Page 4 - delvalleco1919
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Del Valle Co. C
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For Labor done during the Month of... ............................................... , .......... 19 ........ . 0
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DAY TIME DESCRIPTION OF WORK DONE
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No. Days
No. Days
Less for
Amount due
Approved by Received Payment:
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............................................................................................ Foreman (Sign Here) .......................................................................................... .
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···························································································Supt.
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