Page 1 - delvalleco1922may
P. 1
To Dr.
0
(J)
-i
:0
[D
C
For Labor done during the Month of 192_ j
0
z
(J)
- ---
MONTH D A Y TIME DESCRIPT IO N O F WORK DONE
1
2
,.,
~")
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22 / /,,. I~
23
24 //
25 •
26 f 1--/
27 I/ 'r
28
29
30
31 'I
TOTAL
No. Days at $ per day, amounting to
No. Days per day. amounting to
Less tf\ ">11 ~, - ~ Cc{!-
r
Less for
Amot1nt due
A pproyed by Received Payment:
_______________ Supt.
J
