Page 11 - delvalleco1919

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Del Valle Co. To .... / ....... : ........ ~ ....................................................................................... Dr. C
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For Labor done during the Month oL ......................................................... .19 ......... . z
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MONTH DAY TIME DESCRIPTION bF WORK DONE
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TOTAL
No. Days per day, amounting to
No. Days at$ per day, amounting to

Less

Less for
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Amount due

Approved by Received Payment:

............................................................................................ Foreman

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