Page 17 - delvalleco1922february
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De Valle Co. To - _,.._,, Dr.
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For Labor done during the Month of 192-- -f
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MO N TH DAY TIM E D ESCRI PTIO N OF WOR K DONE
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21
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22
23
24
25
26
27
28
29
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~ at $ :l' 12er d;1 y, amounting to '}'7~1 TOTAL
No. Days
No. Days at $ per day, amoLtnting to I
Less I
Less for I
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Amount du e I
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Approved by Received Payment:
Q)J( t~ Co
Foreman (Si gn Here) -·
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Supt.
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