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L <br /> ENVIRONMENTAL HEALTH DIVISION I <br /> ACCOUNTING WORKSHEET <br /> UNIT # /M7— <br /> COMPUIER/PERMIT # AOW� <br /> SCPUS/FACILITY .ADDRESS: rpri+a n a_ ArjyeZ a-t <br /> DBA: w6n <br /> BILL TO: Q PHONE: <br /> T-71 08 <br /> BILLING ADDRESS: FV. ,&A. gdn rZs:� <br /> CITY/STATE: I�)CG� V ZIP: g51410 <br /> PROGRAM: V J TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH 4YSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST ( /2) H R, INCLING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NANIE w� <br /> of SAM- 4:30PM-SA"Ml <br /> SERVICE 4:30PM WEEKENDS <br /> is q7 1:102,,3D , ev� o <br /> 3 Z 10 300 IL✓ WiifcWpr�ncr� YGcirFah. (1lb�Q ' <br /> !/G� �t �n cavae I�N�C <br /> I <br /> I <br /> TOTALS <br /> BAL\NCE DUL: <br /> IIILLING DATE: �jy/ <br /> EH 23 074 (Rev 3/22/91) ✓ ���',~Ma– <br /> �'0 <br />