Page 5 - delvalleco1921february
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                                           For  L abor  done  during the  M onth of                              192_    -i
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          MO .. N TH   DAY  TIME                            DESCRIPTIO N  OF  WORK  DONE

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                      2                                                                                                      I
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                      5
                      6
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                      7
                      8
                      9
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                     19                                                                                                      I
                    20
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                    25     Q                            .
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                     31  .                                                  ....__t_
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                           J L l                      at  $  ~                               I,              TOTAL
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            No.  Da~s                                             per ~a.>!, amounting  to
            No.  D ays                                at  $       per  day.  amounting  to   I                        ...___
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                  Less                   ~
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                  L ess  for
                  Amount  d Lte                                                              I
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            Approved  by                                          Receiyed  Payment:
            -
                                                        Foreman         (Si gn  H ere)
            ~
                                                        Supt.
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