Page 5 - delvalleco1921november
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Def Valle Co. To ~/4~ - -41 ·~ Dr. C
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For Labor done during the Month of 192_ ·· -t
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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y L.\- at $ 4- per day. amounting to _$j,_\a TOTAL
No. Days
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No. Days at $ per day. amountin g to I
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Less for
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Amount dLte I i
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Approved by Recei,·ed Payment:
(Sign Here) 0¾ t5 l I
F oreman -. .:
Supt.
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