Page 1 - delvalleco1923march
P. 1
0
Del Valle Co. To Dr. (J)
-I
::0
m
C
-I
0
192 z
(J)
--
MO N TH DAY TIME DESCRIPTION OF WORK DONE
1
2
3
4
5
6
7
8
9
10
11
12
13
H
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
No. da s TOTAL
No. days at $
Less
Less for
lo (
Amount due
Approved by Received Payment:
/
I
Foreman (Sign here)
Supt.
