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1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# -3 _CTi9A.)F/S <br /> COMPUTER/PERMIT <br /> SITUS/FACILITY ADDRESS: /5 3J' S 11 C C79 9��J <br /> DBA: _ u <br /> BILL TO: ��l r, c: > �c PHONE <br /> BILLING ADDRESS: <br /> CFN/STATE: /'I ZIP: <br /> PROGRAM: 1105%- TYPE OF SERVICE <br /> THE MINMTUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TLME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIP'T'ION OF WORK REHS NAME <br /> SAM- 4:30PM-8AM/ <br /> 4G0PM WEEKENDS <br /> 14 z--ino 5 S22Ski..w I'!✓[c <br /> TOTALS 5y7$ = <br /> BALANCE DUE �34 <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br /> � r <br />