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I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # � `/ <br /> COMPUTER/PERMIT # ZO 7� ( fib <br /> SITUS/FAC[L[TY ADDRESS: <br /> DBA: JO1 T" (42411+1 <br /> �ff I?--1 K� �IZPiI� /� <br /> BILL TO: � / ! 12 ( 12/� , PHONE:y / 4v/5--3 <br /> BILLING ADDRESS: S EA4 &0 /n 1 64- <br /> C[TY/STATE: d <br /> -- II --� 7y Z7IP: L <br /> PROGRAM: S TYPE OF SERVICE: �LA !� l�l� i/�1SK gt1-T& P,7wI <br /> I <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 TRAVELLTIME, Q�/1$E5 f / <br /> Ctrl <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-SANT/ <br /> SERVICE 4:30PM WEEKENDS <br /> :3UWv <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />