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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# <br /> SITUS/FACIL= ADDRESS: <br /> DBA -i { <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECT70N IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE4RESI'HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 430PM-8AM/ <br /> 430PM WEIICENDS <br /> Fi le I`w u'( 77 -y 77-75_ <br /> l0 p. fill 0�4 <br /> TOTALS <br /> BALANCE DUE- <br /> BILLING <br /> UEBILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />