Page 12 - delvalleco1920may

Del Valle Co. ...... Dr. C
in
-i
:!
m
C
-i
0
For z
(II
MONTH DAY TIME DESCRIPTION OF WORK DONE
I

I
2
3 I
I
4 . ,
5 I
I
6
7
8
9
10
II
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
No. Days per day, amounting to
No. Days at $ per day, amounting to
T1- 1--1-
Less

Less for
Amount due

Approved by Received Payment :

( Sign Here) ............................. .\. ........ ~ ............................................. .

··········-···············································································Supt .

.............................. _ ............................................................................................................................................................................................................................................................................................................................................................................................. .