Page 3 - delvalleco1920october
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Del Valle Co. 0
iii
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For Labor done during the Month oL .......................................................... 19 ........ . z
(II
MONTH DAY TIME DESCRIPTION OF WORK DONE
----
2
3
4
5
6
7
8
9
10
II
12
13
1•
15 I
I
16 ' '
17 6
18 I
19 I
20 I
21 I
22 I
23 I
24 I
25 I
I
26
27 I
28
29 /.
30
31
; /Vo TOTAL
No. Days at $ 1 per day, amounting to
No. Days at $ per day, amounting to l----1---I----I------:---
Less
Less for
Amount due
Approved by Received Payment:
\ J / .
............................................................................................ Foreman ( Sign Here) ............. :\ ................... '. ..................................................... .
························································· .. ································s upt.
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