Page 15 - delvalleco1920june

Del Valle Co. C
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For Labor done during the Month z
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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No. Days ~Q at $ per day, amounting to TOTAL
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No. Days at $ per day, amounting to
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Less for

Amount due

Approved by Received Payment:

............................................................................................ Foreman ( Sign Here) ......... ~ ···········~······························································

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