Page 17 - delvalleco1921november
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MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
3
4
5 ;
6
7 ' I
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29 I I
30 t I
31
TOTAL
No. Days per d;i v, amountin g to
o. Days
Less '/
L es for
Amount dne
Approved by Received Payment:
_______________ Foreman (Sign Here) ______________ ----1-
_______________ Supt.
