Laserfiche WebLink
t <br /> ENVIRONyfENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> CO,14PUTER(PER4I17 # <br /> Sti JSiF, ACIL= ?ADDRESS: <br /> DBA: Z=4 zg� Lc) 1 c3 r�S <br /> BILL TO: z�?�3fc 6 <br /> BILLING ADDRESS: /`"• Q /30X /z>!!57/7 <br /> CIT YIST,-t%TE: z 4e-- ZIP: <br /> PROGRAM: �� � TYPE OF SERVICE: <br /> T:. MINIMUM TIME FOR. E-%C:I riNSPEC-noN IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TI E. IS CO'N(PUTED TO T'r-.r-= <br /> iiE�.4 ST I?�L? (1/2) HOUR, INCLUDING TRAVEL TUVE. <br /> DATI E WE-=KDAY WE'-7T.-'-NIGHT HOLIDAYS DESCRIPTION OF WORK RENS NA.MF- <br /> of SAM- 4:30P.I-sr',Nt/ <br /> SER VICF. 4:30PN-( %V-=EKE-NDS i <br /> N <br /> FO--TATS <br /> B,�L�NCL' DUEL i <br /> 1ZILLING Dl,k'rE: <br /> F.H 23 074 (Rev 3/22/91) <br />