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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # jW <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: t <br /> DBA: �C yc" 7L'<_ <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: !l �.C � TYPE OF SERVICE: <br /> THE NUNM4UM 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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> d <br /> y, eM ' <br /> Rp,o ue ct OVA-L; 66y <br /> AAP <br /> met <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />