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%owl %Ol/ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> CONIPUTER/PER.MIT <br /> SITUS/FACILITY ADDRESS: i 2 07 S Aurorr, St. S-46--k4b" 64 <br /> DBA: J. C. Trf.ck,we <br /> BILL TO: V fSECLr Mt-ler serVlce PHONE: ZO7-9q? -6/Z-/ <br /> BILLING ADDRESS: 02'73 5 Teepee Dt'Ide <br /> CITY/STATE: S- oc_00,o CA ZIP: <br /> PROGRAM: 146-S; TYPEOFSERVICE: (46sT' CfostAM Platy Rwiew " <br /> THE MINIMUM TIME FOR EAC-i 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- 4:30PM-MMI <br /> SERVICE 4:30PM WEEKENDS <br /> ( / 7:3o- :Bre r.s am ., Awl" <br /> Peg <br /> oZ— <br /> p <br /> 4z /0 lf,4 r <br /> /7/97Z _ /» I S`�/e �Cve uncP/sit <br /> 219m- 3.0 �iHcJ� re�v�fKci/ <br /> TOTALS <br /> BALANCE DUE.- <br /> BILLING <br /> UE:BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br /> a/ `OK% I <br />