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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr# Q //u <br /> COMPUTWERMU # 5/ \ oD Z-Z- 9//,, <br /> SITUS/FACILITY ADDRESS: <br /> DBA: 'r <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> C7Y/STATE: /f ZIP' <br /> PROGRAM: V 5T TYPE OF SERVICE: l&—nnLa-+' <br /> THE NWjM TIME FOR EACH INSPECTION ES ONE (1) HOUR. ANY ADDITIONAL INSPECTION TAG: IS COMPUTED TO THE <br /> HALF (I)P4 HONCLUDING TRAVEL TIME. <br /> 2-2 44 Ll <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCR77ICN OF WORK RENS NAME <br /> 8AM- 430PM-SAM/ <br /> 430PM WEEKENDS <br /> r °a hcnad���r rQA�t (/ <br /> mn-vv <br /> •� <br /> q:ao-lo:30 <br /> 4:00 -5:00 <br /> �I <br /> Lo:aD IE-.o'D wr up ram,n...OL ca. P<p <br /> 3 -ID-94 ncw�� <br /> l•I:00- :2 evi;w�le�v`^e-P°f' $0 ,• <br /> _�-G�y }�CorrFr ac�o✓ <br /> 4.12 Sv.A IC CDG <br /> iD boo <br /> Ohb^.GN-`-4e L-6b ru.C-OG- <br /> S.Lz-94 <br /> q.00-q:ob <br /> q:oo-4:30 �tg•Lm ttV FaxaL N <br /> I--L---E--71 <br /> TOTALS <br /> BALANCE DUE: <br /> BILI-ING DATE: <br /> EH 23 074 (Rev 3/22/91) <br /> �� V <br />