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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ll ' <br /> COMPUTER/PERMIT# S9 <br /> SITUS/FACILITY ADDRESS: l�Z�r3 HZU1 {T7)Y I� J VCS <br /> DBA: �� L�1J8r5 <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: USS TYPE OF SERVICE: KO VYLIIV.CX <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> ST 2) HOUR, INCLUDING TRAVEL TIME. <br /> rs 5-1 Z-9 <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> 52y �J :oo-lo o /ni / ret •p/m <br /> 4. <br /> 6' I-� 1 'U.00- /D.' tVYWYc�bbn44sQ.5dp`bbwZ <br /> /' (O;OD- l0: �jb /,^•`. /ter. /t-r� lttl' <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 CRev 3/22/91) <br />