Page 3 - delvalleco1921august
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Del Valle Co. To m <!. ~-4, .. _ ... _ .. ~~ Dr.
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For Labor done during the Month of - - - "/ 192~ -t
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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'V 1 at$ ~ (!to ]J_ TOTAL
No. D ays per day, amoun ting to
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No. Days at $ per day, amounting to
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Less for - '-
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Amount due I I
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Approved by ~ R eceived Payment: -
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Foreman (Sign Here)
Supt .
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