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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# TT�r- c(a),�j (07 � <br /> S p /c� a� 4L� <br /> COMPUTER/PERMIT # \ f4JIIG'�v���-r--y q <br /> SITUS/FACILITY ADDRESS: 3 S -35 '2�. <br /> DBA: �7L L)L /Z� t/.i° k <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: 7� ZIP: <br /> A <br /> PROGRAM: -�3, TYPE OF SERVICE: _l Clt 4-P ell <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TAS IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TAME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> 0-;3 0 c <br /> !o_ILL <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />