Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # -� <br /> COMPUTER/PERMIT # 1127 <br /> S[TUS/FACILLIIJTY ADDRESS: <br /> DBA: <br /> BILL TO: _ r—, r l 1? S-ho c/I cl, - PHON 7J2c/- G3.P/ <br /> BILLING ADDRESS: f C9 15 UX X066 <br /> CITY/STATE: (2'9 93a79 ZIP: <br /> PROGRAM: 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. <br /> DATEWEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS wc, ,9 <br /> CoAi <br /> `/b L//y <br /> i� h,fS I G.v A Aftaml Z,pa nT 1 <br /> 60 N <br /> Z 23- 9a I cCSSIn 1 �^ iV ) <br /> TOTALS �. <br /> BALANCE DUE: 3 �/ 7• S� C7 S 11�S) <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />