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De Valle Co. To Dr. 0
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-p ~
[D
C
For Labor done during the Month of 192 -f
0
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MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
,,
,)
4
5
6
7
8
9
10
11 I ~ ,
12
B
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
No. Days at $ per day. amounting to
--
L ess
Less for
Amount due
Approyed by R eceived Payment:
_______________ Supt.
