Page 3 - delvalleco1920december
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6             0
                                                                        To                                       Dr.    iii
                                                                                                                        -I
                                                                                                                        ::a
                                                                                                                        iii
                                                                                                                        C:
        •                                              For Labor  done  during  the  Month  of                 19_      -I
                                                                                                                        0
                                                                                                                        z
                                                                                                                        IA
           MONTH    DAY   TIME                                  DESCRIPTION  OF  WORK  DONE
                                                                                  Co-
                     1     I                                ~                                      )
                     2     I
                     3    I                                          t   '
                          I
                     4
                     5    0
                     6     I                                          I/
                     7     I                                         'I
                     8    I                                          I  f
                     9     I
                     10    I
                     11   I
                     12    r)
                     13    J
                     14    I
                     15   l
                     16   J
                     17
                          I
                     18    I
                     19  a

                     20    !/
                     21   /                            cl
                     22    I
                     23    I
                     24   0
                     25   0
                     26   0
                     27
                     28    I
                     29                                               )  -(}  /-/4
                          I
                     30    I                                     . ,
                     31   I                                                 l   r:-?
                                                           at$  s   0()                                       TOTAL
            No.  Days                                                  per day,  amounting  to
            No.  Days                                      at$         per day,  amounting to

                   Less
                   Less  for                        0                     I b,

                   Amount due



           Approved by :                                      Received  Payment :




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