Page 5 - delvalleco1920may
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MONTH DAY T IME DESCRIPTION OF WORK DONE
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T OTAL
No. Days per day, amounting to
No. Days at$
r · per day, amounting to i---:
Less
Less for
Amount due
Approved by Received Payment:
(Sign Here) ........................... \.5 ... 7 .................................................. .
............................................................................................ Foreman
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