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Del Valle Co. T o Dr. (I)
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::0
m
C
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192_J
F or Labor done durin g the Month of ~ 0
' c/ . (I)
z
. I
MONTH DAY TIME DESCRIPTION OF WORK DONE
I
1
2
3 I
4 I
I 5
6
7
8
9
10
11
12
13
14
15
I 16
r 17
18
19
20
21
22
23
24
25
26 i
27 fl
28 9
I
29 ~~-
I 30
31
I
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No. days Lt- at$ ti\ 2er day, amounting- to TOTAL
u
No. days at $ per day, amounting to
Less
Less for
I
Amount due j
Approved by Received Payment:
\ - \'.
\. Foreman (Sign here)
Supt.