Page 7 - delvalleco1921november

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Def Valle Co. To Dr.
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ID
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For Labor done during the Month of . 192_ -I
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~ MONTH DAY TIME V"J DESCRIPTION OF WORK DONE I
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18 ~I I , J
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25 rJ I
26 C I
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29 It; I I \J
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30 t:../ I I /
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31 ~- _,, - I
~ ~t\:·, at $ } D D 4o \qo TOTAL )
No. Days 2er day, amonnting to
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I No. Days t at $ per day, amounti ng to I
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Less ~ Q_ - . ~.: .. JJ•e~ -~y .. J>(~ l I I
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L ess for I
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Amount due v i
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Ap proved by Received Payment:
c, .
Foreman (Si gn Here) ·~-< ,_
•
Supt.

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