Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # . !/1 <br /> COMPUTE&TERMIT # Razoe 3 c 11 <br /> SITUS/FACILITY ADDRESS: 34 w c <br /> DBA: 0,�, I -,- <br /> BILL TO: n r2�1-r,, PHONE: <br /> BILLING ADDRESS: Po lanx lWk_5 Xy. <br /> CITY/STATE: 767 e"4 ZIP: %5 Z/3 <br /> PROGRAM: TYPE OF SERVICE: /(CihSGf^G>7�� <br /> THE MINIMUM TINE 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 SAM- 4:30PM-SA" <br /> SERVICE 4:30PM WEEKENDS <br /> -Z2- c c x e <br /> I <br /> TOTALS <br /> BALANCE DUE: ? J <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />