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Del Valle Co. 0
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For Labor done during the . 5
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(II
MONTH DAY TIME DESCRIPTION OF WORK DONE
2
3
4
5
· 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29 I
J
30
31 /
TOTAL
No. Days per day, amounting to
No. Days "ifi ~ / at $ 2- ~ per day, amounting to
Less
Less for
Amount due
Approved by Received Payment:
'l ~-
............................................................................................ Foreman c Sign I-I ere) .......................................................................................... .
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........................................................................................... Supt.
