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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # JIL <br /> COL[PUTER/PERNUT iA1eGy'iZZ Scr>EE /3!� <br /> SITUS/FAC[LITY ADDRESS: ZZh S- -AIV LDJD <br /> DBA: ?-A-a-fV45 PAI <br /> BILL TO: 5el�zZ4( A SIyG PHONE:&/6)L! G� 1Zi <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: �S, 2- <br /> PROGRAM: <br /> 2PROGRAM: TYPE OF SERVICE: <br /> TH'e MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION IIINEE IS COMPUTED TO THE <br /> NF-4AZST HALF" (1/2) HOUR, INCLUDING TRAVEL TIME. 4e�4 AG <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS N.A.ME <br /> Q SA?vL 450P:.M-SA.Nf/ <br /> SERVICE 4:30PA[ WEER=-NDS <br /> 66 <br /> �r- <br /> f rr4rv,e�'rt 7 , T EvEiJ,4— N A <br /> 711*'2./C7/ S:yO-Y' J I pNuv KFIQ6 6Lo,SY Ef2(L <br /> F.2+c'ti.FTbnIYGu�l2A[.6 2% I �JjtEvEN� I /J-� <br /> tir�rrE uP F��plp�nt(r� 7' E/Nr4-I N? <br /> 715161 /Off <br /> 7/11/-7/ 4:/v- 2:40 <br /> �EwEr�ZTne-epi�E Sn�•- <br /> �PL6v4"YNi- <br /> /y�q/ Z°70-3' Nu OcSc i�N bG soi�- G%�'E✓E6!/1/G <br /> / p I RElra wj aor�; a s T <br /> ?//O� /o:.�u�!/i� �E-ETr ,:�V Si•r i...yr Lc�QF ,f TOTALS <br /> BAL\NCE DUG <br /> BILLING D,\1'L: <br /> EH 23 074 (Rev 3/22/91) <br />