Page 1 - delvalleco1921september
P. 1
Del Valle Co. To Dr.
0
(/)
-i
::0
m
C
192_ ::!
0
z
(/)
MONTH DAY TIME
1
2 VJ
'")
,)
4 0
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
per da y, amounting to I TOTAL
No. Days at $
' I
o. Days at $ per day, amounting to I -- --
Less
Less for
--
Amount due I
Approved by ReceiYed Payment:
Foreman (Sign Here)
Supt.