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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # �2 7 eaD <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY A1:DRESS: <br /> DBA: -7 �y �i <br /> BILL TO: VV�J7 2N /Vl�7�,C7 �1 C7. (�/G(�,-Hv G PHONE: / I - baola <br /> BILLING ADDRESS: �L / / - <br /> CITY/STATE: 5�//771,4<42- <br /> ��d,4< � �- y7 , ZIP:_ <br /> PROGRAM: UIlT TYPE OF SERVICE: ! G y/✓ /C�P�Y/�J / / ! ��� <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-8A" <br /> SERVICE 4:30PM WEEKENDS <br /> A?✓iu,� <br /> TOTALS <br /> BALvNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />