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y <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 0-1 <br /> ACCOUNTING WORKSHEET <br /> UNIT # � <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITYADDRESS: G 1- <br /> Al, <br /> DBA: / z,,4 ke(v" y/ a4 <br /> BILL TO: b 4-k) A-HL,jy !j / <br /> PHONE: c <br /> S Z0 S-- <br /> BILLING <br /> ADDRESS: ' 3 1 S ch-z--� <br /> CITY/STATE: / IS�W" ZIP: <br /> PROGRAM: U Gj j TYPE OF SERVICE: <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 8AM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> y � G <br /> TOTALS <br /> BALANCE DUE: / <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />