Page 14 - delvalleco1921december
P. 14

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                     De  Valle Co.                       To _____ ~ ___ ~_--;:.. __ --;;,,--~--·-__ - __ -_ -_-_· __ - _-___ Dr.
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                                              For Labor done during the  Month of_ \_/ _ ________ 192~                     -I
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            MONTH      DAY  TIME                               DESCRIPTION  OF WORK  DONE
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                        2    ~/                       II
                        3     t:;
                        4  q
         -  -  ---+---+----+----- -----                   ------------               --------------1-------

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                       23     'c
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                       24
                       25
                       26
                       27     9
                       28
                       29
                       30
                       31                                      r
                                                              ~-:                                              TOTAL
               No.  Days                                at  $        per day,  amounting to
         :____~N_;:o:..:..... --=D'--a'-Ly-'-s ______________ a_t -'-$ ___ ~ pe_r __ d_a~y,_a_m_o_u_n_ti_ng~ t<_l   ______ ____  _____ ,____
                                                                                        1           1       1
                     Less
                     Less  for

                     Amo1tnt  due   .,,,,.


               Approved  by                                         Recei,·ed  Payment:


                                                                                            ,
                    _ ___ "v _ _  •'-~~-_.__~ _______ F ore man           (Sign  Here)----r--~ - <----'-'-{ _ ~-  -~----"------+-
                                      >
                     ----------'',..__,   ________ Supt.
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