Page 5 - delvalleco1922june
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Del Valle Co.
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For Labor done during the Month of~,1 ~,, ~ 192 ID
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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No. Days at $ per day, amounting to I TOTAL
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No. Days at $ per day. amounting to ___ 1
1 1---1-----1--
Less
Less for
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Amount due
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Approved by Received Payment:
________________ Supt.