Page 1 - delvalleco1921december
P. 1
De Valle Co. To Dr. C
(I)
-I
::u
m
C
For Labor done during the Month of 192_ -I
0
z
(I)
MONTH DAY TIME DESCRIPTION OF WORK DONE
1
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
27
28
29
30
31
TOTAL
N o. Days per day, amounting to I
No. Days at $ per day, amountin g to I
-- --
Less
L ess for
A mount du e
1, ), "-,
A pproved by Received Payment:
Foreman (Sign Here)
Supt.
