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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # 103 CP /10^ ' L <br /> SITUS/FACILITY ADDRESS: /O /DCS N. C Glued L{�i1 G� <br /> DBA: Ir <br /> BILL TO: 1� llll tr0 r 9 O PHONE: <br /> Y31 BILLING ADDRESS: /31 <br /> CITY/STATE: / y® B , C _ p ZIP: 3.�/ <br /> PROGRAM: yI ��✓ TYPE OF SERVICE: 14 <br /> / ��j_ <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTEL% THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> FgT4:30'PNl <br /> KDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> - 430PM-SAM/ <br /> WEEKENDS <br /> y a� �� :vs-/i�v� 3µ-• ria � �. <br /> 6r I <br /> TOTALS (( <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />