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Pir Oif and Land Co. C
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MONTH DAY TIME DESCRIPTION OF WORK DONE
I
1
2 I I I
3
' f
4 (
5 0
6 I • I
7 I
t I
8 I
9 I
10 I
11 I
12
13
14 I
15 I
16 I
17 f
18 I
19
20
7
21
22
23
24
25
26
27
28
29
30
31
TOTAL
No. Days
No. Days at$
Less
/1:J
Less for
Amount due
I I (_j
Approved by: Received Payment:
I I 6
__________ _____ _. oreman. (Sign Here) ___________ ____ _
_______________ ____._,upt.
