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1 THE PENALTY FR MAKING A FALSE STATEMENT IN THIS REPRT AND/R CERTIFICATE IS S5. R SIX MNTHS IMPRISNMENT R BTH "D "? y. " cr TJ Xl^ " Q. rt 5' "g s r ^.. C i :? S :.. y ' : s s ^ST (X. I ^^ ^ ^ S : t ^ : l : : J ; K 5. v rv,; r ~ : vt D :, :^ ^Ḵ.r \ :V f m l. /P. r D ^ M 5' ^ w " S ^ ~~ ~. S S S S u? S 1 s L s " c 5 5'? Q.^ i ^ S " g i r. L ~ 4. 7 g S 5, > ^ t S 1 5 T ^ w ~ 5; P'i N i^ ^ \ 5 A \J. \ ' A S. x,/ ^s w x ( 1? ^^ J : ^Jt C^" CD ):i J j : j Q : cc t ' c:?: i ; l i^ ': Si ^ : Z :? :. : ^^J ^ 9 C"r ^, ' 1 ^5' s;: f?: ^: ^ " ^ H: ~ vlj ^ i i l ; : " ' J r : ^ XJ 51 ^ H VD ' x1 ;." ;.. jr~ N. fr \ I^v. \ \N. y ~\ : : ^. gia : ik, : V : ^. fik\) rh/x ^ l fc V ' J "i H. 1 ri 4 C SS ^?, ^ cr~ ' " 5 4. r s sl S ? ^ ^s?h J i" "S i Sr: 1: S 5?S S s.

2 Sh&kespere Twp April I96 Lg f Mul V/rk (Blstig, sil, rck rc.vl, R ;M pilig.. Clim Nmef Wrker.Adjdrejss^, 7 Sweeey Dr. Tr. 6 Apr.8 6 Apr/8 7 Apr/8 7 Apr/8 r, 8 Apr/8 8 Apr/8 it 9 Apr/8 9 Apr/8 1 hurs divided by 6 equls.16 dys l l 1 hurs Jtfrk.de Mul shvel Smplig Mul shvel Smplig Blstig Blstighelper Blstig Blstighelper Clim Sweeey Dr.Tr. 7 Apr/8 7 Apr/8 t 8 Apr/8 8 Apr/8 9 Apr/8 9 Apr/8 hurs divided by 6 equls. 1 d ys Hurs Nte All wrk t pply s credit t Clim 5461, s clims re ctiguus. Mcfiulfihvel Smplig Blstig Blstighelper Blstig Blstighelper

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4 THE PENALTY FR MAKING A FALSE STATEMENT IN THIS REPRT AND/R CERTIFICATE IS S5. R SIX MNTHS IMPRISNMENT R BTH, N X r ir H L ' W ffi S,, r W) Q. w S. r s ' w C " ^ '7? 18 S S j7 " I j j ' ""li iss ^.cxr 5T. ^. cr " 5 5, g, im Q. li, w c Ji 5' c^ j ^? ^ b v p "f " S. r ^, ^ " c tr. ~ r?: I S e ^?' s r f ~ 51. i'g " W l S s r x V J c "S w... L. "' f u; l l l r: g :,P w Z., ~" H S " r.. ^ " 5'? li m s >. ic Hff r?is E ir ir 5' ", x 5 5 8, T7 g? g equ L 5 9: S 5' S r,.. ^';?ll " t) " ~. ^1?S > i M. S'S.. CL s l 8 P S. ir 5, i. ( l V ' z Tl tp I z. m Ti^".""?!' ^c

5 Shkespsre Twp. April 198 Wrk Lg Mechicl Equipmet. Descripti f Equipmet tw Pijdr BR51 Pluggers. Nm f Wrker Address^ Dte Hrs. emplyed Wrk.Pe 7 Sweey Dr.Tr. 6 Apr/ " " 6 Apr/8 " w 7 Apr/8 7 Apr/. 8 Apr/8 8 Apr/8 9 Apr/8 9 Apr/8 6l fi 8 Plugger \ PluggerAssistm: Plugger f. PluggerAssistmj Plugger l PluggerAssict'i Plugger j PluggerAssist 61 hurs 61 hurs divided by equls. dys Clim Apr/8 7 Apr/8 Plugger Pluggerssistr. 6 hurs divided by equls dys Nte ~ All wrk t pply s credit t Clim 5481, s clims re ctiguus.

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7 i!!^j 'C ^ i" s. r :i S i. A m,, L. THE PENALTY FR MAKING A FALSE STATEMENT IN THIS REPRT AND/R CERTIFICATE IS 5. R SIX MNTHS IMPRISNMENT R BTH i! :! Z ' ' 7 ^\ ^^ z s m C,r! ) t i4 m :C iz ir ; S R jm fe ( rt 1.i U ^ f S 5 (1 i" l < ^ K L r V 5. ^ W Q. Vfl Ul Lrf r^ C ^ : A v J f. C^ 5" z F~ g. (TN V Q i" p i K i" f ^ r i ^, 1 S.. cr D. Q. C ( J ~ ( ( c c " ^y Q f. y F 1 T" K ^? K t IT i "i 9 P" N? ^ ^ u. D. 4. c V v s: ST 9 r 9 H Cb T x^vx W if, r 4^ r 1 r~ puwv.rs}9 8 : S! M ifc rv e. c r 4 e, A. CJ? ^S rt C. (5 tg "^ rt Ji^ c c 9 X H" J V 1? T j^. c M C} rf f1 d > 41 N M^. ^^ ^ "^^^ D f^^jl f llrqj ; 6 V^ZJ/, w ^' ^ j Z. r t ~ c r ^ t ^ Q) T ^ Q C S? (7 A d X/i Cu v' i g".. i ^^ M f^~^ ir i "p ^ m ^~" CA i^ 1 Q " IL x ^ M \^ ^^r V X) m \,~ \ " L N i r ^L t y XI ^ r^ f " Vti TJ Jl. X) ' s s.; S. ' 9 9 ( " S (^\ S s P JIT.(IA S ^ ' ' Ul :: s. W \ I ^ \ " ; /^\.' ~ " ' Q, r. t ' f g;i 5( TIC i s i si " r ;"g"^ t"f :",, 'i 1 K sg S" 1 f. "^^ 1!!!! if. ^. rs!?1 s!j! S P ;: 'A c"4 is? w; S '^, 5"' c^^" Kc r " i ^'^c'l''^" t. '^ ~^?N^ ^ M M.i, r:? g :r ' " i X.'. ^ r^ ^ i ^ ^._^' 5 f :?.. w c e..fill c c H. R ^? ' ; "! s5 il!r! 1 J lr! fll f t. I _ ^. A." H fm. r i. 5 ~~ S r. r.? g L. Q sr I i Q.

8 Shkespere Tvp, ~ Aug ct. 19. Wrk Lg Mechicl Equipmet l ^M Pcksck Dimd Drill, l Tecurceh HP rtr d Wter prp, e Pijr BR51 Plugger. Hte All hle Ic88 th 5 feet cuted Mechicl. ^f Wrker.J^Jdres^_ Dte Peter~Blue 7 Sveeey Dr. Trt 9~Tug. peter Blue Veter Blue Pul McCuley Gerge Rgue Pul McCuley gerge Rgue pul McCuley erge Rgue Pul McCuley Gerge Rgue pul McCuley Gerge Rgue peter Blue pul McCuley Pul MdcCftuley Pul KcCuley Espl P..Bx 6 Webbvd P..Bx 1496 Espl P..Bx 6 WeVbvd P..Bx 1196 Espl P..Bx 6 WeVbvd P.. Bx ll96 EspM P.. Bx 6 WVbvd 7 Sweeey Dr, Trt P..Bx 1196 Espl 9 Aug. " Aug. 1 Sept. 1 Sept. Ill Sept. 1U Sept. 15 Sept. 15 Sept. 16 Sept. 16 Sept. 18 Sept. 18 Sept. 7 Sept. 7 Sept 9 Sept. 9 Sept. ct. ct. b ct. U ct. 5 ct. 5 ct. 5 ct. 16 ct. 18 ct. Ttl 18 hrs divided "by equle 16 dys l 18 hrs. MUM Sl'i^PP1^^ ^yk pe^ T Plugger Dimd Dril Plugger A sst Did " Ast. ; Diid Dril Atst, M li H H Plugger

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12 s 'C if ir ] l ix!^ l [Z 'r is ir, 9 fi. Z " TQ v S 5 ' vey m s" l!c t!j 'm j 5 THE PENALTY FR MAKING A FALSE STATEMENT IN THIS REPRT AND/R CERTIFICATE IS SS. R SIX MNTHS IMPRISNMENT R BTH i" i 5 5' < ^ ^". h B r : e" i' f r i" f i J N > ^8: : w D tf J C'l r^ ^" D sij p 5 i v Prspectr's Licece 5? S c CA? J 5" C C p cr c t X z m m. ^^ _ s Bil ^ ^u # e (t {B B fll e rf (B P. rf 58 Cf S g " 'S :' c. (g. S }^ (i x, f il ijs v H 1 X"?. s p: rf l;1 ^ ^!i^ p li, M. iv. f, " X W,\ rj. r T I 5 e r: f s 7 c i A M 5 l7 1 ' S s 5' i l 5. JT 5' ir j i fs' r l.? N 1 ~tr!? l ir lp c IS ^ ^" 5' ]g 51 ~. ^i h. rt. rg iriigi li l ~ ' " J rr ^. g S r? s i?, ^ P g p hi is u ^ UW. t S' 5r g = l? ; s ; If if ^ i M t 5 Pf? '? S r.?5?s g Q S s. Q. Nme. L

13 l ltfm: 'S :; : '' ;.' ' ' ' ' ' ' ' v''.' ; ' ' ' ' :.U; Vl Shkespere Twp. August t ctber 198 Lg f Mul Wrk ' Semplyig tme f Vrker Jeu Blue Pul Kfc~Culy peter Blue Address Dte Hrs. emplyed Wrlc De 7 Sveejey Dr.Tr. 5 ct. f Sveeey Dr,T(Jr 1 ct. P..Bx ll96 Espl l? ct. 7 Sveey Dr. 1 ct. 1 ct. 5 ct. 5 ct. 5 Smplylg w Muelsbvel Splylg HulSbvel Drill disssebly Splyig Ttl 19 hrs. divided by 6 equls.16 dys 19 hrs.

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