(1) The full name and address of the person from whom distilled or refined quicksilver or mercury was purchased;
(2) The name of the person, association, partnership, copartnership, firm, joint-stock company, corporation, or trust on whose behalf distilled or refined quicksilver or mercury was delivered;
(3) The weight, amount, date of delivery, date of purchase, purchase price, description of the container, and a short description of the metal, of the distilled or refined quicksilver or mercury purchased;
(4) The name and location of the mine or claim from which each purchased lot of distilled or refined quicksilver or mercury was mined or procured;
(5) The name and location of the mill, plant, retort, or other reduction apparatus from which distilled or refined quicksilver or mercury so purchased had been produced; and
(6) The name and address of the purchaser on resale, date of delivery or shipment, the weight, the amount, the sale price received, and a short description of the distilled or refined quicksilver or mercury.
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