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Del Valle Co. 0
iii
-i
2!
/ m
C
-i
0
For Labor done during the Month of... .................. ?: ................................. -19 ....... . z
I (II
MONTH DAY TIME DESCRIPTION OF WORK DONE
2
3
4
5
6
7
8
9
10
II
12
13
14
15
16
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19
20
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25
I
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27 I I I
28 I I I
29 J
30 I I I
31
No. Days J- per day, amounting to TOTAL
No. Days at $
Less
Less for
Amount due
Approved by Received Payment:
............................................................................................ Foreman ( Sign Here) ........ ~ "::.~ ........ \ .. ~ ... ~.~·············································
···························································································supt.
