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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT#_ 3 <br /> CONIPUTERIPERMIT # <br /> SITUS/FACIL= ADDRESS: <br /> DBA <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: _G/o l S4 R5S,2o& <br /> CITYlSTATE: ZIP: 9Yd Y/ -036- <br /> PROGRAM: <br /> 0.35PROGRAM: TYPE OF SERVICE. <br /> i <br /> THE MINW M TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION T!ME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> of SAM- 4:30PM-SAW <br /> SERVICE 4:30PM WEEKENDS <br /> G� <br /> / ronin 4,% e,, -� / G <br /> //21/yU �A7 <br /> so, : <br /> TOTALS <br /> RAL\NCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/91) <br /> s <br />