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I.caaed to /j/B/.~4
<br />Work iu oharga of
<br />Ix proAorty worked /,C;o t' uoualy, 9 . Q.d....?taF....4e¢,rl._u,~rOT. u:+f.....x~.a,~..:...,~rRCfrs.cseijua,....aaa~..+.....,...r~
<br />/Qp+~/4L ~7i~~lq¢, •:.~ a....d ~11aa/oc.. !u.r.~.~.Q ill$-
<br />~O~rRi~aetl PC~ WOrk ............MC.;:::. ..........................................K:.............................._..........,,...,...toar............._................rG....................4................... 190... L'
<br />' .............................................. 190.......;
<br />litoppod work ..........!~+C........fZ.~~::,rxar.. ~:-. ...................................w..c::.,...................,......_...........,.......,..
<br />biNN 1a1V1P1a0YLA,
<br />Nn. &mP1gY+~a. I Nn. k3D1P1AYkA.
<br />..Msahiuq Arhlmau, # ..................for......,,,..,hourahift. ..........,..1';ngineere, ~b............,••-for...........,lwttrahift.
<br />for.........,.hourahift. ,...."Pumpuiou,. - >g ..................for.........,..hourahift.
<br />.,.. .
<br />...
<br />Minora,o IIelporx, ~.......,.. for..........,.hourxluft• I ,. .,x,,irouion, # ..................Yor._........hourxhift.
<br />..!".~`'P1tuWormou, ~b..........••-~•for..........hourxbift. ~ .. ....Itlaekamitha, ~b .................fnr....,,......hourxLfft.
<br />....,....:;7`rutnmm'a, ~ ..................fur............hourxhlft. j _~..'Pxumxta~w, ~,..........,.....fnr..._......hoorahlft.
<br />.tnr.......,.hnurahift ... ..PoromPn, - +d .......for......,.-.hourahift.
<br />.... Qrn tiol'tera, . ~.............,.
<br />..
<br />. ,.:,Tnpman, d~ .............Por....,.....knurxbift .., . paporlntaudeak, g ...tar........-haurAldtt,
<br />for..... .....hourohlft, Odlan help, - - ~q,........:,.for.......,.hourxhttt.
<br />,........ Lahornrr, ~ ~ ..... ~'.,
<br />... tor,........hnurnhlft. F ..._ ..,._,hCillnFOn, . . . ~9•-•-.....-.•for..,.._.-hnurxhift.
<br />,..._.,.~. A~auyarx, ~
<br />...::... ..... .........._.,. ~r.............for, ......hourabift.
<br />~,.._...forM....m,hour ahlft. .... .. _ p
<br />... Yaur 19~~0 ~ 7jd F+~!R.e... Q~,~lt /f~,.r~'.Ra.w~..fl~ ".
<br />Average uuw4ar of mnu awpioyod fnr t/ho ..
<br />4haranWr atul value o! eru ..?'/R.,, ~ftt~ ~/ ?v src. a,~0a~'~rl~~'
<br />... _M ...,..,.
<br />.,..,_.„„.„.r.,
<br />tunw.)
<br />Owner or owners and addresa ....................__......................................_........._._.__.__....._...._......__.....--.......__~.._._......_........_......._........__......_....._...
<br />Namo of"Compsay-cr._.T/l¢L'!'auQ..eUKa~/a .YL....1a.CT .te%eo~..
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