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swo <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 17T 5 <br /> COMPUTER/PERMIT # 1 ' S� � <br /> SITUS/FAC/I,LITY ADDRESS: <br /> DBA: �ItJYh��Y�IQ/K <br /> BILLTO: 7 -. C//�yYL(�i �(/ `L1lQ�j�1 _ PHONE: <br /> BILLING ADDRESS: <br /> P. nT ox � g zg8i <br /> , / / _ n <br /> CITY/STATE: elt) <br /> l +4 Q ZIP: <br /> PROGRAM: U 5-T TYPE OF SERVICE: /C�w <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 PAVEL TIME. <br /> W <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3AM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 8 9 9 '°z o0 10 <br /> In a r <br /> R 9 3.30 O l 4Eb <br /> V1,&o rG50 .ult6z5 <br /> Pk&LAL/a Y- <br /> Ef&0-AL (V-r <br /> d- <br /> �o <br /> 3 Z:Gb3 ,3o cna a�aa u- 94vt t1l6gO <br /> I <br /> R 17�23� <br /> Flew bill J'' <br /> TOTALS <br /> BAL1NCE DUE: n <br /> BILLING DA"1'E: <br /> EH 23 074 (Rev 3/22/91) <br /> �� V <br />