Page 10 - delvalleco1920november
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MONT H DAY TIME DESCRIPTION OF WORK DONE
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12
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TOTAL
No. Days at $ per day, amqunting to I b
No. Days at$ per day, amounting to l----1---i----i-----~ !---
Less
Less for
Amount due /
Approved by Received Payment:
............................................................................................ Foren1an ( Sign Here) ............ ·-············································································
........................................................................................... Supt.
