Page 1 - delvalleco1921april
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Der Valle Co. To Dr.
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For Labor done during the Month of 192L -i
5
z
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MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
3
4
5
6
7 I
8 Ir
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24 0
25
26
27 . ,
28 Ji,- I I
29 0
30
TOTAL
No. at $ '-/- 00
~
No. Days at $
& 0.1- 1--1----1--
,..
J,ess
~-.~
~---_c_-----,~------- -----;:-:.-----=--------,-=-=----~--fJl,----r~--·..1.:=='='' ~ --1----1------ 1-------'
\~ Ll , I
r .,ess for
, , _ { _ 1----1- -----1--~
Amount dLte
j..........-----"------------------------------~-=--'---'E__I---I-----I--____,;
Received Payment:
( i gn Here) ______________ ----1--
_______ ________ Supt.
