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Del Valle  Co.                      T o                                                          Dr.
                                                                                                                          0
                                                                                                                          Ul
                                                                                                                          -i
                                                                                                                          ;:o
                                                                                                                          ID
                                                                                                                          C
                                            F or Labor done during the  M onth of                                 192_    -i
                                                                                                                          0
                                                                                                                          z
                                                                                                                          Ul

           MONTH     DAY  TIME                               DESCRIPTION  OF WO R K  D O NE
                       1                             /1
                       2
                       ,.,
                                                                                                                          ,
                       ,)
                       4
                       5
                       6
                       7
                       8
                       9      0               I
                      10
                      11
                      12
                      13
                      14
                      15
                      16
                      17
                      18
                      19
                      20
                      21
                      22
                      23
                      24
                      25
                      26
                      27
                      28
                      29
                      30
                      31

                                                                                                              TOTAL
             No.  D ays                                at  $       per  d;:iy,  amou nting  to
               o.  Days_                               at  $       per  day,  amo unting  to                           --
                   L ess
                           e:e::.:::::  1
                   L ess  for
                   Amount  d ue



             Ap proYed  by                                         R eceiYed  P aym ent:

                                                            '
                                                          Foreman        (Sign  H ere)

                                                         Supt.
   3   4   5   6   7   8   9   10   11   12   13