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Del Valle Co. 0
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For Labor done during the Month of 0
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MONTH DAY 1:I ME DESCRIPTION OF WORK DONE
1
2
3
4
5
6
7
8
9
10
11
I
12
I
13
14
15
16
17
18
19
20
21
22
23
24
25 q
26 9
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27
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28 _,
29 '"t ' ,,
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I 30 9
I 31
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No. days at$ II. i,. I per day, amounting- to TOTAL
No. days at $ per ·day, amounting to
Less
I Less for
I
Amount due
Approved by Received Payment: ~ ,-,,-
_________ _____ Foreman (Sign here) {,tt..N\.~ ~ ) Q~
__________ ____ Supt.
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