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Del Valle Co. To Dr. C
in
-i
::u
m
C
For Labor done during the Month of 192 j
0
z
(I)
MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
~
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. amounting to
o. Days at $ per day. amountin g to
--
Less
L ess for
Amount due
Approved by Received Payment:
_______________ Foreman
________________ ....,upt.
