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De Vaile Co. To QJ!/VOt-Ul- ~U.,..-<-,u - - ~. Dr. 0
l/l
-I
~
m
91 t c'l,.r,.~~L C
-I
For Labor done during the Month of --, 192_ 0
z
l/l
MONTH DAY TIME DESCRIPT IO N OF WORK DONE
C
1 q
2 t,,
3 0
I -
4 q
5
~ tl
6 ~
7 !_,,, -
8 7/
9 ~
10 f
11 1
12 ()
13 f I
14 ?
I I
15 t:
16 '1
17 t;
18 ~ l
19 9
20 4) 1
21 ~1
22 q
23 ·rq
'A
24 :1'
I 25 ' ~ I
26 c> \..
27 t/
q I
28
29 q
30 fj'
31 '9 / •l'·~J.
y~ ·'-- TOTAL
No. Days at $ 12er day. amounting to I
No. Days at $ 12er day, amountin g to I
Less I
Less for I
I
Amount due I
I
- -
Approved by Recti\·ed Payment:
•. Foreman (Sign Here)
' .. ; ... ~-·-• .
Supt .
. • •·r!'.
• II" ~·
.. ( t\ ] .
;
.,.
