Page 15 - delvalleco1920october

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Del Valle Co. iii
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For Labor done during the Month of ....................... '. ................................... .19 ........ . 0
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MONTH DAY TIME DESCRIPTION OF WORK DONE

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No. Days L Co at $ per day, amounting to TOTAL
No. Days at $ per day, amounting to

.Less

Less for
Amount due

Approved by Received Payment:

............................................................................................ Foremai.1 ( Sign Here) .......................................................................................... .

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