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";AN JOAO(—IIN LOCAL HF=AE_.TH DISTkICI <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E . HAZELION AVE. , <br /> P 0 BOX ?—(.-)(o9, STOCKJON. CA 95201 <br /> BILL FOR SERVICES RENDERED <br /> I <br /> 'TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT ALLLICATION. <br /> SITUS AQDRESS:_ c�g _ �_ �� � Ctg PERM I T # <br /> f 7 20 9 i <br /> PILL TO: NAME <br /> ADDRESS <br /> CITY/STATE 0ZIP <br /> PROGRAM: <br /> DESCRIPTION OF SERVICE(S ) : <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF SAM-4 : .'C►PM 4 :7(_)PM-8AM <br /> SERVICE HRS WORKI.ED $7—�5/HR $52. 5(_)/HR X70/HR <br /> _ I <br /> XT <br /> TOTALS <br /> BALANCE IJUE: <br /> BILLING DAT E._—_-- ——__ -- —�PAYMENT IS TO BE RECEIVED WITHIN <br /> 'ti C► DF)YS FROM THF H I LI—I NG DATE . <br /> RLL URN ONE. COPV OF THIS BILL ALONG WITH PAYMENT , MAK:E. UHLCKS. PAYAF.{LE <br /> TO: SAN JOA01J_I N LOCAL HEALI H D I STR 1 L:T . <br /> f <br />