Del Valle Co. Q
(I)
-I
::0
ID
C
-I
0
z
(I)
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
23
24
25
26
27
28
29
30
, amountin TOTAL
No. days
Less
Less for
Amount due
Approved by Received Payment:
______________ Foreman
______________ Supt.