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DerValle Co. To Dr.
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lJ
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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
11
12
13
14
15
16
17
18
19 I I
20
21 I/
22 I
23
24
25
26 I I
27 I
28 I I
,,
29
30
31
at $ J TOTAL
No. Days per day, amounting to
o. Days \ per day, amountin g to
L ess for
Amou nt due J
Approved by Recei ved Payment:
!---------------Foreman
________________ ..,upt.
