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Del Valle Co. To ~ o Dr. 0
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For Labor done durin g the Month of 192 . 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
28
29
30
31
at$ TOTAL
No. days at $
Less
Less for
Amount due
Approved by Received Payment :
(Sign here)
