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..s�' par b, <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # � 1 <br /> COMPUTER/PERMIT # /d 3 <br /> SITUS/FACILITY ADDRESS: lg�o <br /> DBA: J <br /> BILL TO: H42AA4;O l J PHONI00'QR)-5-?70e <br /> BILLING ADDRESS: S O .` f U. ( �� �t <br /> CITY/STATE: �� �� 7O� ZIP: <br /> PROGRAM: G .S f TYPE OF SERVICE: (/L� S IZGE'Xl/ CEJ <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> PawheU�e� v cam' e lq�d - s_ <br /> DATE WEEKDAY K� HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SA1✓1- 4:30 , AM/ <br /> SERVICE 4:30PNI N KEN <br /> f 0 1 QD <br /> If 00 pm— a l zd rAn i <br /> 1. 6 5 IL4 <br /> l o a 9a I (, S a n Y- 3h cSgc <br /> IDa(Q 9d la,so - . <br /> Soo � �• yr pl <br /> P * piny <br /> TOTALS , 5 <br /> BALkNCE DUE: <br /> MILLING llA'1'Ii: ■ S O � /b/y,' �f�QQ�� '�Q <br /> EH 23 074 (Rev 3/22/91) <br /> o �c77 <br /> 199 <br />