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Home My WebLink About#182 Little Quilcene River Arch BridgeSPAN ~ ~~1 i~~~, . CHARLES G. HUBER CBNTRAL"BUILDING SEATTLE, WASH. CONTRACT NO. SHEET OF ROADWAY w ~ WALK BRIDGE AT~„/~~„Lt/ ~~,,,_~~~r - TYPE MADE BY~~L_BiLL OF DATE - ~~ ~~ AT' r t9"'i Q • ,~ N`~•,f ~, t t~~ ~! ~J.~ ~ ,. t° x ~~. ~` ~.Ct~t~Tlt I j f *i, ~~ ~ ~sr t ~r ,~+~ q~~ tai ~' `/ I t~~.~ I ~` I st. X ~ ~ "' ~ ~ F ~... , '~~' ~ ~ ~ f { '^' Rr ~ ~ . f ~ ~ ~ ~ ;I a, + .. "I ~* vw ~" d~ jy Y/ . /' ~~* `...1'~fd j ~I ~ ,/~ {~R. I f * I ~~, ~ ~ ~ 4 ~ 3 ;:,. ` try? ~ ff ~ ~x~ ~•~, _ ~~ fy ~';~, - ~1.' ~,~ ~t, ~e t'~ ~ +° ~ I . ~,. ~= I ' I k. I ~ I ~ ~ ~~~ ry N p` ~ ~ J I S ~ ~ I ~yr9 #,t'~Hxv ~ ~ 5`8 I ~' ~ d'° ~i x ' k~ j I ~ i ty I ~ ~ F", ~/ !~ ~ M+`f f tali ~ 1 11 d X71 ~ F~ ! r a ~.! V ~ ~ f f I~ ~ ~ Fdr ~ ~ 4if ~~ "" ~ ~` / G» f I 6; ~ f ax ~ + ;~~~ , ~ is T `~• 1 I o I t,,Y. 6a t~'' t ~ ~''r +~ t'~f 4r .#`~ <?~J/f~,r ~~ i'° / ~ 1 I I ' try ~ I , I irrr"',~' f /~~ ~ .,_ ~ i ! I ~ ! ~ ~ ~ ~ ~ ~ ' ~ ~ v ~ !~r * ~ ~ ~ ~„ •y ` ~ / ff ~ I! ~ I I~ !) I ~~ ~ l r1~ ~ d I I!I l J r' ~f~7s' ~ , ~ ~ ~ i l , ,. . +';'~ ` ..: ,. S } f t ,r A ~r'4 .~1° ~ F it t I ~~ : .~. 3* i ,~ ~ ~ .. e ' ~ I " ~'~. ~ ., `r ~;" ,4 :'f.4 .~ I .. III I~ N~ ODUTAi10 ~ TO pIANRE TV{fHOUT NOTICE ILE A6REENO.tTT3 AAE CONiINEtIT UPON STRIKES, ACpOENTS OR OTHER EGY UNAVOATAOIF OR BEYOND OIAt CONTROL N° 4080 QO, p.C" jUlegSrB SEATT4E, WASH.. Ntay 25th 1917 ~~ ~ g~ ,~ Jefferson County .Commissioners , . , ' ~ ~ t Port Townsend, ,u ~'"~~~ o - ; VPa s h . , w ~~` p C~NGHA~`~ y~ BOUGHT OF BA`LFOU R, G UTH Rt E & CO. NO CLAI M WHATEVER ALLOWED. UNi~58 MADE WITHIN THREE DAY6 AFTER RECEIPT OF 600D8, NOR AFTER THEY HAVE LEFT THE CITY. - LOSS OR DAMAGE BV .FIRE AT THE RISK OF PURCHASER FROM DATE OF SALE. TERMS: NET CASH, PAYABLE IN U. 5. GOLD COIN. NO EXCHANGE ON REMITTANCES. 19o bbls Oh~'M1?gC ~oxtlanc~ Cement at X2.00 ' - ~ ~ per barrel fob scow Bellingham, V~ash. - - ~380.00 ' ~hoading scow at 3~ Per barrel = - - - - - - - 5~~0 -~ SUBJECT TO A DU3RDIJNT OF • FIVE CENTS PER BAKytE1,FOR - CASH IN TEN DAYS. j ~38~• 7o s~: A ref u nd' of 71 a gents eac}~ Sri 11 be mai~~ on all sacks re turned to t~hE I'=~c tOP 8 X aepting those that are wet and caked, • Shipped to you o County `Engineer, Pt Townsend, ~ ~ , pex scow "~~. ~~~~ ' B/Z atta. f~, ~,,~~ / ~~ GO { ____ . _ , _ ~j ~j CONTRACT NO. ~'" ~~ NUMBER NAME ~°"' /~~ j .,mss` '/.~'~f ~~ ~`~` LOCATION ~---'i'~.~->f~~-~ ~ ~ ,_~--C-.-~.~.' FOR ~~~I~->r-~-€~i- _ENDING -`E-~f "' 191. ~ I ~ TOtal ii AMOUNT DISTRIBUTION Of TIME 1~ 2~ 3 4~ 5 81 7 81 9~ 1~ 111 1~ 1314 15 ~ 16 1 118' 19 20 21 X22 ~ 23j 24125 26I 21 28 29 30, 3t I Rate I -f i I I I ~ ~ I ~ 1 I I TImO ~ Dollars Cents _ ~I TOTAL TIME PER DAY ~~I~ i~ u~~~+~I I I ~~'~~~~'I ~IC ~~~ulc~~i I i~,~{'I~'~~ ~~~~~_ ~~ 1~~ I ~i,!C~; 1 ,~ ~~ 1 ~ ~ il'k' lil ! ~'~ ~I ~ ~' ;li l I~ ~ I I " ~ Il I I l ~- 1 1 l ~; i~' I j' I i i! !I i ~, l i ~ l' j l i~ ~ I ~ I i i I I I I ~ ~! 1 i ~ I I ~ ~ ~ I II ~ i I i i i t ~ I I I I I I I ~ 1 ~ t 1 ~ I I I i I , i ~ i i I I I ~! I i! i ~ j 1 I i I, I!'~ I i~~ I : I I I i~ 1 i; i t I I i I I ~ I i i I !~ ! : I( i ( i~ j l i i I 1 i 1~ I I I '. I ~ I ~ i ~ 'I ~. I 'I ~ 11 i I ~ ( ~! ~ ~ I! I ~ I i~ ~ I ~~ 1 1 1! I, l l l ~ i l ~' I - I I! I ~' ~ Ij i I ~ i j I ~, ' I ~~ I I I I I i 1 i ~ l i l i i i I II I i I I I I ~ ;!~ I I I I i i ~ l l i I V I I I ~ ! l ~ ;' I C I I I~ ~ ' 4 ' I ! '; I I ' ! jl i j i I I, ~ I 11 I I~`~' I I~ '~ I f ~, , I I I I I I ~~ , I I ,I I III ~';1 j ~ Ili j~~ ~ i~ i ! l i '. ~ I I I j I I I I i ' I I' I~ ' i I! I I I I i I I '• I I I I(~ i ~ 'I I I 1 II I I ~ I ~ I I, I __ DEDUCTIONS AMOUNT TOTAL EARNED If~~~ ~' ~ HOSPITAL s~~~ - TOTAL DEDUCTIONS I{I~ I BOARD BALANCE DUE I~~ G ~- CASH RECEIVED PAYMENT. TOTAL DEDUCTIONS 11 ~~ ~ ~ = 191 ~ /I .L`d y"~~'`~"L~``'~ ~..e/. _-FOREMAN CHECK CONTRACT NO. / } NUMBER NAME ~°~-~~~ ~-~ `~•- = % -"~ "~~~' 4-°~'~ r f ~ LOCATION -C~-G--r--L-`C~ -FOR .~~G-'c-~ ENDING_~'~-•~-!~'r ~~ 191 DISTRIBUTION OF TIME 1~ 21 3) 4i 5 6~ Tj 8~ 9~t0~11~1213t4 15 !t6~1Tt8j19~0~2t~2223!24~2526127~28i2930~31' Total ~ Rate AMOUNT ' ~ ~ ~ ' ~ ~ I I ~ ~ ~ I 1 ~ Time i I; Dollars Cents i TOTAL TIME PER DAY ~ I ~ i ~ ~~~~ ~ ~j ~ ~ i~ ~, ~ ~ ~ ~ ~ ' / ~S-~ ~~.-~ ~~--G.°{ e _t_-~ ~t Ff ~ ~ ~ 1 i j I Q j~ I j 1 1 ~~ ~ I i ;/ j i i ~..z..~e-, ,~~F-~ ,-~~ ~ j ! , I ! ~ ~ ~ ~ z i CASH TOTAL DEDUCTION8 ~ ~ • ' RECEIVED PAYMENT 191_ ~~ /f~ ~ ! %C~ ~ ~~~ ~°` J L/~ FOREMAN - CHECK ~ ~ CONTRACT NO. f~, ` ~ NUMBER ~/ NAME ~~~-ti-u / ~ ~'~'~ / ~~ '`°`~"~ _ ` r LOCATION ~~ ~-C~-t ~--G-c--c..-C~ FOR ftt 4~r,° ENDING / ~~{~-" ~'' 191 _ _ - -~, DISTRIBUTION OF TIME I ' 11 2j 3; 4! 5I 6~ 7~ 8I 9i10~11 1213~t4it5 It611718!t9~02t 22 ~23~24!25126127128i29;30j31! a ' Rate AMOUNT _ I I Tim e I I ~ j Dollars Cents TOTAL TIME PER DAY ~ - ~ ~ I, j~ j I, ~ ! I I I i ! I ! ! ! ( ~ ~ I j I i ~ i ~ ~ ~ i ' i I j I ' j I ( ! - ~ i I / G~ I l~ ~ ~ ~-~c ~ ~ - _ i I I~ I `~' I ~ I ! i ~ j~ ~~~~ I''~ I ~ 1 ~ ~ ~ I _ ~ (! I ~ I I I ' i 1 i I i i ~ i ~ , ~~, I ~ I I j j _ i!! l i j i~ I! I 'I i j ~ ~ I I ~ i ~ I ~ I ~ I I I i I i i I I ~ I I i i' j ~ ~ I I i I ~ ~ i l{ l i i 1' i - i I i ~ ! j ~ i ~ i I ~! '.. j. _ I I I ,~ ~, ~ i II. i I) I II ~ i i ~ I ! I I' ' ' ' 1 I j j~ ~ j~ j j~ ~ i I i I i ~ ~ i I I i I I I I I i I ~i i r ! i j ~ I j I I I ~ I ' I I ~ ' i 1 ' I j j j ! i ; I I C I ! ~ !~ ~ ! I ~ I ~ ! ! '! 1 I I ~ I~ '; I ~ i t j ! I ; ; i I 1 i i I ; I ~ i I ~ i i; ' ; ; ~ ' ~! i f~ j ~ ~ I I ! ~ i ~ i ~ ~ ~ ~ ~ f ~ t i I ~ ~ I I ' ! I ~ ~ I i j j i, ~ ji I ' j ~ i I I ~ ~ i ~ I ~ I ~ I j l I I ~ i ~ j ~ ~ i I I ~ j ; ~ I 4, I ~ ~ j j II I ~ I li I I I it I ~ ~ i 'I ' I ~ i ii I I~ ~~ ~ ~. , ~. I , I ' , I i i I i I I j l! I I I ~ I ~ .. i I I I I i I , I i ~ ~ I i I j' I i i I I I i' ~! I i~ i ~~ i ~ ~ , f I j 1 '~ ! it . DEDUCTIONS AMOUNT I TOTAL EARNED j' HOSPITAL I I TOTAL DEDUCTIONS I~ I BOARD -BALANCE DUE I CASH RECEIVED PAYMENT. DEDUCTIONS 191_ FOREMAN CHECK NO. E f ~~- CQNTRACT NO.~ ~ NUMBER NAME ~..-~-~'~~-~--C../ LOCATION _ l~-~= r„s -t~ ~1.~U~--C.~.• __ FOR ,~/f`v~ ~f~t-~'~`~~- ~NDI NG ~ ~~ 191 HOSPITAL BOARD CASH Al DEDUCTIONS r TOTAL EARNED TOTAL DEDUCTIONS !f BALANCE DUE II i FOREMAN RECEIVED PAYMENT. 191_ CHECK NO _ TOTAL DEDUCTIONS r r RECEIVED PAYMENT. 191_ ~ ,/"~`/ ~"^` FOREMAN CHECK NO. TOTAL DEDUCTIONS i L- FOREMAN • RECEIVED PAYMENT 197_ CHECK NO. /~' / ' CONTRACT NO. _ `~ ~ NUMBER NAME ~~~2~"`~='U ~Z~~°~"~J - LOCATION _ FOR - ENDING 191~- DISTRIBUTION OF TIME ~ 1~ 2j 3i 4i 5~ 6: Ii 8~ 9~10~11~12;13~14 t5 ~1611;18I19~0 ~21~2 2324~25~26~2728.29'30~31' Tatal ~ ,pate ~! AMOUIINT i I ; ~ , I Time i ~ Dollars Certts TOTAL TINE PER DA1 ~ ~ ~ j F' ~~j ~ . i ~ I ~ J °~'i ~ P-"t~ HOSPITAL BOARD CASH TOTAL DEDUCTIONS • FOREMAN TOTAL DEDUCTIONS BALANCE DUE RECEIVED PAYMENT 191_ CHECK N .~ CONTRACT NO.~ ~ C~ NUMBER ~.~ NAME C~y~` ~ ~ ~-`-~'' ° ~ `~ " ~t... ' LOCATION (~~-~~'~~-~~.°~' t ,~ FOR ~ ~_ENDING f~1~ t 191 e ~ 1 DISTRIBUTIOR-0F TIME _ I ~ I ~ ~ ~ 1~ 2' 3; 4'• 5I 6i 1i 8.9it0~tt{121314~t5 __ ~ ' Tetai 26'212829~3031 j161118;1920 X21 22 23',24~25 T L ! i' AMOUNT ~ Rate ;~ i , ~ 1 ime I ~ Dollars Cents TOTAL TIME PER DAY ii ; ~ ; _'-'~-'~- I~ ' ~ ~,~ ~ _ •--- ~ -{•.=~ ~ ~ ~ i ~' i . I O'~IJ ~ i i i i I 1 I 1 i i i i j ~ ~ I ~ - i ~ I ~I ~ i ~ I I I ~ - 1 ! ~~ ~ ' I ~~ i ~ i ! ~ ~ ~ i 1 ~ 1 I I i I ~ ~ i ~ i I ~ 1 ~ .. ' I ~ i 1 ~ ~ ~ ~~~ ~ ~, . ii j I~ ~ 1 1 _ ~' ' ; ~ I ~ ~ ` I 1 . ~ + ~ 1 I ~. 1 1 ~ I I 1 1 1 I I i f _ DEDUCTIONS AMOUNT j TOTAL EARNED ~i HOSPITAL I~ i TOTAL DEDUCTIONS '~ ji i BOARD - BALANCE DUE ! - i CASH ~, I,i TOTAL DEDUCTIONS - i . ;r ~.:. ~ ~ ~~~~Y•'.iT' ... ~(r FOREMAN RECEIVED PAYMENT. i97_ CHECK TOTAL DEDUCTIONS ii i s FOY~EMAN CHECK DEDUCTIONS , AMOUNT TOTAL EARNED - HOSPITAL ~ - ~ - TOTAL DEDUCTIONS _ - BOARD - - ~ BALANCE DUE CASH J .~ I _ !~ ---.---- - -... __ .__ --. ._.-_-- RECEIVED PAYMENT TOTAL DEDUCTIONS - - .191_ r ~r~V ~V ~ FOREMAN CHECK _ ~ , I _ ~ _ _ _ __ i i i l I -~ i + i ~ ~ ~ i ~ f i _ l I l , 1 ~ ~ , i L f ( ' ~ ~ , l , ~i II ~,I __ _ - _ ~ i I ~ I _ ~ i t ~ I . ~ I ~ 1 i ' ! i , ~ ~ I ~j~ i I ~ ~L~ -I ~ I ~ ; ' I _I ~ ~ _ _ - DEDUCTIONS AMOUNT - - ° - roTA~ EARNED ;Z uo ` ~~ -- _ - _ _ _ ._ HOSPITAL _ _ .. _ - _ ~ - TOTAL DEDUCTIONS Ji~° BOARD _ - - _ _. BALANCE DUE / /h CA8N ` - --- -- --- - _ _ RECEIVED PAYMENT 191E ~~~~ ;~ ° TOTAL DEDUCTIONS ~ • . ., / i. ~j ~ ~~ jr ~ ~ :FOREMAN - - ~ . _ CHECK NO. _ /~ ~-~~ aC t~GL~ CONTRACT' NO. ~7 NUMBER ~ NAME -LOCATION ~ ~=~'U-~° FOR G ENDING{~'~~ 191 - DISTRIBUTION Of TIME 1 2 ~ 3 4 ! 5 i 6 7I 8 ' 9 10 111 I ~ 12 ~ 13114 15 18 11 8 9 ~ 0 ~ Q1 A ~3 j24 ;25 26 27 28 ~29 30 I ~31 ~ Total I Time I .Rate j°'Ma NT i o u ~ _ _ ~ I , 1 ~ ars ca tg - TOTAL TIME PER DAY. l ~ I ~ (_ ~ . D jb ~ '/ +~ i+ _ ~r77 .b f~ [~ _ ~ - pp a l~ ~~ I ~~7 1~ ~~ _ ~ i 1 ° ~~ IIJ;`7~~ I t~ ff /f ~ ~ ~ +~~'+ ~ i ~- ! ~ ~ ~~ ~~ ~ ~ ! I i ~ I ~ j p' p j ( i ~ i . i ' , + 1 ~ f l ~ ~ I j .~-.sc-- yR_ _. .- ~,.f®i:G L~-.-~-e,t-.&,E-1.~1~' I ~ 1 ~ I f i ~ . j. I I I ~ + j { I I I i ; I j ~ (i I I ~ V ~ U ~ i ". I ~ L~ /' ~ _ ~ I ~ ~ I (~f1 , ~ I jr^ kJ ` 1 i i4~ ~ / ~^e- ~I~ ; ! + I~ ( _._..- I ~ I ~ ~ I f; i ~ ~ I I i ~ ( ~ I~ I~ I l ~~ _ ~ ~ , ~ I I II i ~ i ' I , + I , , I i i 1 w ~ 1 i ~ ~ i II ~I I ~ ~ ' ~' ; ( f ' ~ ~ . 1 I ; j j I ~ i I ! I I~ ' ~ i i i ; i ! i j ; j ; ~ ! j I i i ! I + ~ ~ I i i f i j ~~ ~ ~ f f ~ I i j I I 'i i i.I ~ ~ , ~ j I l ~ j ~ I ~ ++ I I ~ + ~ I j I i! I ~~ i!' i I ~ I I I I I i ~ ~ I _ - I ~ ! j ~ { i i j ~ ; ;I ~ ~i .. I, i ~ i -I . ~ ;! I 1 , ~ ~ 1 . ll i' ! I I ~ ~ , f i I s ~ ~ ~ j I l , ' I- ~ I ~, ~ ~ 1, i~ ~ I 1 ~ ~ 1 ~ f i ! I - 1 i ~ ~ f i f ~ l lI l ~ i , ~ ! ~ ~ I l , i ~ i + ! ~, ~ I al ~~ t ll !_ ;ii '' ~ ~ ' i ; , ! I . f C 1 DEDUCTIONS_ - - - - AM OUNT TOTAL EARNED Q~ [,L HOSPITAL _ ~ . TOTAL~DEDUCTIONS. BOARD - _ ~- BALANCE DUE .. -- - _ CASH -` !. I RECEIVED PAYMENT 191_ - TOTAL DEDUCTIONS - - •' • _ ' ~ / 6' ~~. J,G.' E ~ C..•/ FOREMAN CHECK NO. CO.NTRA+CT NO. ~~7 LOCATION ,---. .~ NUMBER NAME FOR ._-- ENDING ~~~' b~-~ 191 DISTRIBUTION ~F TIME 1 2 3 4 , 5 ~ 6 7 8 ! 9 10 1 '12 13 4 h 15 16 17 8 9 0 1 2 3 4 X25 ~ 6 27 yQ 8 f ~~ ~ 90 { ~ Tatal Time Rate I AMO NT I Dollars Cents TOTAL TIME PER DAY ~ . i_ . .~ ~ 0 Ia .. ~0 0" Q _ : 7 I i~' ~? -- (~ ~ ~~ ~I~ ~ D 6 ~ ZY~ 3 00 ~'`yv O . I I I I ~ ` ~ d~~E`~ _ . _ ~ ~ ~~ ~ ~ I I _ I ~ I ~ ~ ~ ( ~ i ` ~ ~ ~ ~ fi' ',.~ _ ' I - ! ~ E ~ ~ 1 i ~ }, ~ I t ~ i ~ _ I I 1 ~ I i I I . ~ I ~ ~ I ~ I ! t ~ I C . ; , I ~ i l ~ i ~ ~ ~ ~ l I ~ ~ ~ ~ ~ , ~ ~ i I ~ I 1 I i I I . ~ l ~ ~ ~ , , i 4 ~ , ~ . ~~ ~ ~ ~ ~ I ~ ~ ~ ~ . , ~ I ~~ I ~ ~I I i ~ , ~ , r _ ~ ~ ~. ~ I i , I i r i ~ ( ( !! I ~ , I i ~ ~ i c ~ ' ~ i ~ I 4 ~ , , ~ DEDUCTIONS AM OUNT -rorwL EARNED ~~ ~~ HOSPITAL TOTALDEDUCTIONS BOARD "_ _ _ _- _ _ _ .. _ .. _ _~.. _ _ _ .BALANCE DUE I _I _. ~ ~ ~ CASH _ ~ ii -u - - RECEIVED PAYMENT 1gi_ ~- TO~-L DEDUCTIONS ~~ ~ ~ - _~l •~~ /'~/~~„~/~= (` FOREMAN ` ,~ CHECK CONTRACT NO~°~f ~~~ NUMBER LOCATION-{~_:~ ~. ~ NAME --~''~~''~"~~' ~ FOR sr ~ ~-- ENDFNC,~~~~y-~-~ ~ O 191 DISTRIBUTION OF TIME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 116 17 18 19 0 21 2 23 24125 28 21 28 29 30 131 Tim Rate I AM i Dollars OUNT Cents _ TOTAL TIME PER DAY J ' ~ e,., -~ ~' Y, ~; -, `~~' ? ~ ,: l~ y~ (7 (... jiff ~ f~ ~ U ~ ~~ ~ T~~ ~ '.° `~ `~ ~ , ~ -c~~c~T~ y/ / i / J _ G ~ ~ ~ ~ ~' ~t; x ` k ~ I I ? ~ a . ~`~ i 1C ) ' %r~ _• i i~ / / ~ y}~~ ~.,.~ ~~ / ~ I ,. ~^^ ~ ~ / F~ 1 1 ~ ~ ~ I ,;- ~' I ~ I 1 ~.~~ ( I 4L.. ~ ~ I ~ i ~ ~ i ~ ~ I I ~ ~ I . I ~ ~ I I ~ ~ I ~ ~ , ( ~~f 'II f I I~ ~I~ I~~ ~ ' ~! , ~ ~ I ~ I 1 ~ + ~ I ~ ~ ~ ' M ~ ~ I ~ I I ~ ~ . I ~ ~ I ~ i I 1 f ~ 1 I ~ i 1 ~ ~ it i ~ I ~I i ~ 1 I + ,~ i I I i i liil ~ ~ ~ ~ ~ ~ ~ I ' I l i i ' ~ I , i ~ ~ I t ~ ~ i ' _ I !!! I ! i ~ I ~ i ~'~ ~~ ( t I 1+ ~~~~i 'f j l ' _ ~ I i ~~ DEDUCTI O NS AM O UN T TOTAL E ARNED ~~ ~~~ I' -HOSPITAL TOTAL D EDUCTIO NS BOARD _ BA LANCE DUE ~ CASH _ - li i ~" RECEIVED PAYMENT 19 1_ TOTAL DEDUCTION8 h.~.~. !~d / ' •'V`~f`°~C~ '~~' ~~ FOREMAN CHECK NO. CONTRACT NO.,; y `~ NUMBER E ~'"" f~' .%/` .~f'„ ~-1 NAM ~/ ~~ ~ ~~ C FOR ' -c--t.- 1 ENDING ~ ~'v~-x-~' ,(~ ~ ~ d 191 DISTRIBUTION Of TIME ' ~ ~ >~ 1 1 ~ t 113 1 I 1 1 1 1> ~ 1920! 21I22~ 2~ 2 ' 4 2 I 2 21,•28 2 ~ 3 31 Tmae Rate I AMOUNT ll I O C t I ! { j ; ars en s s TOTAL TIME PER DAY - I I '-- f ~ ' ~ ' ~' - I I ' J~~~ `1 f`- ~'L~ ~(/ /~~ i I j I j i I I 1 ~ ~ i i ! I I ii I I i I ~ ~ ! ! f I ~ 1 jl I { i ~ ~ ! I i I j i I i ~~ I I I j~! I ' ' I~ {ii! i I I (~ I I!~ ~ I i { i I j ~ j; , ! (! i i j i I ~ ~ ~ , ! ~ I _ I I I ! ' 1 ~ l ! I i I i ' i~a ' ' ~ i I I I ~{ ' ( ' I I I I 1 I I I ! 1 I I i 1 i i I .~ ' i I ~ .. li '' i ~ ~ ! I I ! i I I IC I~ !I i ' I I { l 1 ! i l ! I I I !' i 1 ! i. ; ~~, I ;j~(~ I ~ ~ ' r ' I ' ! fl ! I( I I i~ 1_ ' I ~ I ~~ ~ I r I~ I! { ~1 I ;i i , i ~ ! i ~ I i , ! ~ { 1 I r ~ i I ! ~ I ~ I I ~ ! ~ I i~ ~i I I1 ii ! ~ I I I i i i! I i~ ~ r I ( I J ~~ I i ~ ! I I I `Ij i+i~i ! ~ ; j I { i i i iil~ i t ~ ~ { ~ I ~~ j , a I ! il;!I~ j 1' ~ I - ~ i l ~ I i l ~ ( ~ ~ ~ ~ {~ j ' ~ 1 I~ ~r ~I I I I ~ ~ r ~i ~~ ! ~ i ' ~ { l ~ I I I I ii ~l~ II ~ ~ I ~ ~i j~ I j I I l ~ ~a1~i l;~l~ ' ! '~ j r 1 ( f l ! ( '!I 1, ~' I I I I i I II I I i i DEDUCTIONS AM OUNT rorAL EARNED ~~'~ .~J l~I HOSPITAL ~ ~ ~ - ~ / . TOTAL DEDUCTIONS BOARD - BALANCE DUE ~ ~ I . CASH - - - I _ RECEIVED PAYMENT t91_ OTAL DEDUCTIONS - -' -, `/~ s ~. v f` ~ f t~~-• ~ ~ -~ ~ (~ FOREMAN CHECK NO. CONTRACT NO. ~~~ NLMBER NAME ~" ~` LOCATION r'7,~'~-'~^~'~.1 FOR c~ .-~ ENDING 191 DISTRIBUTION OF TIME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 0 1 2 3 24;25 26 121 28 29 30 31 ` Tatal Tiale Rate II~ li AMOUNT ~ Dollars Cents -TOTAL TIME _PER. DAY ~ q ! - aa 0 ' ~ ~ ~ ~ ~ ~ ~?j c~ 4 - j I~ ' L~' ~' ~~ ~f ) `9 G ~.f ~ ~ t_~ ~ ` ,`~' ~~a~ .r-v 1 - ~ ~ I I ' II ~ " I i ~ , ~ . ;" I , ~ I ~ ' ~ ~ - I , J r , i I ~ i I ~ ; - ~ I ~ 1 - ( ~ ~, ~ I ~ ~ ~ ! ~ ~ ~ ~ ~ ~ ~ 1 i ; I ~ l I I i ~ ` ~ ~ ; i I ~~ ~; ; ~ ' ~ , I . I ~ I I ~ i ~ ~ r f 1 DEDUCTIONS - AM ~~' OUNT rorAL EARNED ~~! -HOSPITAL i TOTAL DEDUCTIONS .BOARD - - _- BALANCE-DUE - CASH I RECEIVED PAYMENT 191_ TOTAL DEDUCTIONS Y /r,~' ~~ ~ ~ ~ FOREMAN CHECK CONTRACT NO. ~~"'/ ~.~ NUMBER LOCATION ~ ~~~~~C~.~f~ NAME " ' ~~ . ~~-~-°Y FOR ENDING 191 ^~ DISTRIBUTION OF TIME _ 1 2 3 4 5 6 7 8 _ 9 10 1 12 13 14 15 16 11 8 9 0 1 2 3 4 25 6 27 8 9 30 31 TOtal Time Rate ~ .4MOUNT~~ ~ ', Dollars Cents, TOTAL TIME PER DAP I ~ '~ ~ ~ ~ ~ ,B a q Q~ 7 ~t ~ 7 {r~ ~} ? ' - ~ ~ ~ ~ ~~~`~'' ~ i ~ I f J i I ~ I I I ~ ) i i ~ , I ~ j ~ ~ ~ i I o. ~ ~ j ~ ~ ~ i i i i ~ I ~ ~ ~ ~ i ~ , ~ 1 ~ ~ , ~ f ~ , ~ ~ I ~ i f ) l ~ i I , I ~ I ~ ~ i - ~ . , ~ ~ , i ~ ( I I i ~ , ( I ~ ~ - DEDUCTIONS AM OUNT TOTAL EARNED ~~y~? j. H08PITAL~ / - - ~ TOTAL DEDUCTIONS BOARD _ - _ _. _ _ BALANCE DUE - - CASH ~ ~ j~ i RECEIVED PAYMENIT 191_ TOTAL DEDUCTIONS ~L~~ ~ /~i~.J.:L F•-'6.-=„L~ if FOREMAN CHECK NO. CONTRACT NO. ~ ~ ~ NUMBER LOCATION C-~U~~ 1 NAME -'"~°~L~ ..,,~--~.--~-° FOR _ ENDING ~ 191 DISTRIBUTION OF TIME - _ 1 2 3 4 ~ 5 6 1 8 9 10 11 , 12 i3 14 15 16 I 17 18 9 0 f 2 3 24 i25 i 26 27 28 29 30 31 Total Time Rata I AMOUNT ~ Dollars Cents TOTAL ~t~R DAY i ~ I~ +o la l I i d d 0. O ~ ~/ i~ ~~~ ~j ~~ ~ ~,C~ ~ c~ ~ I . ~(a~ S ~r ~ ~<._.. ~~ . ( I , ~ I I ~ ! 1 ~ ~ ~ ~ I ( ~ ~ i I ~ I I ~ ! ~ ' ~, ~ . ~ - {{~ I I ~ I, ~ ~ ~ I ~ I i i fl I ~ ~ III I f I ~ , ~ I ~ , ~ , I n { ~ ~ ~ I I ~ , ~ II ' f I i , I ~ ! ~ I I ; ~ ~ I _ I 1 , , , I I , ~ I ! ~ { ~ ~ ! 1 , ' t 1 ~ l ; ~ i f , I I , ~ ~ , ~ ~ ~ ~ - l ~ ; I ; - ~ ~ ~ I I I - , ~ _ ~ ~ ; I ~ 1 < - ~ + ~ ~ , ~ _ ~ ~ ~ ~ I ( , I f ~ DEDUCTIONS AM OUNT TOTAL EARNED ~~ ~~ _ _ HOSPITAL _ I I ~ TOTAL DEDUCTIONS _ _ BOARD _ _ _ _ - _ _ + - BALANCE DUE I CASH 11 I i RECEIVED PAYMENT 191_ TOTAL DEDUCTIONS v - - ---~ s- ~ ---E96=1~ _ FOREMAN CHECK N CONTRACT NO. ~'"' ~ NUMBER LOCATION ~~~~[i _NAME ~" FOR ~ ENDING - 191 --- -- DISTRIBUTION OF TIME ~ 1 ~ 3 ~ 4 - - - 8 -- 9 - 1 - 11 - 1 I 1 14 ~ t 16 1 ~ 18 - 19 - 20 21 - 22 - 23 -- 24 _ 2 ~ 26 . 27 -I I 28 29 3 Tor-- 3 ~ Time ( Aate I .AMOUNT oonars Cents TOTAL PER DAY 8 ~ ; - g '0' ~ ~`• ~ t5 ~ d ~~ /1 .~{~ ~7 ~ _ _. ~ ~/ j ~ Q ~ j I ~`' C? --~ • 1 ~ < ~ . . ' ~ i I ~ ~ , ~I ~~ , i , ; ~ ,, ~, ` ~~, ~~~ l t ~ ~ ~ i • I I I i C i i i , I ~ ` ~ ~ ~ ! . ~ I i I - ; I ~ E ~ ~ ; , ~ ~ I ~ ~ i ~ I ~ ~ l ~ ~) I i! il ~~ ~ i ~ I , ~ _ ~ l ~ f ~ i 1 , ~ ~ 1 M ~ ~ ~ ~ ; f ' i , ~ i ~ ! ~ , I ~ ( ~ 1 I ~ i; , I~ I` l~ ~ 1, + I i ~ i , I ; , ! i l ;, ,~ ' I `' i ? (l ; ,~ I ~' ~ ~ ~ ' ( I I i ~ I 1 , ~ ~ . ~ ~ + i . - i ; l ~ i ~ I ~; ~ ~~ ~f i ~ I ~ ~ ~ ~ ~ , 1 I ~ i I ~ ~ l ~ ~~ li ~ ~ l ' i ' I .~ ~ I I~ << ~ ~ ~ i i DEDUCTIONS AM ~~ OUNT roTAL EARNED ~• 1~v " _ _ HOSPITAL _ TOTAL DEDUCTIONS _ _- _ _ _BOARD _ _ _ _ _ ~ _ ,, BALANCE DUE ( - . .... -,..: _ .. GASH. - j ~ it -' _ _ RECEIVED PAYMENT_ 191_ TOTAL DEDUCTIONS ~ ~ ~ _ ` - - ~-~~ ~~ , ~~ FOREMAN CFFECK NO. ~f ,` ~ t y CONTRACT NO. `"~ ~" NUMBER, NAME LOCATION ~~[~P.~rc~~ FOR ENDING -~~ o? ~ 191 DISTRIBUTION OF TIME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 11 18 9 0 1 2 3 24 i25 26 27 28 29 130 31 I TOtal Rate ~ AMOUNT Time ~ Dollars cents . TOTAL TIME PER DAY ~ _. ~ ~ - ~ ~ i ~ ~ ~ ~ ~ ~ ~ ; -~.~ G J~ ~'0~9 __ _ ~ i ~~ ~ ~' l I I I r f ~ I ` ! ' I ~ ~ I ~• ~.. ~ I ~ ~~ I ( ~ I I 1 ~ ~ y ' - ( - I . ' ~ ~ i ~ f l ~ I f ~ I i ( I ~ 1 I ~ ~ ~~ ~ ~ _ ii I 1 ~ i ; 1 ~ ' i i ! l~ ~ 1 1 . I I ~~ ~~~ ~ ~ ; iii j I I ~ , i I # ( I I ( I i i i i I , ' DEDUCTIONS AM OUNT rorAL EARNED ~ ~ U HOSPITAL , _ - _ - -TOTAL DEDUCTIONS ,_ BOARD_ ___ _ - BALANCE DUE ~I .. ~ - 1 ..,_ .._. CASH - - - 'I -. - ~~ _.. _ - . - -- . -- __ . _ - _ . _ : .. _ _ - _ RECEIVED PAYMENT 191_ TOTAL DEDUCTIONS ~ • • - _ '~ ss~~~ FOREMAN CHECK -e CONTRACT NO. ~~ ~ NUMBER LOCATION___~~~~u~r' ~-~~-E~ NAME • ~ ' FOR ENDING ~-191 DISTRIBUTION OF TRAE 1 2 3 4 5 6 1 8 9 10 11 12 13 14 15 16 17 18 9 0 I~1 2 3 24 X25 26 27 28 29 30 31 Rate AMOU Time DO C ~s iA I-TIME PER DAY - TO ~ ~`~/ ~ ~ I I i i I I I ( ~ I I I ~~ I ; ! ~ I f ; f I~) I ' ~ ~ ~( ~ ~ I I i i .; i ' i j ~ . ~ ~ ! ~ I ~ ' I ~ I I I ~ ~ I I ( I I i ( I I I l ~ " I I ~ I ~ ; I I ( j I . _ ~ ~ I I I I ~ - I ~ C ~ I i I I I ~ ~ 1 I M ~ j ~ j~ll i + ~'! ;;~ ~' I~ I I I I ~ I I ~ I I ~ I ~ j E i ; I ~ l~ ~ ~' I ~~ I I ~( i i j ~ I , i i ; ~ ~ ~ l i ' I • I i f I j I I ~ ~~ ;~ I I I4 I ~ ; ; ' I f I ~ ~ i ~ I I ~ ~ _ . _ DEDUCTIONS AM --- -. OUNT TOTAL EARNED f ~ ~~~ - HOSPITAL __ TOTAL DEDUCTIONS .. .. -..... _, BOARD -. -. -._ _ .. ... BALANCE DUE. i __ __CASH _ .. - - i 'I _ -- --. - ___ _ _ __ ___. 1 __. RECEIVED PAYMENT ~ 191- - TOTAL DEDUCTIONS / • • /J ~~~,/ ~ ~ ~ ~_ ~-~~ a~~ FOREMAN CHECK t CON'T~RACT NO. ~" ~ ~'` NUMBER LOCATION~~~"~-K-~t~C ~ NAME ~ ~~ ~''~' \.1~~ ~ ~-,J -,'~- .z ~/xl - " FOR /t~~Z,-r<`~•-~.~ TENDING ~°'" J a~-~ 191 DISTRIBUTION OF TINE 1 2 ' 3 ' 4~ 5 6~ l~ 8 { 9 I ~10 I ~111 ' 12I13~14 I '15 '16 11 18 9 0 I 1 X12 3l24~25~26 ~ ~ I '21I28{29 30 31 iatal ~ Time ~ Rate AMOUNT - ! ~ j { { I Dollars Cells i TOTAL TINE PER DAT ~ ~' i I ~ ~ i ! ~ i I _ ( ~ + ! ~ I ! ~ ~ i i ~ ("~~ u (p ~ I - . ` -emu-~~ /{~-~-~•t`~~~ ~ ' I ~ ~ ~ i i ~ ~ ~ I( i f i ~ I f ~ { ' I ~~ i ~ I ~ ~ ~ ~ f ~ f ~ l j j 1 ~ ! ~{ ; i I~i{ .~~, ~ I i I i ~ { ~ ~ ~ ~i~II i ~ ~ ! ~ ~~ I __ ~ I ~ { I I ~ I i 1 , ~ i ~ ; I I - ~ ;l + ~ i ; ~! ,~ '~ ~; ~~~ Ii, ; ~ ~ Lli {I~ , ~;' I ( ~ ~ ~ j ~ + ! i ~ ~ ~ ~li ~i i ~ ; ~ ~ i. ~ ~~{~ i~-~{ ~ ~ - i ; I i ~ ~ ~ ~ f i ~ ~ ~ { ; ~ i ,~i i {'l;li~~ iI ~ ~I~L~~{ ~ I I i i! i! j i~ ~~i.~ ~ ; !'j~j;~ ~I I~~i~; ~'' ~ ~~ ; ; { l i ( ; ~ i ~ ~ ~ I ~ I i ~ ~ ~ ~ ~ I ~ ; ~ , ~~ ~ IC ~I ~i I{ , ~ ~ ~ ~I~ ;,i~ I ~ i I ~ I ~ r ~ .~,~i ;.~i,I;I.{ ~il;;~~j ~ I I,,,;~I ( ~ ~ ; ~ ! ~ I DEDUCTIONS AM OUNT TOTAL EARNED ~ t_~ ~I HOSPITAL TOTAL DEDUCTIONS -_BOARD' BALANCE pUE II CASH, ~. i! RECEIVED PAYMENT 191_ TOTAL DEDUCTION8 ~ •' t ~ ~- ~~~ ~~''~ --FOREMAN CHECK NO. r, ~ L~ ~ CONTRACT NO. ~' f ~ NUMBER NAME f LOCATION ~~~(~ ~°'~~~ ~"~-~' FOR ~~~ ~~' ~ ~~`~ ENDING A~`~ <_i.. '-~`~ 191 Z ` ~-~--67Y~ DISTRIBUTION OF TIME 1 1 2 3 + 4j 5 Bi 1 I 8 9 j10 111 12113114 15 i16 ;17 I18 119 ~0 j41 ¢2 ~ 324 j25~26I21 28 29i30i3ti Time 1 Rate ii AMOUNT i , I ~ i ; I i; ; I Dollars Cents - TOTAL TINE_PER DAY _ ~ ~ ~ + i j 1 i I ~ _ - + ~ i I j I I I~' ' ~ 1 i ' , ~~ a: ~ J- ~ i~ C I ~~~a~~~ ~ I j i i ~ i I I I I . l f I i ~ i' r ! I ~ ~ j~ ~ I I 1 I ~ ' j i I I' ~ ~ i I I i 1 ' ~I j i 1 ~ i i I i ' l ' I + I 1 ~ ! i ~ 1 , ;1 I ; I 1 ;,'li fill; ; i~ I I+' i j I I _i I i ~ i I j I i i I I I ~ i!~ i i i 1 ~ ~ i , I i ~ i ~ I ; l ~ I , ' i ~ 1 ~ i i i ++ I I !I I ~ . i+ i I i 1 ~; I' I f ~ i l j. I i~ , + ~ ~ I 1 j ~ I i . I : I ~ ~ ~ ~ I ~ l ~~ i ji ' I . iil i ~ ,~~ ~ ( ~ ~ + ~ ~ I i ' 1 i i I I ~ , l t ~ i I ~ 1 j ! j f ~~ I +_ i ~ i i i i I l~-I i i; i' I i Ij~I~i'~ N ~I ;II,~ i I ~ ~ ii l,,i,i ~ I ~I i i ;I li~lI( Ii r i ;;~ I 1'~,, ~ i i i _ i ~ i I ; j I ~ j i ~~ I I 1i i I ~ j' ~ I i . 1 ( i! ~ i j l i ~'1 iIII l , _ ~ ; + ( I ; i I i ~ i i ~ 1 i l i l i i l I I 1 I i;~';;; ~~ ;I ~, 1 ~ j DEDUCTIONS AM _ OUNT TOTAL EARNED ~ D°"O HOSPITAL ~ 7 - TOTAL DEDUCTIONS BOARD - - BALANCE DUE (, - 1 " CA3N 1 '~ I: RECEIVED PAYMENT 191- TOTAL DEDUCTIONS ~ ~- - / ~ 7 ,/ ~~ "~ / -t/--'r~~ ~ FOREMAN - CHECK N ~~ ~ CONTRACT NO. ,~~ ~ NUMBER NAME -~ ~ i" --- ~°'" ~-~ 1 ~. ~ ,,~~'' ~ LOCATION > ` ~ ~~-~~-'~ FORy~~~~~-ENDING ~~ ._ ~19'1' DISTRIBUTION OF TIME ; 1 2 3 4 5 6, 11 81 6 ~ 11011 12;13114 15 16'17 I 18 119 k0 ~2t 2'23~24 ~ I ~25 26 21128129130 3t Tetal Time Rate Ii AMOUNT I , ~ - I ~~ Dollars Cents. TOTAL TIME PER DAY f f i I I I I ' ' ? r ~ ~ I ~ C) i~IQ ~ - ' rsj~ ~ (7 ~d ~ ~' ~ ~~T +.e'i C!` ~ `~ ~ O Q l~`G~"~4'-ui.."7".~~'q ~ Gl i ~ ~ i ~ I ~ ~ i {-- I '/~~~ ~ ~ I i~~ I I ~ I i ~ _ ~ 1 I' i i l ~ I ;~ . l ~ i d I.I ~I~ . ~il 1 I I l I ~ 1 ' II I ~ ~ I ~ ! - I I I ~~ I li ! I , 1 I( l i ~ f I I I III~~1 I , ~ I,li ' ~ ~ ~ I I ;il 1 I 1 j 1 i ! I l I r I,.I ~i ~ l j I ;. I I ~ ( 1 - I ~ • I - ~ i I ~ . l ! ~ ~ ~_ i ~ I I I ~ ; ) I ~, lI Il ;i I ~ i ~ i~ i i ~ l ~ I! I I ~ i i i i t ~ l ~i 1 ( ~ . ~~ ~~ I i ~ I ~ I i , ' ;~ ~ I '~ ~ I ~ I ~ l ~ ~ - I ~ I ~ ~ I ~ ~~ ; ~ i ~ I ~ ~ l~l, ,Il ,' I I) I i i I i i i I I I I I j i l i I I l i ~ ~ ' I ; I i I jl '~ ~ ; ~ I~ 1 I i j ~I I !~, ~ ~ ~, l i ~ , ~ ~ i I I ~ I -- ~ _ - - , . j I I I f ! ~ ~ I , ; ~ -, ; I I ~ I Ii ~ I ~ ~ I i ~~ i ~ ; ~ ii~ ~~ j j I I-I ;~ Al I l~ Il ;; ! i! I ~~~ l i ! !~ ~ i II I ~ ;'ITII ~~~1~I I, I ~ ~Iil I ~ I I i~liil ?~I ~I ! { l l I l l I ~ ~# i~~ i~l 11' I ,~ '~ fl, ~ + ! I i ~ I ; ~ ~ ( I t DEDUCTIONS AM OUNT TOTAL EARNED ~ ~"7 ~ HOSPITAL - TOTAL DEDUCTIONS ~ BOARD - - i I BALANCE DUE '~ " I _. ... CASH , I I, I F _ _ _ _ _ _ ._. _. RECEIVED PAYMENT 191_ _ ... _.. _ TOTAL DEDUCTlONB ~ - ~'r-"j~~~~~-1 ~~~ FOREMAN CHECK I i I I i ~ ~ ~ I i~~ I ~~' ,r' ~.. i , CONTRACT NO. ~' I ~1 I E I N - -~I 2% ( I ' ~ { I LOCATION FOR I ~ IlrlCp ~ -~t1 ~ 91 _ , DlSTRIBUAON OF iIME 1 S 4~ 5 j ~ 7 f 1 8 9 1 11 1 t~j14 1 16, 1~ 18 ~19 120 21 i22 ~23124 ~ ±2 26 21128;29 13 3~ Tatal Time , Rate,I i AM UNT ,~ I I Dollars Cents TOTAL TIME PER DAY ~ j ~. ! I I ~ ! i i I ( + "' I i ~ _I ~ ~ ~ {.-. ~ IUj ~ f '~I( I ( ~,GI i l.~.I I ~~ ~! I Q if~h~~IQ~ 1 ~CJ. { j L/f:,r ~ ( t1~~! ~-~hy li ;~.~,~..~ -~,~ I { ~ i i I I ` I , I Il j l . L. ~ i j,~,, ~"~ ~' ' l l ~ ; ii ~l { II l l I ;l~ ll~ j l ;; ~ ~ ~ l 1 i ~ j , i i 1 , l ~ . ~ ~ I ~ ~ I; i ; i j ! j ~} ;, I i I ~ I I C I ~; i ~~ ( ~ j ~, ! i ~j i ~ j l ~ j l i j, ~ ~ ~ ~ ~ , j ~ I i i ~ ~ l I i t l ~~ '~i I ~ ~ I I f - i f { { i ~1 ~ III i j- II~~ I; iji'; I ~i Iiijl 1~ I~Ili~j~~;~Iji~~ I j~ \ ! ~ I!!{~i~;~ll!ii ~lii~il ~ i!~ ~ (~ l Ii ; ~ ~: +~(,; - ~~~''~l! I,jji~ ~ it ~, ~- _ 1 ~I~~~ill ~lijII !~ jj j jjjll Ii(j ~~ I''~ ! I I I I C I ~ I I~ I I~ I ~ j ~~ I i i i I .i I I~ i t I I l i l I ~ i I ~~ 1 i I, i I l I i ~ i I I I l t l i ~' i (~' i ~ ~~~j Iji~ Ij~f~ I~~,ji~l{jl~l~ { J{1~~i~!~~ii ill;~~j~{,I~!II! I ~ l DEDUCTIONS AMOUNT , TorAL EARNED ~! ~ (i'~ - _ ~ o ~,l` HOSPITAL - TOTAL DEDUCTIONS - "- BOARD - - BALANCE DUE CASH ' RECEIVED PAYMENT 191_ TOTAL DEDUCTIONS ~ ~, ~l~ J ~ [ +~ ~ c~ ~~~~-a FOREMAN CHECK NO. :CONTRACT NO. NUMBER .~ ;LOCATION; , NAME ~ ,'~ FOR ENDING~.~r1~r~ l6 ~g~~ DISTRIBUTION OF TIME 1 2 3 41 5 6 1 ~ 8 9 1 t0 i11 12 13~t4 t5 16 11 18 19 0 21 2 ~23 24 25 26 27 28!29 130 31! Tetal Time Rate i AMOUPIT I I ~ i Dollars cuts y__ TOTAL TIME PER DAY ~~,' - I ~ i 1 I I ~ l C ' ; ~~ j, l ~ ~ l i ~ - ~ I ~ i I~ ~ - ~ , ~I ~~8 ~ i~ ~ l' I ~ ~ I ~ i i 1 ~ ~ I I ~ ~ I I I i ~ ~' I ' ~ ~ ~a (, ~I ll' I ~ i ~ ~ i ~ ~ l I ,,, ~ II I " i~ I a + ~ .~ il ~- ~ I ~' ~ ~~- I ~ j ;~~ a6 I. - I - ~ I ~ - - I ~ ; , ; ~ , ~ i I i I I ~ i ~ , ~ ~ j ~ ~ i ~ , i~ ~ , ~ ~ ~ ~ I ~ , I i ~ ~ ; ~ ~ I i l ~ ; ~ ~ ~, ~I ~ ~ - - ) I I I ~ , ~ i 1 i ~ i ~ ~ I ' ;~ 1 1 ~ I i ~ + I - + I ~ , l; ~~ ~ I i ~ I ~ ' i 1 i ~ l i ; i i l~ ;~ i~ I i ~I j i I I,, i i, ~~~ ,~ ;i •. ' i ~ i I ~ ~ ~ ~ ~ ~ 1 ~ ' I ti " I i 1 I ~ ( i' i ~ l ~ c .~ I i i i f I ~ , l ' i i ; + i r I ~ ~ ~ I f I I I I DEDUCTIONS ~ AM OUNT TOTAL EARNED ~ I d ~ ~ ~ ~ I HOSPITAL -". ~ ~ _ / ~ TOTAL DEDUCTIONS ~I BOARD 4 CASH. \ ~~ ~~ ,-__ _ I _ _ BALANCE DUE ~~ - I. `' / ~5 YMENT /~i'~ RECEIVED P ~ ~5~ . A 191 _ ' TOTAL DE UCTIONS ~ /~ -~ • / ~ 1/~/}~- ~~~ fff < ~ FOREMAN V CHECK NO. ~: CONTRACT NO, ~~ ~ NUMBER LOCATION ~ L~~. NAME /% " ~ ~~~-~~• FOR ENDING -<~1~~ ~~ 191 DISTRIBUTION OF TIME 1 2 3 4 ~ 5 B 7 8 9 10 11 12 13 14 15 16 17 8 9 0 1 ~2 3 4 25 26 21 28 B 30 31 TOtel Time ~ AMOUNT Rate i I I Dollars Cents - - j~_ TOIL TIM PER DAY ?~~G - ~ ( I I i ~ / 2 ~ o- •C~ J`d ~- ~.~ - 1 ~ ~ ~ I I ~ ~ ~ ~ , ~ ~ I ~ i i , ' ~ ~ ~ _ I ~ ~ ~ ' ~ ~ I • ~ ~ ~ , i t ~ i ~ { , ~ ~ ~ I ( ~ I ~ ~ , i , I ~ i . DEDUCTIONS AM '/ OUNT TorAL EARNED T ~~ HOSPITAL TOTAL DEDUCTIONS _. _ BOARD _ BALANCE DUE - CASH ~ ~ ~I . RECEIVED PAYMENT 191_ .TOTAL DEDUCTIONS - • . - %~%~r I~Z/ /~%~~~ FOREMAN CHECK N CONTRACT NO. ~ ~ NUMBER NAME ~-~,~~fs ,,~ "'~'__: FOR ENDING-~~!~ 19'1~~ DISTRIBUTION OF TIME 1 2 3 4 5 6 1 8 ' 9 110 11 12 13 14 15 16 11 18 19 0 21 2 23 24 26 28 21 28 29 30 31 Time Rate oon M cents TOTAL TIME PER tlAY ~~ ! I ~ ~ I I f f + I ~ ~ ~ ~ I I j I f ~ lp ~ _ ~~..... ~~~~ ~~ ~ ~ ~ 1 I i ,~ I , ~ ~ 1 , ~ 1 ~~ + , + ~ ~ ~ ~ , I _ _ M 1 ~ . ~ - f I ~ I 1 ~ I 1 ~ ~ I ~ _ ~ I I ~ ; + i I a f i ~ i I I ~ ~ ~ ~ ~ I ~ ( ~ ~ ~ ' ~ ! s I ~ i i ~ ~ ~ i ( ~ + ( ~ , I I - DEDUCTIONS AM OUNT TOTAL EARNED HOSPITAL _ _ TOTAL DEDUCTIONS BQARD BALANCE DUE- 1', .GASH - - I - ~ II ~ Ali RECEIVED PAYMENT 191_ .. TOTAL DEDUCTIONS ~5:~7~ "~1.! 5~~~~~-FOREMAN CHECK N CONTRACT NO.~~~ ~ _~ NUMBER- NAME ~' "'~.~•''`""'~ DISTRIBUTION OF TIME 1 2 5 4 5 6 7 8 9 0 1 12 13 4 5 h6 1 ~8 9 0 1 2 3 4 ~5 6 T 8 ~9 0 1 Tme Rate AMOU C i ,~ I 6o s _ ~~TIME,~P~ EA DA~V~ i''lyls. , I _ ~ ~ i ~ ~ ~ i r ~.= / J 1O' ~.r ~. ~`~ j ' { ~ i ~ 1 ~~ i I I ~ ~ I ( i i I ~ I i t ~ - 1 ~ ~ , ( ( i I I ~ ~ ~_ ~ l I i ~ ~ i i ~ ~ I s . I ~ ~ I ~ ~ ~ ~ I ~ ~ I ~ i I ~ ~ I I I ~ , I I l i ~ i i ~ I ~ 1 ' t f I E I ' i ~ , ~ I ~ ' ~ I ~~ I ~, . , i ~ ~ I. ~ I ~ I ,j l ~ I ~ ~ ~ ~ i ~ ~ + _~ i .DEDUCTIONS AM OUNT TOTAL EARNED HOSPITAL TOTAL DEDLCTIONS -BOARD BALANCE DUE CASH i Ij ~ R RECEIVED PAYMENT 191_ TOTAL DEDUCTIONS !~ `~~~~ /~A f ~i~s4'C_-. _ FOREMAN .. CHECK i CONTRACT NO. '~f7t' NUMBER NAME C ~'~°~ _ LOCATION e , G~r-~ FOR .ENDING ,i{L•~/ ~~ 191 DISTRIBUTION OF TIME 1 2 3 1 4 5 6 7 j 8 9 10 11 12 13 ,14 15 16 .17 18 t9 0 21 2 23 24 25 26 21 28 ~ 29 30 3t ~ TOtel Time Rate j AMOUNT Dollars cents TOTAi: TIME .PER DAY G I I ( I ~ j I ~ ~ ~ ~ ' ~ ~° I l.~ ( ~ O ~~~~~ , , I I ~ ; ' ~ ~ y l ~ ~s ,. ~ c~-r~~~ ~ j I ~ , I ~ ~ ~ I ~ ~ ~ ~ ~ , ~ ~ ! ~ ~ 1 ~ ~ ~ I j ! I ~ j ~ i ~ ~ ~ ~ 1 ~~ ~ i ~ j f I I . i ~ I ~ ~ - I, i ~ ~ j ri ( ~ - l ( l I , ~ I ! r ( I ~I ( ~ ~ I ' , , ~ I ~ I I ,, . I I ~ ) ~ ~ f ' , ` ~ I , ,1 I ~ I i ; ~ ~ ~ ~ I I i I ~ i f ; I ~ I , ~ ~ ( ~ : ~ ( ~ ! ~ ~ ~ ~ i I I ~ ~ ~ ( ( I ~ ~ I I ; I ~ ~ i ; I j ~ ( ~ I ; ( t ~ i l I j . ~ I ~ ~ ; ~ I ~ I I ~ ' ( j I, j + ! ~ I ~ I l I ~ f ~ i ~ j ~ i ~ ~ ~ ~ ~ ~ I l I ~ i ' - ' I i ( ~ ~ ~ f ~ l 1 ! ~ i ~ ' I , l , ' I ~ , ! ~ ~ j ! ~ i ~ ~ . ~ ~ I j ~ ~ ~ ~ I I I ~ I ~ f , ~ y( , ' i ~ ' I I ~ DEDUCTIONS AM OUNT TOTAL EARNED 2 a~ .HOSPITAL ~ ~j TOTAL DEDUCTIONS C3 ~°'~ _ BOARD _ "" ~~, _ BALANCE DUE I, ~~, ~~ CASH ii ~ ~~ _ ~ RECEIVED PAYMENT~~ t - - TOTAL DEDUCTIONS ' ti~~~ t" ~ • ~~~ i~,- ~...~ /(~,t, 1-`~' ~~; 1r"1~.` _ i -.~:7r%~~~~L~` r~ ~(/~~~~ FOREMAN' ~~ HACK NO. ., CONTRACT NO. y ~ ~ NUMBER NAME t-~`' /~~ ' /I~''.~~G~ LOCATION ~, C~G~-'CAL-- FOR ~ ENDING ~~1~~ L~~191~ ~ DISTRIBUTION OF TIME 1 2 3 4 5 6 1 8 8 10 11 12 13 14 95 16 17 18 19 0 21 2 23 24125 28 27 28 29 SO 31 Tet81 Time I AMOUNT Rete ~I -- Dollars Cents TOTAL TIME PER DAP -- -_ - _ f I I ~ I ~ ~ I (~ i i ~ O ~~ ~ ~ -_ ~ ~_ ~ I ~ ~ ~ , ,~ I ~ ~ ~I ~ i ~ ~ ; ~ ~ I I ! 1 i i : - f ~ ~ , 1 I ~ , ~ I ~. ~ ~ ! I I ~ I ; ~ ; ~ ~ ~ ,, I I ~ I I ~ I I I i I I I t i ~ ~ ~ ~ I I ~ ~ ~ I ~ I ~ ~ - ~ ~ ( i . 1 { ~ . . j + I , , I ~ ~ I ~ i , ~ ~ j i ~ I ~ ~ i i ~ I ~ i I i I 1 f ~ I I ~ I I , ~ ; ; I ` ~ , ~ . i ~ I ~ ~ i i i ~ I I I ~ 1 ; 4 ~ I ~ ~ ~ ~ ( 1 1 ' ~ , I , ~ I ~ i I { i I , i ~ I ~ ~ , ; , j ~ I ~ ~ ~ :I ~ ~ 1 ~I i ; 1 ; 1 i ~ I f ' , ~ I , I , ~ ~ I I I DEDUCTION$ i. . _ _ . A'M ~ OUNT~ TOTAL EARNED ~i Q O - - _. HOSPITAL . - -. - .. j_ `/ _ _ _ TOTAL DEDUCTIONS ` `]` -.. BOARD - . - BALANCE DUE I ~~~ ~~ ~ CASH - - ~ I I ..~ - 3 RECEIVED PAYMENT .a` f l~~i~_~ ~~ 191 r TOTAL DEDUCTIONS ~ ~ ~ ~ `~ /~~i ,~~~ f~~- 1~ "~ FOREMAN CHECK NO. CONTRACT. NO. `~~ NUMBER NAME 1~~""~/ ~s~'( ~~G~~'r/ LOCATION- -`~'~'~~ FOR i~~9~~ ENDING ~~d~ c3~ 191 DISTRIBUTION OF TIME t 2 3 4 5 6 7 8 9 10 111 i2! 18 14 15 l 118 ti 18 19 0 21 2 23 24 X25 26 27 28 I j29 30 TOtal 31 Ti Rete i AMOUN7 ~ me Dollars Cents TOTAL TIME PER DAY . ~ ~ l ( ~ { ~ Z ~ -- l~ ~ D 0 --- ~ ~ - ~ ~ t ~ j ~ ~ ~ , , , , ~ ~ : l ~ , f , i. ( i ; ~ ~ ~ ~ ~ ' I ~ f ~ ~ ' ~ I l ~ 1 ~ i ~- I ~ ~ .~ ~: ~ :~:: _.~~ ~ ~ l ~ . l , ~ ; ~ ~ ! I t i c I ~ t ~ ~ a ~ i l ~ ( s l ~ ~ i l ~ . , ~ l ~ { ; ~ ; 1 1 , , , ~ ~ ~ 1 ~ t - ~ ~ , ~ ,~ ,, ,~ t ~ , ~ ~ • ~ ~ y f ~ , ~ i , ~ f ~ ~ ~ ~ I ~ , ~~ s 1 } ~ I ~ ~ ~ ~ i ! 1 I ~ i . -) i ~ , i 1 I ( l ~ ' ~ ' ~ I I ' DEDUCTIONS AM OUNT - TOTAL EARNED ~.; ~' ~' HOSPITAL GF ~ :TOTAL DEDUCTIONS BOARD BALANCE DUE I ~ CASH 1 ~- ~ 1 RECEIVED PAYMENT ~'`~+J~~ ( 191_L ~ - - f ~ - -- ~ TOTAL DEDUCTIONS ~ y~~ y' ~'~ ff ~ `f ~ yJ- • • ~ a ~~ .~~ ~_~,~. f f ~(C_~~ // ~! / ~- - ~ ~L//l j~~~e~ ~ FOREMAN ~ CHECK NO._