Page 10 - delvalleco1921june

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Del Valle Co. To ___ ·_~ _ ... ____ ,_-_- _-_, /----=-''-r;;;.__./._-;::..._~_y~------Dr.
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For Labor done during the Month of __ ~ ____ r-L _____ l 92--,L ~

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M O N TH DAY T I ME DESCRIPTION OF WORK DONE
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No. Days -I at $ ~ per day, amounting to / C I .
;__ __ No_. _D~a>'--'S _____________ a_t ~$ ___ ~p_e_r __ da~y_. _am_ o_L_in_ti~n~~to i---.---i---i----- 1---
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A mount due _j_=----1,_:-:=-_-:-___ - _=-:::-;;_1=- _:--==_ =-=~~-=--..:__=+====- ==-
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Approved by Recei ,·ed Paym ent:

______________ Foreman (Si gn Here) _____________ ---+-

______________ Supt.

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