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Del Valle Co. To ~~~ ~~;~ Dr.
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For Labor done during the Month of 192_ j
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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No. Days i)_, ll ··~ at $ 'v per dr1 y, amoun ting to S 1 TOTAL
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No. Days at $ per day. amou nting to
Less
Less for I
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Amount due I
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ApproYed by ReceiYed Payment:
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Foreman ( ign Here) .. ~.t~ _tc.,J-{ ..
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Supt.
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