Page 11 - delvalleco1920september
P. 11
Del Valle Co.
For Labor done during
MONTH DAY TIME DESCRIPTION OF WORK DONE
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
I
27
28 I
29 I t,
I
30
31
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)········································;··················································
........ ,. ...................................................................................................................................................................................................................................................................................................................................................................................................................................... .