Page 10 - delvalleco1920may
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MONTH I DAY TIME DESCRIPTION OF WORK DONE
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TOTAL
No. Days at $ tl~ per day, amounting to
No. Days at $ per day, amounting to ___ ,
1
Less
Less for
Amount due
Approved by Received Payment:
............................................................................................ Foreman
(Sign H ere ) ................ ¼ ......... ~ .Y····························:············
···························································································supt.
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