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y _ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # -ZY _ <br /> COMPUTER/PERMIT # M ( fs� <br /> SITUS/FACILITY ADDRESS: <br /> DBA: S <br /> BILL TO: Ab ci <br /> (� PHONE: fll7 g70 a�aSS <br /> BILLING ADDRESS: X30 I X31 • c( f(T_/e, Ago <br /> CITY/STATE: Tx /p/ / 'ZIP: 76 <br /> PROGRAM: � � � TYPE OF SERVICE: If eb,-;Ct � OYLi J` � 4(6St- <br /> 3 �- / 5 /a - 65 <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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 430PM-SAM/ <br /> SERVICE 430PM WEEKENDS <br /> 9 3 $.30_ :3 A ei!=1 Sit� - <br /> 3 <br /> S . <br /> TOTALS <br /> BALkNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />