Page 16 - delvalleco1920september

Del Valle Co. C
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MONTH DAY TIME DESCRIPTION OF WORK DONE

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I TOTAL
No. Days at$ per day, amounting to
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No. Days at$ per day, amounting to
Less

Less for
Amount due

Approved by Received Payment:
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............................................................................................ Foreman (Sign Here) .......................................................................................... .

........................................................................................... Supt .

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