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Del Valle  Co.                      T o                                                          Dr.    0
                                                                                                                       (/)
                                                                                                                       -I
                                                                                                                       :::0
                                                                                                                       m
                                                                                                                       C
                                                                                                                       -I
                                         For Labor done durin g  the  Month of                                 192     0
                                                                                                                       z
                                                                                                                       (/)
        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
                   31
                                                                                                            TOTAL

        No. days                               at $                            to

              Less
              Less for

              Amount due
                                                                                                                     --

        Approved by                                              Received Payment:


                                                     Foreman         (Sign here)
                                                                      r:lfA
                                                     Supt.
                                             ,s\
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