Page 6 - delvalleco1920august

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MONTH DAV TIME DESCRIPTION OF WORK DONE

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No. Days at $ per clay, amounting to TOTAL
No. Days at$ per day, amounting to
T - 1--1-
Less
Less for

Amount due

Approved by Received Payment:
(Sign H ere ) ...... ~ f .... .). .... ~ .. ~ ........................................... ..
............................................................................................ Foreman
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.......................................................................................... Supt.