Page 13 - delvalleco1921january
P. 13

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                                                                                        I  I       -          T O TAL
             No.  D ais                                at $        per  day,  amounting  to
                           '               I                •
                                                                                         I   I
             No.  Days      ;  .   ~   ,./,   t:;.  .. H   at  $   per  day,  arnountin ~ to   I
                                    ':1-, ~to       ...--                                      0
                   Less                                                                  >;·  ~
       '           L ess  for
         -         Amo11nt  due                                                               I                           )
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             A pproved  by                                         Received  Payment:
                                                                         (Si gn  H ere)  ~\~ ~\
                                                         Foreman
                                                                                          '       \
                     .
                                                         Supt.


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