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r <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 S �R�o ' dsBL <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: 7-11 5 Awy S/rx/c/Z,-, �/9 <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: 35d 1oee-v <br /> CITY/STATE: /L)c u 04 ZIP: -vs ,T-k <br /> PROGRAM: G/G TYPE OF SERVICE <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL 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 /> 430PM WEEKENDS <br /> d <br /> All <br /> All <br /> 111214 ,- /,f0 z tf <br /> 3 <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE- <br /> EH <br /> ATEEH 23 074 (Rev 3/22/91) <br />