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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> COMPUTER/PEPUMrr # <br /> Sr7US/FACII.ITY AS <br /> ADDRESS- <br /> DBA: sJyft L /c <br /> BILL TO: PHONE:- <br /> BILLING <br /> HONE:BILLING ADDRESS: <br /> CrMSTATE: ZlP: <br /> PROGRAM TYPE OF SERVICE: <br /> irE ,WNIDdUM TIla FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION MAE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TOME. <br /> WEEKDAY W MKZ IGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 430PM-$AM/ <br /> 430PM WEEKENDS <br /> �n IJ GI <br /> 2-30 w BfE t FtL� T'��-i <br /> l-( <br /> X0:00- /ro 0 G ^� �.� H//F'fbnl-M.Pv-&'ro •a« <br /> -�5- 13 a`'Oli:oo Eile"^ Ol w/Pr rz M<e< <br /> rhoh?ut(t s w IFr�� yxly <br /> 0 3: <br /> 25'013 I�:oo 12 3� tlt ten +rev"-. Ft& I I PYA,"w <br /> c&a PA i seu <br /> Z'110-0►3 I:T52'.15 mt rMttOv th' M <br /> . h V- <br /> I" <br /> Mw C4-k": fV&.n r I FrG� <br /> T:0i0� tr4•+.� �l 1nlfw <br /> Vf y:oe - OM w IM SSLh- V• rd <br /> 10:00-10:30 fr&AIL rav�rfln a erl"/ <br /> lPf1.,,rLlD ,+ DA4 <br /> TOTALS <br /> BAL NCE DUE. <br /> BILLING DATE- <br /> EH <br /> ATEEH 23 074 (Rev 3/22/91) <br /> q-&-a3 I:oo- S:Z-D Y�ntlt� <br /> 5,q-q3 lo:oo-roo wlrnyA �rn�a�lvm SVrr � �I fi b <br />