Page 2 - delvalleco1922january
P. 2

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                    Der Valle Co.             ,,        To             )'h j     .,  h   A_--       ~ --~t;;=-~     Dr.
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                                             For Labor done durin g the  Month of                                 192_    j
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           MONTH      DAY  TIME                               DESCRIPTION  OF WORK  DONE
                       1  r.                              -  ~
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                      16                                          , ,.
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                      30     C
                      31


              No.  D a~s   1~                           at  $       2er  dw , amounti ng  to  <o6,  IM        TOTAL
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              No.  D ays                                at  $       per  day.  amounting  to                            ~-

                    Less
                    Less for

                    Amount  d L1e                                                             I                   ~~  L,;1()
                                                                                              I                            -

              Approved  by                                         Recei,·ed  Payment:
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                                                          Forenun        (Sign  Here)

                                                          Supt.


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