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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT ik 3 <br /> COMPUTERIPERVIIT 15s-0 <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: _ C� y T� i, PHONE 9 3 35 96 <br /> BILLING ADDRESS: <br /> C ITYiSTATE: ZIP: 9 S 7,6 <br /> PROGRANI: /� s TYPE OF SERVICE: S <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 TRAVEL TIME, <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-SA,W <br /> SERVICE 4:30PNI WEEKENDS <br /> 11 TOTALS <br /> 13AIANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />