Page 5 - delvalleco1921december

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De Valle Co. T o ~ - - I ~__; Dr.
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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25 6
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27 0
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\ ~ ~ 'Iv ✓~ ;;; (i; TOTAL
N o. D avs at $ /2_ 12er da~. amounting to I
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No. D ays at $ per day. amounting to
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Amount due I
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Approve ¥ Recei,·ed Payment:
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Foreman (Sign Here)
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Supt.

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