Page 12 - delvalleco1920june
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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No. Days at$ < per day, amounting to /0
No. Days at$ per day, amounting to
Less
Less for
Amount due
Approved by Received Payment:
..............•............................................................................. Foreman (Sign Here) ........ ~ ... ~ .................•........................................
.................. ···-······ ......................................... -- ··--..................... ·• -................................. -· -.. -. ---......... --............................ - ................................................................................................................................... -............ ··---. -. ------..
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