Page 15 - delvalleco1921january
P. 15
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Der \r alle Co. To )I,'. ... (. Dr.
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For Labor done during the Month of / V 192_ j
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MONTH DAY T I ME DESCRIPTION OF WORK DON E
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1 I (::._ l
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2 I
3 I -
l 4
5 I
6
7 I
8 I
9 ✓
10 9
11 q
12 q
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15 ~
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16 'j
17 {,,7
18 ti
19 (( '
20 q
21 t;
22 9'
23 c;
24 0
25 D
26 q
27 9 -
28 9
29 Q
30 C\
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at$ \ ~ per da l , amou ntin g to 1 \] TOT A L
No. Dal s
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::, No. Days at $ per day. amounting to i
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Less ....1. ;j CI
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Amount due I
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Approved by Received Payment:
Foreman (Sign Here)
Supt.
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