Page 10 - delvalleco1922october
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                                            For Labor done during  the  Month of                                 192      0
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           MONTH     DAY   TIME                               DESCRIPTION  OF WORK DONE
                       1
                       2
                       3
                      4                   ,i,
                       5                             I"'.,
                       6
                       7
                       8
                       9
                     10
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                      18
                      19
                     20
                     21
                     22
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                     25
                     26
                     27
                     28
                     29
                     30
                     31

           No. da  s
           No.  days                              at$

                 Less
                 Less for

                 Amount due


           Approved by                 :i  I                        Received Payment:
                                       .:,

                                                       Foreman          (Sign here)

                                                         upt.
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