident, ~ ~ C , t . -, --...,,-1- ,,;:;,t?.,.,/,_ flt1--f fr/[,~ tr_ 1~~~ 77/"-p") l,(,. (SlgnaturB) 18 /J-"tr<..,,<;J Jj l'l.-t.,,c..,,A.---~ / f - ~~~~ Ti t l e , ~ �- -- - -- - - - - -- - ~ - - - - - - ~ - - - - - - ------..-:, ,, . /.' ( }L l )r.. 1, 1.;~.-- ~ ,&f-. (J tJ1~r'f'-1t:, . , 'i' 1fp...,o L'- .tc_.P'\. Le. /!L( J d~ ~ ~L J1 Cl-~(_ -~~ ~ -~ "1-r~ ~ .,c:_ ?~ e.~ ~ JfL--. ~TL~ ~ ~~ ~ c rr-r,<-_,~ £;,,v(,,,#r ~ ~ ,G_, CiB--~ J-~ ~. �,T tl~It).~ Porm 3314, p,\ClFIC RAILWAY. coAL DEI'ARTi\IENT. Mine No. ,,r OF PBRSONAL INJURY. 'f •·•·1•••·:11•••••• ,, • ttruu................. v,,,/ ,£f01• Gen'/ Supt's No .t person injured, //rrf)le OJ -<>,.. . / 'l,(__, , ~ ···············•.., ..................... - _ ~ /1 v'--' -z.,...,.<.- occuJ)llitOII, -~ 0 ., Aac1·~d ,t, tv?~ oate ~1 f./ _/4 __ '? Location, ~~ I 78 '/-..3 Time Mine No. j I/ ,ol ;,y //--¾> J a.~ Entry No. 2.. -i- 11red in Min•;; ~ • · //ame of Mine Supt{/7,-/U / tL-,Q___..1..____ _ Age of person injured .3 -._J. ~ 221 Name of Mine Forema~, . .---d Marrred or ingle Whal family, if any, How long in employ of Oo.' r7J V ~e2 t:<_ ~.....-c_ -3 I tf 9~--z::;, Oond't. • t1amcand address of nearest living Relative, if..G-rt. ,e~~f Life or Giraumstances, was t,e an efficient man, Where and in whose charge left, !lame of Physician called, if any, ~ ---dr- d J. ~ (7<--rJ Was he tem 1• (/ . P0 ate, aa---r;u.. Room fifo;f!c-;c..u..._ _7,. ~ v ~- Name and P. O. Address of Witnesses, Nature and extent of Accident, Oaus,, (Signature)µ o.---,,--4"Title, 18 ~ if~ �STATEMENTS OF WITNESSES. �l:lorm 3314. Mine No............................................ Gen '/ Supt's No. /) , .f pe,s011 ,•.1r,;e OJ ,,. ·111 injured, ~/l/ 222 ······••..................... ~fa_:f · / \_,a- ~ U: ;l--✓~ ../ J • (_~ O,f•~patio ·dpyt / '--,...____ ,,AA 0:::, o,__ 18 7 --=> Time ,-;i... ~~ c.__. c:Pkc.., 03te~! ( / 1 . , ~ ~ r -..,,.---._·1 -<J ; Mine No. Entry No. Room No. 1,ucat1on,. . 'in f,1ine, slate w,1ere. \ ,,ot iiljllfeo -~ / .2\ / If ---~ /~.,l/fv~ \ 1 t,fi11e Supt. · _ ~ Name of Mine Foreman, ~,#u 1 { 1w~eo · ·ured ...3 ---=> \ { person 111} Married?,;:-~~ tge o ill, if any, .. . l,, ' !·at Fam111 Oondrt10n of Life or Oircumstances, •Y.emP1oy o;.~ Go ., ;:).'i!---<-4'-->'----= ✓.-} . '---:--J ~ 11 ~ no1vlo Y nearest lil:JJ.lfg Retatwe, 7 ( ~ '-> ..o d address 0'J ---p ~ ~ ~ Y- ~ ~ rJ i:ame an • t man le an effio1en , was i d. whose charge left, Where an 1111 'cian called, if any, /lame of Piysi ~ /--:L ~. 0y A l/'O .~~ Y ' - ~ ~ ~~ _..'--'\,_., Was he temperate, ' ;,(_,_.... __,;, k ~ / -· ~ V / 4~ f otl-r ./f~ p O. Address of Witne~, Name and • ~ 1/ature and extent of Accident, 1~ Cause, tZ~ ~ ~ /;-(~ y IJ- L r?)--- Q-t0 f UA LPL ~ ~ J 18 ~ ;IJ-p._/J ?\...-o ~ ~ ~ ~ �STA'l'El\IENTS OF WITNESSES. �l. Por111 3314, -~ p.-\.crFIC RAILvVA Y. •'{ v • l·1 coAL -- . Mine No............ ....... pi:,'RSONA L IN/UR Y. , t.Jf j ;f,puR1 i'/oflle o1 OtzupatiOII, (., ~r~ ~~ . ,~ ,,,_~ ...._'-:>-... -=z;,c- ~f(lt/!/~ c~~ Oale tocallOI.. ·ed in n9 . e, state wI,ere. 111 I{ not ,,y111 Gen'/ Supt's No. .... a 78/ ~ Time Mine No. :;tj~ ,; person injured 2.,._zJ ~~, (.._...,- ~ Entry No. 0 Room No. 0 y ::::::::i .1 t,1ine Sup~ ~ LQ.....--/ \._.) uamn0 ·············••..., ...... c?,,zJ_--Q--J ., person injured AgCOJ 228 / nSPARTN£NT. Name of Mine Foreman, .., . ~d . , ( ' I/ A Mamed or Single 0 W hat family, if any, Condition of Life or 0ircumstances • /011g in employ of Co., ~ ~ - ;? HotU nd address of nearest lihmg Relative, v ~ ...✓-------.A.. ....,, , 11ame a itas ha an efficient man, ~ Was he temperate, d !there and in whose charge left, ~ i . -~ /lame of Physician called, if any, ~ )-~ - ./4.... ~ <.,o 1,., aRd P. O. Address of W i ~ - , , /I. 0(1'-1 ,t•r..L-7 11 r II <--<::J I I - 1/ature and extent of Accident, 18 I �crfIC RAILWAY• . I)\ p.\. 0 [ • EP \RTMltN'l' • coAL D •• -- 224· Mine No. '"•·:,••••1111,.""""''"""••·••........ ~ '[ Of PERSONAL INJURY• .., sr.'f'Ofl ,-, ~ !<"-7 - Gen'/ Supt's No. 0 No. ,·0 n r '. . .......................... . j person in ·ure((~ \./ ( ,t...,,<::? ,;nr,le of ,,,, ation, ~ 0,,t11P Accidept, ~ 18,7--3:. Time . / / ~ oate f ./ v 1~tR-, ~. p ~ Mine Et· <-- Jfo-/ d -1 state where. /,Z.t-<--"'-'- ~ " . _ ✓11noti1uu1e JI ~ ~ / ........, - ~ ~ca,, ••.. .j · e-; - fl1iue, 111yNo • ~ 3/~ o Address of Witnesses , 11amea11d P• • 1/ature and extent of Accident, ~ Cause, ~ 18 R oom f1lo. <:}'~ 7C\.J,?-4-e, ., Mi11e Supif Name of Mine Foreman, 11ame o, .. .d .2-/ . Marned or Single 1 person mJUI e Age o, . familY if any, What in ~mploy of Co.' ft:; ~ Co 17dition of life or Oiroumstances, H~ 11,tong ddress of nearest liuing Relatiue, name and a enicient man, Was he temperate Was I,e all »' A V ,, . /,J / ' din whose charge left, , ~ ../4- ~---<-- ~ , t i ~ Where an . A--.. /J ~ / ----t • 7 ., Physician called, if any, o<J 1 ,__.rro ~ /fame o, c7:-= a.______ J~ · -L-<._ ; _ "' a.-r ~ �S'fATEi\IENTS OF ·wr'fNESSES. �·r·"~ pACIFIC RAILWAY. tJ~ v• coAL DEPART:'ltH:NT. Mine No. vT <JF PERSONAL INJURY. t£f 0/\ · · · · ···•,1 •1 ••1• , lll•11u1,,,.,, ,. Gen'/ Supt's No. ' , person injugd, ,','a/Ile0'I 7 ~ If.tUt'..,_,,.__~2, , / ~ «.. . cr-;i:r,.__,(__ occuPat/Oil, It.-,,, _ ~ / oate0.f Ac e11 _ Locatiou, . ': <... CJ- - - - - - ;£J t illjured 111 fl/me, state where. f/110 - su,if'-:,,; ~ 1/ 7 ~"22- 0 /4 /!;;rz; ~ ~ Time Mine No. L/ - ..:>. Y ·····••...............,..,. /2u.. ~ - Q_,c,; e J - - ~ Entry No / ;l.- Room No. • Name of Mine Fore -----J'<-/ Age of Person injured ·1 if a11y Whal Fam, Y, 1 , Hozu tong in employ of Co.' .,.?~ me and address of nearest lifu,y Retatiue, 1111 was he an effioient man, C/ ( ~ / Where and in whose cI1arge left, ~J -l--f7.-y/lame of Physician called, if any, ,x(;y ~Single 1 Ma ried L~~ ~ (> ~ Condition O l" • 1 ife or Circumstances, ~ o-zr ~ -s-;,<' /?-;.---,, ,,,...+r-......, Wa_ he temperate, . . I/ V ~,.._,,..._,e,._._""'7 ,J<\L-.1---~ /lame and P. O. Address of Witnesses , <".F,)/Jt /lature and extent of Aaoident, Cause, (Signature' 11)-<" /1 Date A ,-,J., - f: -~ ~"••• of Mine 225 <?-1~ - ---- G-cry ....- Ye - ......... 18 U" ~ Title~ct~ I �STATEMENTS OF vVITNESSES. �tJ:{ION° PACIFIC RAILWAY. coAJ. DF.PARTMJ•:NT. Mine No. -·· .-non'f OF PERSONAi, /\ .,,,,r •, • Gen'/ Supt's No. J 6,, _ ,,J ,; Person i,~·ured, • , - ;,--,; '''(l/llC O'J I• ocaupatio'rr, / L~- , L-, (. ,,-/__ • }"--'1---'.....__ o•te u of Accidecf1t,tA--"'-----· ' I' toca t',011, /~~ • <'J . - ~ I - -<...-('_,(.,.,.,. ~ ,, c ../1 _, ( 78 '_,t a ....:~~ Time , 1 .... / r,~e~. ..._ ..> o-- ,. ,,.. v~~ ____ ,___ t ; iured in Mi113, s ~ a wh2:cr tc t III1 ~ ~ J_ O 11 /I I ~ame of Mine Sup~ · d ••••••••••••••••··•·············...... 0-/IZ.....,,., ~ '- Entry No. - -- Room flo. ~ c::--5-./7 A--e---:;1\....,__./' Name of Mine Forema,· _ rJ_ ~ - • ~ Marrief.J or 8i gle -;,-.,,;, ~~.---] C2...e--;,-~ -,_.:_:......;". ,.,.,-vr__.~~ ? 0on d ,·t.ion of Lifi ; i i { : '~ 0• //ti/lie and address of nearest • g Relative, ~. e or ircumstances, tga of Person in;ure ;.; ( 1 11Mt Fam'.fy, '1 any, \ Horu tong m employ of Co., \ · ······· ·, ,,. ····••010,,, ••• .• INJURY. 7 )V.<? 2-- {1as he an efficient man, ~ .,......._....,.<- 1 !1here and in ~J~ose charge_Jeft, O ~ _r-~ We: he tempcrnte, flame of Phys1c1an called, if any, ~r~ ~~ ~ /lame and P. O. Address of Witnesse , c=:;,''--z.;>---i......__,....--f\....A-"-- ~ 4~-------r Jl;?-.-~ //atu•e and extent of Accident, ~ Tit/~~~ 18 I I !· I �S'rA'l\El\IENTS OF ·wrTNESSES. J~ ~ ~- ff- / ''-V 7- ~ L ~ ~ JrP--<J 9-ri.,,__ L -// ~,.r-,---- ~ G , ~ <:__ c-!r11 ~ - 0--"--<> ~)t- ~ ~ ~u_ ~ ½ 17--,,,__., ~ - ~c- A ~ ~~ ~ ~ v>-- ~ ~ V~ t/h-- ~ "'"-\ r-- ~ =~ ~ ll- ~ 0,,- ~ ~ ~ '??-~ ?-\..-r..) ~ ~ �N pACIFIC RAILWAY. tJ~IOr - COAL pEPART:,rnN'r. Mine No. nr OF PERSONA L !NJURY. Jtf;-PO,, •• •••• •• ..u , •u •••••••·•••••·• Gen'/ Supt's No #, ................. . .................. . ,ff; ·--~ - ~Z-4-~ . , person injured,L,,.,__ /,'at1,e o; . 0cctlJ7:lfiOII, oate of Ag,c~ ·d it, . d; ~ . iocat1on,( j , _tr. ,. TB? Time -.i.- / -7 ..._ --0-;?J-. ,,,._.._._ 'r - • 7° -:?~o / / Y Mine No. •,,;,,,-ed ,n !1in;,!!!'," where. tl ,rno ~ ~ -~ u,me of Mine sf f ~-------------0 Age of person 1111ured \ What family, if any, ,. fl.__. ~ ~--cr----...-,, , __.,; ,3, Elitry No, Room No. Name of Mine F o ~ , Married oJYRtngle G= -2 - - HoW /on{f i11 employ of Co.' S _/-<:.--#-r-----Condition of Life O • /lame and address of nearest{f[c;?,g Retatiue, ~ .._4-7 r Circumstances, . t 'Iii . rashean e1pc1e11 man, ~ Whore and in whose charge left, flame of Physician called, if any, 0'y i f ~ l /4]/- ~ Name a//d P. O. Address of W i ~ ~ ---· '--79-,-- ,_ ,.-~•.r::::> ,l;-, A~ /. Was he / temperate r -- ' d--= ~ - --- - ~~~ ~ Natr1 e and extent of Accident, ~~ . Cause, )l _ .£_ .v-f- ~ ~ t:Z-?,.,,__.,v(_ ~ k<-t !' ~c;~ rrpl..-.;, d '--L ;rL~ ~ ~r-r- <»-~;---- ~y-- L .,.Y.,,CAA.A.__ ~tA/">v ~~( r-;rr--~ ~~~ 7 "vr?t- I , J.'.~ ~ I ~ '-L c¥ r ~ ~ Ll_.#A_ / L ~ ~(/~ 11 I I' • r' - �- . It''T'I'S OF \VITNESSES. I STATEl\ i;:,~..., \ ,,,' "J. I '' . , I;-~<• J I IL-fr ,ri,,...- .Jr t.v~· f/J ~~~ ~ c-1'-~ ~/uL I I I I I I �~CIFIC RAILWAY. tJ NION P• L pJ;I>,\R'l.'.MENT, cOA ' RliPOR Mine No. -········•~................................ '/' VF PERSONAL INJURY. - Gen'/ Supt's No ....................................... A~ -~. Q)l ·,ijilreill£-: 1 Pezs (I ~ <.._ _ _~ _ ,.r f/tlllleO '.,, ' .,JJatiOII ~~ ~ ~ . 0cc1, O1 'vl-ocu nt, ~ - - - - - - - ?---~- zo/-78 Tune oate --.r--t~ ---r=' / /c;:ro Mine No. Location, ~ f/ .. , d ;11 Mine, s at where. If ,,ot ul)tll c ~ 7-s 2- .J'-.-o- 07t<...__ )L Entry No. ) -:2---Room No. .f fAine Su · ~ ~ L - < ? - _ - . ? ~ /tame 01 _ _ r if Person IIIJUred ..::i--o Marri tige o _ \ \_ I t Family, if any, - - .. r . . • ~. Wha • employ of (Jo., /t"" ~ - ~ - ~Oondit1011 OJ Life or Otraumstanaes, ' Howlongm • • R t· { d 'dress of nearest l1u111g eta we , X-.--?"'ce.__ p,, ~ ~ ·,,; Name an aa ~~ / 1 ,Hiaient man, ~ Was he temperate, was he an eJJ u _ // ,d 1-11 whose charge left, 'G/~~ 7• I 1ft11 Where ai .. ~ 1 . _ ___ _ .....,. .1 ~ /i 1/ame oif Physician called, if any, I '!:.· , 11 ~ llt.._ {Jame an d p o Address of Witnes~ 9 • • ~ / ~ llatu·e and extent of Acaident, /2,4Cause, 18 Title~~ - �s'r ATEMEN T S OF WITNESSES. 4- ¾ tfZ,-~,/4~ ~ ~~ w ~ ~~ ~ t-- Jl- ~ -~ · ?t s__ ~ ·~?0'~ 7hL-o &--;?~~~ ~ ~ ~ ~ ~ ~ jZ --:h--"-<> ~~ .x-- -?,,--,.,_a::- "'-- ~ ..._ ~ N ~ -9-. #:.._ ~ - - < - }>,-nee_) ~ tt,._ ~ JJ tV/,-..,;-y...t.- ~ ~ ti:,_, 0 ~ ~JL- ~~ ~'-- ~ ~ ?v-~ I~-. ~~0)...-c_~~ ~~ \ �. . ~ p.c\CIFIC RAI LWAY. o~ro1,. • -- co,\L pJ;:I',\RT:'llEN'l', Mi ne No. -····· ········:-·••1•1•111, . , ... ... ........ ,r OF pRRSONAL IN/UR Y. K,:pOA ~ ~ ., perso11 i11jgred( l_' err'.12LA.-f(. ,wue 01 _ ~ --z7 ,,• - ~ L / -,, ~ / t,,. oacuprztio11, ' ......-,1 Accitf..e//f .._v"'V'-r-- - ;,i.-c~~ oat~ 01 ,, ,) ~~-,,--... ;7;, Loc11tiu~,J . ~ -.--y=' ~ . ,iured in Mme, state where. \. I/fl"'° of mi110 8 ~ /3,/~ ' ::J t_] ........................... 78 ~ • T,me Mine No • I' -= :,l If 11ot II~ ' Gen'/ Supt's No. 2 20 ,1 person injured AgB OJ ( V- () L.., ~~ What family, if any, 2- ) Ho1V tong in employ of Oo., ~ , - - . = , nd address of nearest liufiJef Refatiue, Condition 0'J-F [i-F • fJ e or 01rcumstances, 11ame a was he an efficient man, Where and in whose charge left, /lame of pt,ysioian called, if any, 4' ' Jy-- de=-..= if'~ GL~-~ 1/ature and extent of Accident, Cause, {v,i U~ ~ Was he temperate, Name a11d P. 0. Address of Witnesses, ' \ _:::::!~ (j. -zc._q ~ «£ )~ ,: /'-4.. fr,...,, tu~ "-- ~ , L ~ tf°L -a ~ fy"-<? a:;;:;i~ ~ ~ !Jr~ ,i, ~--c,, ±-- ~ ..)t- ~ ~ ~ ~ ~ JJ.._ ti;._ ~--<- ~ 74.. ~ vJ.. -d,__ ~~ ~ ' - f ~ ~ PL. ~ ~--<- �. . TS OF wrTN ESSES. STATEME~ ~ �!{ p,aCIFIC RAILWAY. 11~101 coAI • -- DJWAR't)!ENT. Mine No ........ • •• . OF pBRSONAL INJURY. 7 pf,fOR { person injured, f/amco. occupat1011, ateof ,reideli/, ( D ' 11 " •·!.- ..._ z· ' - / / - If 11ot 11 ) <~ \' g ) / • 11ame of Mine Supt.{ /,/_ ~/ ,/<. Q _., / <. - .f person injured ?-- .....2, 0 ,( •>' ./)l i'\ · tf--.€.-(<l"--c.;/ / -::;Jl./,Condition of Life or a·1rcumstances ~ I Was he temperate, c l <--<) JI-~~ t'"11,, ' .):.,._ /1\ 1/atureand extent of Aocident, ' i,,._, . _: J ; _ ,1(_A/41,{--f'J./ p'c - --. _ I ;C-ru.--" ' Cause, .:.1 ,; If 'I r. .J . 1 )- ' J.•,' I• ,I• ,. I ,./ re•· t - ,• • ,1 .. 1' ,( t,, . ~- ,,2. ,S- Room No. , , was he an efficient man, ~ Where and in whose charge left, /lame of Physician called, if any, .,Jy1 .•• r·. Entry No. Name of Mine ForemanJ (A) . ;;v { 4 ' V A I'-/ ( Married 0 /,.s ng/e r' .,,, • ..J- r. ~ / ,<..,(_ AgC OJ 11hai family, if any, ffo!V tong in employ o! Oo., ~. J«.--t/rlL.f,,../ eand address OJ nearest hu,ng Relative c;~1-t,'---. .._r-/o 78/.3 Time 71:--1 ' c / tr'~ - - Mine No. 7 ( -? ,,. . .1,iured in r,1111e, state whera. , 1,... ····••ot .. ,,........... . Gen'/ Supt's No....... ............... u.:, ~; f/., ,./4 ~,,___. CJz.,,t..L(,, ,.___ /}% µ.. <..- :;z_ -1 '(~ T _ , . _ __ 1 :J /J;-e . iocatio , , t I (Signature) 18 •••••••••··••·• ���l'orrn Bal-I. Mine No . . ..... ..,, .., . , .,.,,,,,,,,, ................ Gen'/ 8~t~N~ 78~ Time !~ Mine No. /o ~ / /.?/ - . ~ Entry No/ µ ~ 0 Nameo-FM· eofMineSu • '.I tne Forema, .. M . .1 person 111;ured .::2-- G:. amed or Single r neo, . 1;1at family, if any' . 0011d ' HJ!U tong ;11 employ of Co., ition---of Life faftl d address of nearest Yiwrg Retatiue , c.----2--7,,, ,,,r v"fu--~-/J - - or o·ircumstances, CJm 4/ fYlf"'-<Room No, ~c__ '-:.f.:--/-~ ean itashe an efficient man, ~ J-v-<o lhll'"d i• whose charge letO ,.,,f Physician called, if any, 1 a/--sr; Was he temperate, -<Jy- J ~ ~ _/ , name and P. 0. Address of Witnesses . ~.£-7✓/- 1/a!ure and extent of Accident, 1 Cause, ~ L ~ ~~ ~~. ~ ~ ~ ~a,J~ f;-~ -------- ~ 18 ~ :-~ ······················••.............. ~ ~----- ----rJ ~ 2 2 • �S'l'ATEi.\IENTS OF WITNESSES. 0 ti c:JJµ_,,t -I /h ~ .r-<--<-1 LA--7-?..-- ~ /J , r - - ~d- Cb[A'vi<-- , ?tu.:,__,_ ,,. r j fU-,_.,J:- /2, J-',--A-- Jf,.__ / L~ t, ~.,<fa L ~ ,~AA, ,:X- ;;t- j,_ 6-4~ ~ ~ ~ ~ 0-,<,0 ~ ~ . ,t.,,..,. "-7 ~ X f-w U---n,/4 --11"" L ; - ~, y '7- u -&-"7 '.7 " a_ Jf-- ;:..,.,,_ p . ~ /)f ~ .~ ~ }u--1~ •/'i~L ~ ~ ~ ~0l ~1 f'--<A<- 0--~ 4A_;z:-~r, - ,-- - ~ ~~~ ,,_,,,,__.,,(_ -¥-- ~ ~ !J1'>-d7/Z.. --- -,#..,,_ ,,-c~ ~ • ~ --U~ "' ~- ,u ~ If J'C.. / ~ ~~ 'f- l ' r. ~ ~ ( . , ¥ .,_ L r-, ,,_ ~ ~<.. , �,crFIC RAILWAY. . P,-,. J>El'ART;\lENT. •\•JO~ l· coM, -- Mine No...........,.,,,.,.,.,.,,.,.,............... , Of pERSONAL INJURY. -,f.FaNf I ,\ • Gen'/ Supt's No. /; '·' j' ~~ · ···ed 2~i() g 1 ······••···············•..., .. .f person 111JUI I ,,•.1fiiC OJ ~-L,.,,-".c-7---....--...,_......_ . r. I;. ' ,-•11patioll, ~r{ent, c 1 ~ I g;teO I f., I tpeatio . ,. , . ·ured in Mme, state where• f?. ~ 78/'3 Time !•' Mine No. /" ~ Entry No. /4.-t1J'?Z:. Room No. . , : I lj not 1111 '\ ,I . 1' e , Mine Supt c--:7'.vtL~~ c__ ......3--/ 0 N3m1 -., 1 •• ., , Mamed or Single / , \ , 11hat family, if any, ~ ft.:-. ' Ho1u long in employ of Oo., .~ '\, Name and address of nearest lwfaef'Relatiue I \ ~ ine ~orernan, oc//'t(__ CR ~ :., -r- person injured ' MCOJ h,, Name o-F M' of lifi , • if~Oon~ition ~e Oiroumstanoes, ' t,: ~-r., .,_ was he an efficient man, din whose charge left Where an 01 Jv= ' /;ame of Physician called, if any, ~ ~ Was he temperate, ____:;z.___. (/ - ~ Nature and extent of Accident, 1c~~~ ~ Cause, //2,r ~<-- 7(~ - ~ Pl_ ~. • {Ir-~ ~ /.:)_,,:;;r- ,llZi.,r ~ &,.,r-, 0-fN( ...__,(_, (Signature) 18 ~~ ~ /'-7 Z::.tJ,fl?L tr~ Mry_,. -f A ~ �STA'fEl\IENTS OF \iVrl'NESSES. j q~✓,/uy ~~ j '7;--a-o .,,. 7/ /-<-,,--~ .,_ -y-A._ ·~1/ l d . _,,___~__,_v-1'1.. ~l,A.-;;;, / I/'J:1:> . j L~~ --Z://rb rrr . } ~ J}--«, C/.-«,.,'l, Jtc.-rv .L,--7{__ hvz.A/..__ f}l____ I nu:. #,,._, 7 ~ {!,;A.A_ ~ ~ ~ ~ 'rv7/'t-1L 0-v-~ 0 ~ fr~ h--c-,(__ ~ x/4-~..__ ~ r ~ ~~ ~~ ~LA._ rJ;U__ -"(_ ~~ ~ ~ /(A~ ~ rJ"/, "--= !/f --/ii_ ~,_ #~ ~ ..d--~ 2- \._~ c..,.._ 71..L-?-~ ;ftb.__, ~ -vf rlJ-- Jl1.A._,..I ~ ~ -11- ~ - ~~ --~ 7U"t (A- ~ ~~~ ht.A( /l..-e4 $,..-<4L n~ ·-Jvr.C, <FY<- 7t,u__ 4J -,:,/4- , ,~ ~ �I'or111 ~ p.\.CJFIC RAILWAY. ,,IO· L· naJ.J. -- 28 4 L pEP.\R'l'~IENT. co1\ Mine No. ·······•, •••Jf• •,1••·· •• 1:11,,,............... ,,•uf pERSONAL INJURY. ,·r·1R1 ,• "''"' V Gen'/ Supt's No. 70,-,C:;1,_ Time 4 ~ ~ Mine No. 7 Entry No. ' ~,10:e 0~1 Mine Supt. .1 person injured ' - ········••............................ Room fl'o. Name of M. ~ ine Foreman, ~ '-5 -::i-- 'f OJfamily, if any, ':,.at • Married or Single a..,c.-c;, ~ 0ond1t10n •• 0 -,: [,J:. o.,v long ;11 employ o,,.fao., . . ~ 11 H and address of nearest l1umg Retatiue ' e or Oircumstances game • ~ , i7ashe an efficient man, __)(~ h Where and in whose charge left, ..__, _ _ Was he temperate, l1ir Nameof Physician called, if any, ~ ::cJ ~ ~ c=/~~ ~ d-= /lame and P. 0. Address of Witnesses , 1/ature and extent of Accident, Cause, ~ ~ ;( fr/PL~ ~<- ~~ ~~~ ~ ~ #utA__ ~~ ~.,t--,L;. ~ ~~~ir- 18 . �s~rATEl\IENTS OF wrrNESSES. ~ 7 d-J1. j ~ 'YJ-- CL-=> /1,f ~ t0f ~ ~ J/1/~ -7 ~~ ~ 0--~ J? /~ ~ /!f~ 77(/?- 4- M 'Ir,ta µ ~ f 4,/ -------=--c...-~ - ' ~-~ .Ju<- r , ._,_ _ (., ~ ~ ~ ~ ~ ~ r/- G- t>--L~ ~ ~ ~ ~ ~ ~ a... ~ h.--~.A ~ u . , ~ 1- �Form 33lt. Mine No..............,,........................... 235 Gen'/ Supt's No. I , :,w1,eo,. - ~ j (l';:;p!lt,011, 1 " :11eof Ac • ' 1/,._ I ;11 t::: ~ ~ 7 J ~-?~ _.,. , J>?.A . . . , ~ I . •ured Mme, s 0 !.O,atioll, !If not IIY ~/ person inju;'1,; 78 . ~ / ~ , ~~ . / i~ .................................. f-3 Time 7~ Mine No. whe e. / ~ Entry No. ~ Room No. I KameofMine Supt ---~(__/ \. .F person injured "--/- 2 - Married 0 I Jgao, What family, if any, // uJong in employ of Oo.' ~ Condition of L• Hol ,id address of nearest living Relative, __:£ ife or a,rcumstances, game a '-./~ h• an efficient man, ~ Was he temperate,~ " CT'-u._11 \ 11asWhere and ill whose charge _left, / r ~ ,4-Jl(/ ~ /lame of Physician called, if any, ~ L---,.,_-,,_ __._ "' ~ '-I- 0. ¼- i,,,and P. a. Address of W i ~ .U, ~ M...,, ~~ 1/ature and extent of Aooident, Cause, u)!-#L ~ ~ , ~ F fr-cue L, ~ vz,._ &t ~.L- 18 ~ �Forin SUH. . .-,~ p.\C!FIC RAILWAY. ti;,-Iv· coAL pEP:\RT:\IE.-IT. Mine No. . ,gpJ ... RT uF PERSONAL INJURY. ,~ 2"1{" ,_ () ,,,,,,.,,,.,,,.............. -••• •: ••••••• Gen'/ 8upt's N 0 ....................................... ~187 ~Time M111eNo / c;;lzJ ;ame of Mine 1 , person injured Age o,1 ., ,:.: any WhatFam1Y, 'J 7~ I • 7 ~ Entry fl.'9:. /k, - , ~ Room No. ~ ~~-----,~ r'J.-, , f l .A _ -z-~ HolU tong in employ of Co. ' ~ame and address of nearest liufiii('Relatiue, was he an efficient man, Where and in wI10se cIiarge Ieft, /lame of Physician called, if any, ~ (7 /7 - ft-~ Condition O • /~mstances, &z;-"h.-c....-v Was he temperate, ~ \..../ _ /lame and P. 0. Address of Witnesses, 1/ature and extent of Accident, ~ ~ 1-~ ~ ~ ~ p6__ ~ ~ /[ r~ If-/¾;c ~ ~ ~A, *,l ~ ~ ~ 1~ 'h--v-o H,._ - £/4.--,Al., ~MA-A.-~~- (Signatur Title, 18 ""'- •• ~""-<J ...... ~ //~r- ' ~ Name of M" £.-i ine Fi_oreman, ~ • M arned or Single //~ ~• ~ �STATEMENTS OF WITNESSES. ~ --~~'- ~ p/j.__ / '1-- rJ )-'~ ~ ~ L- r ~ .:+ ~ fv ~ ~ ~ v'--'-- 2- '/- JZ-~ -:~ ~ tJ- ~ - ~ ~ ~ ~ ~ ~ 0-..l. ~ ~ ~ ~ <J-w-r../L fr,,___,., n-- ~ r,YV"<> ~ L ~ ~ - , 7#~ ~ t:<.-<7 ~ ~ ?~ ~ ~ q.._ -?v..-<.. ~ ~ -d,__ ~ ~ ~ L �tJ~IU~ P.-~CIFIC RAILWAY. Porm 3314, co:\I. DllPAR'l';\Il-:NT. Mine No. 2(),. .,,....,,,,,.,, . . ,, . .,,................... t£pOR1' OF PERSON/lL INJURY. Gen'/ Supt's No. .1 0 , ;:ame '1 , I oateo f ~ ,t, - I 1,, not iiijured 1 1 .......................... person injured occc1patio11, iocatio1, .... t_) . . / / 7ej?..:s. Time /'/ /7 ~ _ . Mine No. ~~ '-= Entry No. '2--~,,_,,_..______- , - : i '-- 111 M r111e, s t ate wI1ere. _G~ //ameo/MineSuJ~ Age of {'erson_;,1jured ~/L., :2-cf- Name of Mine Foreman, 2- '--/- Room No. ~ ff~_,_.:, Mamed or Single ~ j1hat family, if any, Hoiu long in employ of Co., ~ ~ C011d1t1on •• of u~e . . 0• (lame and address o1 nearest Iwrng Retatiue, ~ J' or JYcumstances, ~ was he an efficient man, Where and in whose charge left, C/ ~~ /lame of Physician called, if any, ~ ~ Was he temperate,c:;f7c-= /lame and P. 0. Address of Witnesses , ~~// , ~G&b'-' (/ ,--._.,____p / ~ 1/ature and extent of Accident, Car,se, (Signature) rrr~~ Title, 78 ft~ J ~ ' • �STATE;\IENTS OF WITNESSES. cV~ ,T r }f fLo "t.t.'u .1.. t'l. ', C... <.... d_ l , 1,.::f \ Jy/t:~ , (. bL f <-~. . .-.. //j l1/ }LI) r l/ (_ / 11--v'\...,,IO / / /f/l,,c.A""-~ fi£-.c,,,1 (.,A:,, ) ' / ' f- / " ,,~<- - 4:i }(,c n ' "- f rid-/ , j ;,__/l, .,, 41--- a____ �"T oNIo;" pACIFIC RAILWAY. coAJ, DHPA RTMEN'l'. Mine No. '"" t u•in ,•.-i::••r •n r,r:11u , . ....... ... , . . RT OF PERSONAL IN/UR Y. i•t;PO i• '} k ,<A•' I ~ ·011 I occupa t/ ' I Mte of A~i/5ent, ( ,..... Gen'/ 8upt's No. ';;)f" '>t . ( L -;.,,,,/.,,-(_ ..1 ' .{ ~ ~ ·······..................... --7--~" (/ 7 ' -iJf , .- e. I . / ivcation(/Cv-e---1~ ,,. ·- ··. / ,., I' ifnOt ~iured in Mine, J!itic where. • 111 ' ✓,, .6,," __ I(/ameo,f person 111jured, f , 7- ~ Time 78 -.· ~ - v Mine No. ~w-) //ame of Mine Sup~...,,(_ . of person injured & -~ L-/- 7- J. ) ' Age What Family, if any, How tong in employ of Oo., .L./ ·<J-~ . ✓.:'J /lame and address of nearest liuing Reli:r.Jfue, was he an efficient man, . Where and m whose charge left, /lame of Physician called, if any, ,0 ame of Mine Foreman, {Q/t}Jy ~ . ~ Married or Single (.... N 1._ - ~ ?' ~ ~ (j~ -)a.- Condition of L• . .t:L-. -~ f e or Otrcumstances Was he temperate _ _z U_ h.--,o A Q-,t,?----7~£ ,_ ;__ ~ ,4 ' . o ·~ ~ ) L v - A~ ___,_ / ...., ~ - ""t 1/ature and extent of Accident, Oause, ft /2~ ~ ~ (Signature) l A_ ~ ~ ~ .,z �STATE!vIENTS OF WITNESSES. �,.,.roN PACIFIC RAILWAY. tJ., COAL DEl',\R'l':-.llU,'l' . J?EPOR f' tJame T OF PERSONAL INJVR Y. o1 person injured, • occupat1011, Ac/L ;·41mt, oatc o1 1 c£.., .,../b--r( _,·A ~ ti ;,1 h :1 -, - ,..,.. /---2.- 7~ - - - - - - ,_ ~ ~ 2 -> • ~~ rr.~7.~18 9-- ? ;., Time . ~ , Location, j)-C-t'-.. if not i,,jured in Mine, ,,. ' r ;;!!;,w :;;;,, ,,✓· t- Gen'/ Supt's No ....................................... /tJ & ,~...-_.,,_•. -c._ ll1tne No. / Entry No. ~ :::.,__d Room No. / ✓~ #~~~ >~ Name and p, o. Address of Witnesses'/"? S? V "=::-.J a ~-"1, u ~ Cl/ /l__ Nature and extent of Accident, c:/:( ~ •. i..· ~ ., ' ... I ~ Cause, 78 2-p 1 ~re..,.,_. .., Nam• of Mine Supt. Name of Mine Foreman, Age of Person 111JUred :'.2--Married or Single s_:_ ___:9" ~ What family, if any, // HoUI Jong in employ of Oo., r;;;;;/'"'-:-:7'---<'.--<.--< ~ ,•.-s J__;/t!,,,t'~Ondition of '!fe or Circumstances, . Name and address of nearest ltumg Retattue, ~~ ...._____ ~ ..,.--4',_ ~ , / ' ~ Was he an efficient man, ~ Was he temperate, ~ Where and in whose charge left, ~~ ~ ~,..-Ci, Name of Physician called, if any, oO>---- .,. I 239 Mi ne No....,,...,...,....,,,.,,.,.................. p Title,~ �STATEMENTS OF WITNESSES. (!µ,_,_ --ft_._ / .,__ ,::l.,<. "'1 1-A f J #J-fk- "' 0- :;u;__"--'--- 4 vt- ,t ~ CC- ,,r::;...;_.n--? ' - t{_ h; ~ fl-- ~ / -,,,..,? - 12 ~.,<,<__ f o/'_,,'-7 ~ ~ ~--<--~ ? h ~ ~ ~ ~4 �PACIFIC RAILWAY. tJ~ION 1 cO/\L DE:PAR'ri\IEN1' . Mine No.....,..,,.,,.,..,.,,,,,.,,,,............... OF PERSONAL 11\T.fUR Y. REpOR1 " l person injured, 11ame o1 -/, occLIPatiOII, , Gen'/ 8upt's No....................................... ?l.A-N--r~ -v--~ / "l.-- oate ~ J / l f t f ~ ~- 1~ Loca@!Y i . , .• red in Mme, state whe, e. If not 1/IJU A a Name o{ Mine Supf;/;J •• Age o{ Person injured 18 / ~Time 7i1-:h. 0 Mine No. v ;{J.c, .-, ,.__,,___,C-/ -=- Name of Mine Foreman, 0 ~ d address of nearest wmg e a we, ~. L Married or Single ~ )' • ..-e:.z_ w11at family, if any, /:J. .Hoiu 1ongin employ of Co.~ 1· ~ · R I7~~ ';;,( / I 240 . . . Oond1t1on of Life or Oircumstanoes, ~ Namean ~ an efficient man, 1 '- I 1Vas 1e nd in whose charge left, ,.,.,,..-z;,,....~_.....__--SI...._ I Where a . ~ Name 0'I,.; Physician called, if any, Was he temperate,,.--7'.__.-o (_/ 1 Name and P• O• Address of Witnesses, 1, 1,,. and extent of Acci~ (Signature) �STA'I'EMENTS OF ,¥rTNESSES. i �1J~ION' PACIFIC RAILWAY'. co,\L D E P ARTlll R N'r. Mine No........ lu •r,• rt"n ,:1•, •u ,, .... .. ... . .... ~ .. pO'~T OF PERSON,·ll. INJUR y • , ; E I' ,,<?,~~ uame of pers,,, ii,jured, ~ upation, cc 'i , 0oate o~ lrce!f}ent, r / . e:- &, , S.rc-< I ,:{ · I A~ Locati n ~ . / M \/47'.~- -e.,,.o / I/ not ;,ifured III me, state where. ,, \ ' 10•• of l(i11e Supt.- v I~ .,,u_a.__/ ~ 18 ,,. ~ o "' ~ Time 0 .- r.J-.c..e ••,>._,,_- ~Mine No. J • Entry No. f , ::, .....3-& Married or Single 2..uvl/ ,, r ( e7 )r;/e..--~ /lame and address of nearest liuing Retati . , ~ HotU tong in employ of Go., •• 01,.,: u,rc Oond1t1on 1 -c-c____ cf-, ,,, i . /lame of Physician called, if any, Jr ~ Room No. / S Name of Mine Foreman, / !__.J -· ~l'-1' ,I' was he 011 effioient man, Wher• and in whose charge left, ' / <- -~ - - - - ct'. ~ Age of person injured Whal family, if any, • • • •••••too,,,,,,.,,.,,,.,,,.,, , L::Y;J,,t.,..vi.---, -._-,.__,..___. -1> .A' -:... \,_ Gen'/ Supt's No. 241 1~ ~ .,:;___- or Circumstances, ~ -- f?, _ _ , _ _ . , ~ Was he temperate, cl---= c5' 0 .,;., '/" ~ \ Nature and extent of Accident, ~ t/1 ~~ Dause, i t[J-?ILc. f ~ r~ 11- ?r"'-<> ~ ~ ~ ~ """-- ~ ~ ~ ndt- -zz;__ (Signature) 11- L A_ ~ a 4r/Y JI... ~ ��tJ_NION PACIFIC RAILWAY. COAL DEl'ARTll!ENT. Mine No. .......... r,,•tn•: t • t •.-rt•11111•• · •·•• ... , Gen'/ Supt's No. &( ffame of Person ini'IS..'fltt, ,. ~ • ,'-(c I l ,l ,,, ,-'' ·1 '-1_ • name of Mine Su • , I. J\ 1geof person injured '"\, What Family, if any, • 7/J-o 187 /.'.?2> • M' Tnne /tJ ine No • / 1~ ~f~ -3 -.c,If~ C1/ . How Jong in employ of Oo., ~h1.--<...-v ( 0 /lame and address of nearest ltuing Relative, was he an effiaient man, - ~ Where and in whose charge left, ,51- e..&<4U ~ ~ ✓/ Entry No. -~ Room No. c2 / ~ (fa Name of Mine Foreman Married r '. gle '~ ~ ~ ~ flame and P. 0. Address of Witnesses ½~~/ ~ ( / Nature and extent of Accident, ., ,1, ~~ ...,' ~ I I ,J:,.·,~ I 0 (µ-;'. - _ Oonditio ,.,, L' /k',,,,,,,._,-o 6, e✓ ife_or Circumstances, //Y',f'tA--n....(, £v-CA'(_ _· __ Wa, he temperate,d ' . : :T -c40t-<J u1r ,-jA., /lame of Physiaian ca/led, if any, ··············.............. 0 aco11Patio11, - 1 "-..A..A_ oate of rx,id1 • . t,,_t (.,I • -:J-·'--~ . - /4 '_,),/;) Location ~' ·r -r-i../-? 'h". If not i11Jured in Mine, s ate ~where. ~ \ I \i <, 21..~2 ]?&PORT OF PERSONAi. INJURY. r ~c ~ ~ /h-o �STA'l'EMENTS 0 F WITNESSES. �s~rA'r EMENTS OF WITNESSES. ~ ~ .-ef~/7 /-/-;tZ- J f ~{; ~~ 'Jr-,,__,, d.-f d P"h.- ,t-,£ /i/'3 ~ ~ ~ ~ '60 ~ ~"-4 //~-3 ~ '3 .G;- //~<- ~ -=--,.,_~ "--. ~ ~ ~ ~ 17- ~ ~ ~ d- ~ ~ ,a-;;__ ~ JJ /'-v~ ~ rJY ~ ~ .A-A.-- ~ rh..,P... ~ ......:.--. ~b -ac 1~/ ~ rt--(, kw /1-£ ,,,'- Le ~ ~ ~ :;f;;:..,, Mt, ~ ~ ~ t �vsroN' PACI FIC RAIL'\VAY. 24" 4 co,\T, DJW .\Rl'MEN'l'. Mine No. ..................... • i-•u, ..,.,.,,.,,., •• '1 11ame 01 J~ ~ • p,rso11 i11j11red, Gen'/ Supt's No. ···········•·..,,.................... '---;1'/' ./~ OJOll/Jation, ~~-vh oate ~f ~ n t , :Locat101lJ\..Y0_. -rn Ml?, / If not ;,ijured m mme, s e where. ~ (i ;1 11ame of Mine Supt. ig,of perso11 i11jured \ ' I ~ 78 f ...3 Time Mine No. ~ '---· _J.0 ~ / I tJ- 7 ~~ "-- Entry No. Name of Mine foreman, (___,,- .J \ • Hotu fong in employ .of 0ond1t1on •• of Li-F ~ Oo., .cl-1---r~c-.---. . • 'ii_ 0• Name and address 01 nearest l,u,n; ~elatiue, Ir~ /d,..,,/fu or ~r;u1;7,sta~es, \ 1 WJS he an efficient man, Where and i11 whose eharge left, - •\ : n,me of Physieian called, if any, ~ <I, ., I Mamed or 8i11gle ,3-.,._ -.d'Y Room No. £ ~~ l'/fNJt FomilY, if a11y, O'VV'--<- .3 0 ~ f \ \ • JRT OF PERSONAL INJUR y R£PC • ~ ~ #~s 4:-<-v k--_/ ~ -....,.,_ '- a-vx..v/{_ Was he temperate, - ~ ~ ~(/a,,(~ ~ _ /lame and P. O. Address of Witnesses, '/ i' <" .,'\.. t.,7 ···' , l..--(., L "-.,__ ~ 11:,(_ .J \ --, L I 4 ~' ~.--7•~ /Z_c__ ~ ~ /lature and extent of Accident, 7~ ' Cause, ~.,,v;t<..- ~..L ~ (Signature) 18 �STATEMENTS OF WITNESSES. {A ~ ft:,__ r . F ~ I/ ~~ t:c. f tlIL-</~ r J 9-J L.z;- 3 ~ ~~ Wk..-,A_ a)_ / J' , ~ 4£ v-~ If- r ~L, ~ "--7 /4- />~ -~ ~ ~ p'A, 'h-v-,--,, '--- ,:;_,, n-L_ ~ ?tc.w~ ~ JJ~ CA, ' ~ ~<-- ~ (!;C_ /4_ A IJ ~; 0d?t ~ ~ ~ ~ I I./:,- ' ~ ~ ~ ~ '-~ ~~ ~ ll-- ~ ~ ~ /}(_ ~ ~~ ~ ~ ~ ~-- ~ .f -£-->~ ~ qA---. ~ 33:. if' /;- /A-.:) ~ y, ;(_ ~ c.- )1 �lT~I01N PACIFIC RAILWAY. . , COAL DEPARTi\lhN'l, Mine No............................................ >'f OF Ph'RSONAL INJURY. .,. 245 J?fipOA Gen'/ Supt's No ....................................... • ·c11·ed, .F Person Ill) //ameo1 0ccll/JatiOII, . ~ £~ ✓?~ , ~~ 0 ..._ (}__. , - - A:<Ji<l¥,P, -- ~ if~7 ~::;t;~,, cin V ~ ~ ~~ state whe, . • red Mma, If 1101 llljU of /dine Supt. //11me , .F Person injured '\ ; e. ,If,,,;:> /? / 78'f '2:> Time Mine No. Entry No. 6 ..3 __:;t,..~ C/ - • ' Mamed or Single W11at family, if any, I ~ .. . Oondttron of Life or Oircumstances, 1 ng in employ of Oo., t 1·U• ~ HotU o I t· /l address of neares JUmg Rea rue, ~ I flame an~ ,, /10, an efficient man, c---o 1,,1s Was he temperrtte, ,,, e and in whose charge left, 1t,1er . if /lame 01 Physician called, if any, /tame ,,,d p, o. Address of Witnesses. Room No . Name of Mine Foreman, ~ < _ ,.,.,,,-.i..., AgC OJ ,/ , - -7'c/.____ / ~ --,r .....::> ~ <- (? ~ ...J--. ~~ - c;J:--o id~ Jl~ ,t·.• !. I , Nature and extent of Aocident, d~ Cause, ~'-/ 18 Title, ___ ~~n-<-~ �STATEMENTS OF WITNESSES. ~ ~ - / '·' d ~ h-<-L-- ~ 1Y ~ ()pf- ~/ ~<... �Form 3314. N' pl\CIFIC RAILWAY', - tJ~IOI •I• oliP.\.RTMF,N - "r . co,.• Mine No. ...................... --71 /.f( ,,~mo o1 jt , (I ···· ·••0,0,,, .... . .......... 1 / v;(IJpatfOfi, if /,Cfi({tJllf, o.iN~ r .✓ / Gen'/ Supt's N0 ........... £2,t; . _ /-1 / / ..... ' I., l ,,.c,.., ,\.. L ';/0 ".~ rl / . ilA.-t 7:_)!:_·'/ person injured, 24,,__/ ................ ,,):,·, roF PERSONA L INJURY. " i:f.pOR i A r v11..__,/ ..j//r----qa . / • / l,OCa!IWL, l 1 781,f'-2> 1 Time //;!fv ( Mine No . ; . ·ured in Mme, state where. If not IIU f, 7 ,..;:;,, :J..z_. Room No. 7/ ., o1 f.fine Supt. &/!,__ fl t \......_,,,,,r Name of Mine Foreman, f ) Y /) ., 0 / A ' 1:anie . • M . I V ?VY.,c.--? pe1so11 ul}ured ~7 amed or Single ~ tge o1 . 111:at family, if any, "- , tong in employ of Co., / Jk.-~ Condition of Life or 0wcumstances, • ,; HoiU od address o"' nearest 1wmg • • Relatiue, 1 1,·amea !YJS he an efficient man, cJ-G,/0 Was he temperate ..-7< , u -<--0 hereand in whose eharge_left, 11 /lime of Physician called, if any, -.::::Jy-· .. , , / ~ ½ ::Jhr~ 1,,.and p, O. Address of W i t n ~ . ~ !/ature and extent of Accident, Cause, (Signature) 18 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Union Pacific Collection Description An account of the resource This collection is made possible in part by a generous grant from Wyoming Humanities. All materials are the property of Union Pacific Coal Company, on long-term loan at Western Wyoming Community College. For usage inquiries, contact the <a href="https://www.uprrmuseum.org">Union Pacific Museum</a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Incident record Coal Dept. U. P. R. W Rights Information about rights held in and over the resource CC BY-NC-ND Date Created Date of creation of the resource. 1891-1893 Subject The topic of the resource Collection of records regarding injuries and accidents within Rock Springs mines. Description An account of the resource Item Description "14"" x 8.5"" book with black cover and red spine. Some pages are faded may be hard to read. Type The nature or genre of the resource Text Creator An entity primarily responsible for making the resource The Union Pacific Coal Co. Identifier An unambiguous reference to the resource within a given context 1-0018 Publisher An entity responsible for making the resource available The Union Pacific Coal Co.