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Del Valle Co. iii
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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
30
31
TOTAL
No. Days at $ per day , am ou nting to
at dt I -
No-. Days 1P per day , amounting to
~,1-1--1-
Less
Less for
Amount due
App roved by R eceived Payment:
~-·-······················································································Forem an ( Sign Here ) ..... ¢..~.~Y .................................................................. .
. -···-····················································································Supt •
. . . .. . .... .. '4 . .. . ..... .. . -- .. _. . .... ...... - . .. ............ .. ............ .. ............................... .. . .. .............................. .. ...... .. .................. . ..... .. ...... . ....................................................................................................................... . ~ ....... .... .. ............. ........ ..... ............................................................................. .
