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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> / Q /006 <br /> COMPUTER/PERMIT # STOC//k�jF7U � 1 " <br /> SITUS/FACILITY ADDRESS: C9 gD3 �� P�CLLynLOVL L/� ��Q C1L.� jjck-� <br /> DBA o� !%(O�^ - ((/Y1G'GOaS� llTlll r(X// ri n/(1. PU/ /s44; <br /> BILL TO: � A/Yh/ Jahn PHONE:: <br /> BILLING ADDRESS: kf• 3/--I- <br /> CITY/STATE: 5fDctw, 0 ZIP: <br /> PROGRAM: V / <br /> TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION T'Ra IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL.TIME. <br /> 3. 0 hla--A� 9—//-9 z <br /> �E WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS �T <br /> 9-16gZ Wvt v► <br /> -P5to; <br /> f0 J Ci 2 /O 4u ^k e "vC'(11 <br /> J7i S/kS <br /> me'I.'�'�iZ g:oo3:9ti ��ZBIL'- hnte .4 q' 6 <br /> :oo - evitw cos • iseu // <br /> 1l.li K Unfl- V%l- ftk 4ov�f V/0 <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />