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Del Valle Co. T o Dr. Q
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For Labor done durin g the Month of 192 I 0
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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 (J
28
29
30
31
TOTAL
No. days
Less
Less for
Amount due
Approved by R ceived Payment:
Foreman (Sign here)
Supt.
