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          Pir  Oil  and  Land  Co.                                     To                                       Dr.   0
                                                                                                                      iii
                                                                                                                      -4
                                                                                                                      :u
                                                                                                                      iii
                                                                                                                      C
                                                                                                                      -4
                                                      For Labor  done  during  the  Month  of                19_      0
                                                                                                                      z
                                                                                                                      (/1
          MONTH   DAV    TIME                                 DESCRIPTION  OF  WORK  DONE

                    1
                    2
                    3
                    4
                    5
                    6
                    7
                    8
                    9
                   10
                   11
                   12
                   13
                    14
                   15
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                   17
                   18
                   19
                    20
                    21
                    22
                    23
                    24
                    25
                    26
                    27
                    28
                    29
                    30
                    31
                     ,_
          No.  Days       7                               at$         per day,  amounting  to   I Ii'  f) t)   TOTAL
          No.  Days                                       at$         per day,  amounting to

                  Less
                  Less  for

                  Amount due

                          !}-f 6£,
          Approved by:                                       Received Payment :
                        /IPOd
                                                     oreman.            (Sign  Here)


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