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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr 4# <br /> COMPUTER/PERMIT# S 013 7 /�V �o 0 <br /> SITUS/FACILITY ADDRESS: c� S r r u✓C! U S�� �, /a <br /> DBA. ,, <br /> BILL TO: . �2 ez-7 .(,� a PHONE- Cao 4)Lt&q-�37/ <br /> BILLING ADDRESS: TL.3 `� S. Y` p�I�7 0 <br /> CITY/STATE: �S7(J c rl 'SYtJ /7 ZIP: rj <br /> PROGRAM: �3 TYPE OF SERVICE: T r� Z<L. , <br /> THE MIIJIMUM 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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> � a <br /> TOTALS <br /> BALANCE DUE- <br /> BILLING <br /> UEBILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />