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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 -Tw2a-)a. .]SSZ <br /> COMPUTER/PERMIT# ()OQ'MSI/0 <br /> SITUS/FACILITY ADDRESS: /0 b"rd �000Pi7o�0�013 leaf S�ckfr�n <br /> BILL TO: . Gne7 _ /�1�, SP[trn, ?� PHONE: AW-Y6Y- 77110 <br /> BILLING ADDRESS: <br /> � <br /> CITY/STATE: ZIP: <br /> u6r� crw y�vuK w <br /> PROGRAM: TYPE OF SL•RVICE: �`rzS,iw p <br /> /oe olG.rrFeyiC�J c�t,2e�f 4P�cc9 <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 /> 3�(0! <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> $Are KVtC� .iGnrs6 <br /> 9 //A Fe CPS" N/ <br /> I <br /> I <br /> TOTALS <br /> BALINCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />