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Del Valle Co. To Dr. 0
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For Labor done durin g the Month of ~...:.. -- ~ 19\5- j 0
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MONTH DAY TIME DESCRIPTION OF WORK DONE
1
2
~ 3 I
'
4
5
6
7
8
9
10
11
12 I '
13
14
15
16 I
17
18
19
20
21
22
23
24
25
26
27
28 6'~
29
30
31
No. days at$ per day, amounting- to TOTAL
No. days at$ per day, amounting to
Less
Less for
Amount due
Approved by Received Payment:
Foreman (Sign here)
Supt.
J