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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # /� <br /> COMPUTER/PER.IIT <br /> SITUS/FACILITY ADDRESS: /56 SR S• f5l�lon I-leAd A <br /> DBA: 12e,rlc,Eso�`'J ✓cl/IhS <br /> BILLTO: SerVY-e PHONE: 9'/R- 61ZP <br /> BILLING ADDRESS: 07 3 <br /> CITYISTATE: 5 c�/40 C4 ZIP: <br /> PROGRANI: o� �J 00 TYPE OF SERVICE: %arlfL �r�r1o✓9 <br /> THE MINIMUM TfME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS CO?APUTED TO THE <br /> NEAREST HALF (1/2) HOUR INCLUDING TRAVEL TIME., <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> Of SAM- 4:30P.M-SAbU <br /> SERVICE 4:30PN4 WEEKENDS <br /> �f'3-9a1 - `3;Oo �irr Keviec✓ � 4�f�� � /v= <br /> Z <br /> 5-2 1T.3o-y rmw»� )/.�s t��fo �' <t b <br /> D a?-9-- <br /> i <br /> TOTALS <br /> BAL\NCE DUG <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />