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.f <br /> 1. . <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITYADDRESS: 1960 N <br /> DBA: Sf,, <br /> BILL TO: �IYYG,I�� /L�LG � / I//TT f s�C. PHONE: �aO9)�d5-576Y <br /> BILLING ADDRESS: .605 /y • C� sIA(L7p Lam, <br /> /— <br /> CITY/STATE: f . V,ai , C14 9 3 7Q ,i ZIP: <br /> PROGRAM: CSI eS 5r TYPE OF SERVICE: / ,-t4 -j&� 4-Yl <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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3Ab1- 430PM-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> r�z,'35 <br /> �O 1 6 1 : DOPwI / Q Lh �7Cf Gyi� <br /> /s ?d S /�-,e Ct;aVI <br /> 1 C 5 Vii, I az/ <br /> -4114YeF <br /> G :rFs <br /> 1 - <br /> 1 9D ' 00 - a i <br /> TOTALS <br /> BALkNCE DUE: I 70?,Tr <br /> BILLING DATE: `� 7 <br /> EH 23 074 (Rev 3/22/91) J <br /> I <br />