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De Valle Co. To Dr. 0
CJ)
-i
~
m
C
For Labor done during the Mo11th of 192 -i
0
z
CJ)
MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
~
'I
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 _iJ<- II
:::v V \ •I -
I o. Days at $ per day, amountin g to TOTAL
No. Days at $ per day. amounting to
L ess
I~ess for
I I~ -
Amount due
A ppro\'ed by ~ Recei ved Payment:
)
Foreman (Si gn H ere)
Supt.
