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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT Wt t <br /> COMPUTER/PERMIT # 1061 <br /> SITUS/FACILITYADDRESS: 815/ 9- C. larfer <br /> DBA: Mory oro-fems <br /> BILL TO: L'Tl s12 PHONE: 9'00-:9 59 -27W7 <br /> BILLING ADDRESS: x/33 N- Aiw&oek <br /> CITYiSTATE: �isGlit'. C'4 ZIP: 93,2q� <br /> PROGRAM: a6-s T- ;,'i 0-a TYPE OF SERVICE: C/noz P& 1—la-4 At 6tilDA &-, <br /> TELE MINIMUM TIME FOR EACH INSPECTION IS ONE Cl) HOUR, ANY ADDMONAL 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- 4:30P.M-3AbI/ <br /> SERVICE 4:30PNI WEEKENDS <br /> ,z 2' oa 3:3fl la, +Pv-ao /V <br /> 2 3:30-11'00 a ,;w /VS l <br /> Z 23 4 $ '`t 3J e /�4 d.c✓ U/C A T, <br /> ah p / -CU- S:ou /V <br /> 305 7:ov- ;O✓ r u< <br /> TOTAL/S/ 1 /7 <br /> BALANCE DUE. l Sy <br /> BILLING DATE <br /> EH 23 074 (Rev 3/91) / <br /> V <br />