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Del Valle  Co.                      To_O~~~-__ _ Dr.                                                    2
                                                                                                                       (/)
                                                                                                                       -I
                                                                                                                       ::0
                                                                                                                       ID
                                                                                                 I                     -I
                                                                                                                       C
                                          For Labor done durin g the  Month of--'-&;-----. ~,__--==--=:...__,__ __   192   0
                                                                                                                       z
                                                                                                                       (/)
                                                                                      (/
         MONTH     DAY   TIME                               DESCRIPTION  OF WORK DONE
                    1
                    2
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                    5
                    6
                    7
                    8
                    9
                   10
                   11
                   12
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                   16
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                   18
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                   21
                   22
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                   27
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                   31

                                                                                                            TOTAL
         No. da  s                             at$
         No.  days                             at $
               Less
               Less for
                                          .
               Amount due



         Approved by                                             Received Payment:

                                                     Foreman          (Sign here)

                                                     Supt.
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