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Del Valle  Co.                      T o                                                         Dr.    0
                                                                                                                       (I)
                                                                                                                       -i
                                                                                                                       ::0
                                                                                                                       [II
                                                                                                                       C
                                                                                                                        -i
                                          For Labor done durin g  the  Month of                                192      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
                   31

                                                                                                            TOTAL

         No.  days                             at $
               Less
               Less for

               Amount due



         Approved by                                             Received Payment:

                                                     Foreman          (Sign here)

                                         I/    I     Supt.
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