Page 4 - delvalleco1920august

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For Labor done during the Month oL ............................ , ............................ -19 ......... 5
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MONTH DAY TIME DESCRIPTION OF WORK DONE

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No. Days at $ ll per day, amounting to TOTAL
No. Days at$ per day, amounting to

Less

Less for
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Amount due
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Approved by Received Payment:

............................................................................................ Foreman (Sign H ere) .......................................................................................... .
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.......... · ............................................................................ .. Supt.

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