Page 7 - delvalleco1919

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Del Valle Co. iii
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For Labor done during the Month of. ........... / .............. ~ ... .l.. ................... .19 ......... . z
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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TOTAL
No. Days at$ per day, amounting to
No. Days at$ per day, amounting to
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Less
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Amount due

Approved by Received Payment:
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