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Del Valle Co. To . Dr.
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For Labor done during the Month of 192_ 0
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MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
3
-
4
5
6
7
8
9
10 I
11 I
12
13 .
14
15
16
17
I
18
19
20
21
22
23
24
25
26
27 I
28 .._ ,,... ., . .
29 '?" (<I~?~✓- i~ )l ·ce .~-
30 9 ,,
If
31 --c,
3 .' at$ J - per d;iy, amoun tin~ to ---1-10 TOTAL
No. Dals
No. Days at $ per day, amounting to I
Less
Less for
~ 06
Amount due
Approved by Received Payment:
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Foreman (Sign Here) -,
Supt.
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