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Del  Valle  Co.                                                                                        Q
                                                                                                                       (/)
                                                                                                                       -I
                                                                                                                       :::0
                                                                                                                       m
                                                                                                                       C
                                                                                                                       -I
                                          For Labor done durin g  the  Month of                                192     0
                                                                                                                       z
        -,I                                                                                                            en

         MONTH     DAY   TIME                               DESCRIPTION  OF WORK  DONE
                    1
                    2    ()
                        . r.
                    3
                    4
                    5
                    6
                    7
                    8
                    9
                   10
                   11                                           (
                   12
                   13
                   14
                   15
                   16
                   17
                   18
                   19
                   20
                   21
                   22
                   23                 l t'            +-
                   24
                   25
                   26
                   27
                   28
                   29
                   30
                   31

         No. days                                           per day, amountin  to                           TOTAL
         No. days                              at $

               Less
               Less for
          ...   Amount due



        Approved by                                              Received Payment:


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