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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 1 <br /> COMPUTER/PERA4IT # 6"'Q / 1 / <br /> SITUS/FACILITY ADDRESS: I Y 13 <br /> DBA: PitC l —1-/ c— � <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: . 3. - TYPE OF SERVICE: <br /> THE MINIMUM T N[E 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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS N.4"ME <br /> of SAM. 4:30PM•SA:NI/ <br /> SERVICE 4:30FM WEEKENDS <br /> 3: 3c Llov <br /> 3o -Y%3o re Pu1J n5F Cw <br /> JD10'.Dc - I ecee .2 n s <br /> TOTALS <br /> BAL\NCE DUE: <br /> BILLING DXI'E; <br /> EH 23 074 (Rev 3/22/91) <br />