Page 5 - delvalleco1921june

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Del Valle Co. To ) ,(j r-1" f ~ Dr.
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For Labor done during the Month of ~ 192,_ j
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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.r. t/v ~~ per day, amountin f! to s TOTAL
No. Dal'.s J at $ I
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No. D ays at $ per day. amountin g to I . --
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Amount due I !.\:~

A pproved by Received Payment:
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Foreman (Sign Here)
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Supt.

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