Page 11 - delvalleco1920september
P. 11

Del  Valle  Co.




                                               For  Labor  done  during


            MONTH     DAY   TIME                                DESCRIPTION OF WORK DONE



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                                                                                                                TOTAL
               No.  Days                                 at $         per  day,  amounting  to
               No.  Days                                 at$          per  day,  amounting  to   ____ ,
                                                                                        1
                       Less
                       Less  for  -

                       Amount  due


               Approved  by                                      Received  Payment:

                                                                                                                l,
                      ............................................................................................ Foreman   (Sign Here)········································;··················································





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