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Del Valle Co. 0
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For Labor done durin g the Month of __ {th,_ ___ Za-; __ ~ ____ 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
20
21
22
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30
31
No. days
No. days
Less
Less for
Amount due
Approved by Received Payment:
______________ Foreman
______________ Supt.
