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Del Valle Co. To ~v Dr.
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For Labor done during the Month of 192_ -I
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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14
15 n I
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17 l .
18 ,,
19
20
21
22
23
24
25
26
27
28
29
30
31
N o. Da1s \ ~ ~ at $ ~ 2er day, amounting to ~i O(J TOTAL
No. Days 'c\ ~ ~;(.;, ~L_\'t_ &-~~' ~~ at $ ~ 2er day, amountin g to J I ~
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Less
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Amount due I
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Appro\·ed by Recei\·ed Payment: - ,,,,.--,-
. <i!J\ 1
Foreman (Si gn Here) .
Supt.
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