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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTNG WORKSHEET <br /> UNIT 3 <br /> COL,VIPUTER/PE?.mr,r # /SSU <br /> SITUS/FACILITY ADDRESS: /600 GEJ , pcyLQ �Prvy /lc� <br /> DBA: _ Geos<,�� SCr✓. <br /> BILL TO: c 7'1. a h PHONE 30-7-2 -?F -2S-76 <br /> BILLING ADDRESS: /600_�y, <br /> CITYiSTATE: ZIP: 9 r 711 / G <br /> G/h�vracr., <br /> PROGRAM: /� s TYPE OFSE.RVICE: -s'C,;/ <br /> Trm, .WNLMUM Ma FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION MiE IS COMPUTED TO THE <br /> SF-%PEST HALT (1/2) HOUR, INCLUDING TRAVEL TME- <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NANfE <br /> of SAM- 430P.M-SAW <br /> SERVICE 430PNI WEEKENDS <br /> I <br /> 1 <br /> TOTALS <br /> ALUNCE DUE: ' <br /> ILUNG DATE <br />'-123 074 (Rev 3/91) <br />