Page 5 - delvalleco1919

Del Valle Co. To ................................................ ~ ................................................................ Dr. C
ui
...
:!
m
C:
...
For Labor done during the Month oL •............ 0..~ ........... 19 ....... . 0
z
(II
MONT H DAY TIME DESCRIPTION OF WORK DONE

2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
A
20
I
21
22
23
24
25
26
27
28
29
30
31

TOTAL
No. Days at$ per day, amounting to
No. Days at$ per day, amounting to l---,---+--l- --=--I--------------'--_____,;
Less
1
Less for
I
Amount due

Approved by Received Payment:
. cv(/ •
-·········· ... ·················································· .. ·························Foren1an ( Sign Here) ........................................................................................ ..

···························································································Supt .

.................... .. .. ........ , y ........... . ...... ........ ................. .. ... .. ......... .. ......... . .... .. .. .. ........ .. ........... .. ..... .. ............... .. .. . ........... .. .......... .. ............... .. ......... .. ............... .. .. ..... .. ........... .. ... ... ... . .... . ........ .. .. .... .... ....... .. .... .. .......... .. .... .. ................ .. .. .. ... .. ...... ... ....... . .. ................. ... .. .. .. . ... ... ........ ..... ...