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Del Valle Co. To_------=-~ _________________ Dr. Q
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For Labor done durin g the Month of _____ -~ _____ 192_ o
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MONTH DAY TIME DESCRIPTION OF WORK DONE
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No. days TOTAL
No. days at $ _ per daz, amounting to
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Less for
Amount due ..
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Approved by Received Payment: . J 0
_ ____________ Foreman (Sign here) __ ~ ~,\ __ \_----!~} ____ ~., ~ ------1-
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_____________ Supt. > •
