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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# �u- <br /> COMPUTER/PERMIT # -SP, "K 6p1 Z IU // _6/*8-`-7 1 y <br /> SITUS/FACII.ITY ADDRESS: <br /> DBA. — pa c i -�7[' c- <br /> �� l <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM 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 /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> �Tc <br /> �H- Appa, <br /> TA IO <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />