Page 10 - delvalleco1920january
P. 10

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                                            For  Labor  clone  cludng  the  Month  0£ .......................................................... .19 ........ .   '  z
                                                                                                                       GI
         MONTH      DAY   TIME                               DESCRIPTION o,- WORK DONE

                          J                                                              J
                          I
                     2
                     3    I
                     4    0
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                     5
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                     6
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                     7
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                     8
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                     9
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                     10
                     II   0
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                     I•                                                             )1

                     15   ~
                     16
                     17
                     18
                     19
                     20
                     21
                     22
                     23

                     24
                     25   C)

                     26   I   /
                     21    I
                     28
                     29  I


                     30    /
                     31   /
            ~o.  Days  t,- C,   '/ '-                  at  f,  'j...   0  Q   per  day,  amounting  to

            •  o.  Days                               at$          per  day,  amounting  to  ___ __
                                                                                     1
                    Less
                                                                                             1
                                                                                             I
                    Less  for
                    Amount  due


            Approved  by                                      Received  Payment:


                   -·························································································Foreman   (Sign Here) ........................................................................................ .

                   ···························································································supt.


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