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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> u�rrr# -3 �Glf�✓,Pos <br /> COMPUTER/PERMIT <br /> SITUS/FACMX Y ADDRESS: /a�/G E. !�u c(,.� 5-hI ck l-VA o9 <br /> DBA: �ne✓ on <br /> / <br /> BILI.TO: ��rJ�Q esu /til e s C�y'v i,-o�o+-vvt�a-� -Sfv✓�c P PHONE--- <br /> BILLING <br /> HONE:BILLING ADDRESS: <br /> CITY/STATE: Lt vevvn or? Ci9 21P' <br /> PROGRAM: t(G5T TYPE OF SERVICE: alanyi- Feu) <br /> THE MINIMUM MAE FOR EACH INSPECnON IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. p / <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NA.'AE <br /> SAM- 430PM-SAM/ <br /> 430PM WEEKENDS <br /> l0dgl5a a -qpm Gu ewa•P <br /> 6 9 0 s+�avuP� s W <br /> l - 3rdcgc;'o <br /> 9 5 9,9-1oA <br /> _cz <br /> 8' 9 Oi9- GoAs ccs�uvcts i/ <br /> co <br /> u n Sys is tcU, w/i.a�uf, <br /> - � a <br /> 1& 7, d wr <br /> Jr, <br /> �f /5 , Zs C/v ``s2viC�uv2 R en <br /> TOTALS Q <br /> BALANCE DUE 13.5 0- 12 1.5 X 7 S = I t <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) /' <br />