Page 1 - delvalleco1920june
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Del Valle Co. iii
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MONTH DAY T I ME DESCRIPTION OF WORK DONE
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l a 1 at$ ·/-~ ~ TOTAL
No. Days per day, amounting to
No. Days at$ per day, amounting to ___ _ :l, __ ____ _______ , ___ ......,1
1 1 1
Less
Amount due
Approved by Received Payment:
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............................................................................................ Foreman ( Sign H ere) ......................................................................................... ..
········· .. ··························································· ... ·.········· ... · ... Supt .
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