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Del Valle Co. C
iii
-i
~
ID
C:
-i
0
For Labor done during the Month of ........ ; ......... ........................ .19 ..... . z
(II
MONTH DAY TIME DESCRIPTION OF' WORK DON
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16 CJ'\
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
TOTAL
No. Days at $ per clay, amounting to
No. Days at $ per day, amounting to i----t---l----l·------'.----
Less /-er,- .J I
Jo
Less for 1----1-------1----
Amount due
Approved by Received Payment:
(Sign Here) ................ -:< ..... i .s ...................................................... .
............................................................................................ Foren1an
······•········································•···········································supt .
............... ............. ........................................ ...... .......................... ... . . . . . ... . ....... .. ... . . . ......... -· ...... -....................................................................................... ······-··· ......... -~ ...................... -~ .............................................. -·--........................ --........... ..
