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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # pp � �+ 3�? <br /> SITUS/FACILITY ADDRESS: 37" 32, C R/ -4-(, � (SCAr(a <br /> DBA: — t+o � (/CA-N ,MI ?7P� <br /> BILL TO: eML.q PHONE:✓ <br /> BILLING ADDRESS: Z I S O '-A <br /> CITY/STATE: Ud&6�7L) L ZIP: �;2 S <br /> PROGRAM: � G :z TYPE OF SERVICE: <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. � R /I _ 2) <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SANI- 4:30PM-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> 06 <br /> TOTALS <br /> BAL\NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />