Page 6 - delvalleco1920june
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MONTH DAV T I ME DESCRIPTION OF WOR K D ONE
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TOTAL
No. Days at$ per day, amounting to
No. Days at$ per day, amounting to
T - 1--1-
'\
Less
Less for
Amount due I c
Approved by Received Payment:
_,.
............................................................................................ Foreman ( Sign Here) ......................................................................................... ..
........................................................................................... Supt.
