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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT#-;VT /nvo,cr3s(ob' <br /> 5,P */ 000sro9 <br /> COMPUTER/PERMTf# PR Soi5o3 <br /> SITUS/FACLITY ADDRESS: YD N• ate G�vrn�a F Sfvc�C�� 09 <br /> DBA: <br /> BILL TO: pr< rr uv 14U /h c, PHONE S-10-5-77 dSOO <br /> BILLING ADDRESS: 7� U <br /> CITY/STATE C11 ZIP: <br /> ' elvSU.c.o/olan K +'���a-e <br /> PROGRAM: a 5T TYPE OF SERVICE <br /> THE M r2AUM TIIwM FOR EACH MPECfION IS ONE Cl) HOUR, ANY ADDITIONAL INSPECTION Tmm LS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR,INCLUDING TRAVEL TAE <br /> vz1 <br /> WEEKDAY WG IGHT HOLIDAYS DESCRIP'T'ION OF WORK RENS NAMZ <br /> 8A,M- 430PM-SAM/ <br /> 4 4:30PM WEEKENDS <br /> 1 <br /> o/93 3PM-330 <br /> fl`/y193 Pm- YPm L /'14•� ��cw i�� .� h; <br /> S' !� 3 9'•to-Q:ate. Rip�o-rc r�� ,C,78 <br /> 11"00 0;3 S , LT l3 <br /> 0 <br /> TOTALS <br /> BALANCE DUE: <br /> BUIING DATE <br /> EH 23 074 CRev 3/2'91) <br />