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Del Valle Co. C
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For Labor done during the Month oL ......................................................... .19 ........ .. 0
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VI
MONTH DAY TIME 0~SCRIPTJON OF WORK DONE
2
3
4
s
6
7
8
9
JO
II
12
13
14
IS
16
17
18
19
20
21 ~
22
23
I
24 l (f
25
26
27 (
28
,,
29
30
31
TOTAL
No. Days
No. Days
Less
Less for
Amount due
Approved by Received Payment:
(Sign Here) ...................... ~ ... ?. .................................................. .
............................................................................................ Foreman
........................................................................................... Supt .
................................. '"; .............................................................................................................................................................................................................................................................................................................................................................................. .
