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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT It <br /> COMPUTER/PERMIT # <br /> SITUS/FACILrrY ADDRESS: I d f9 S. 14 <br /> DBA: b?�Al�to 7�AN K & xn d- ka c 442r <br /> LA <br /> � Tau c-� <br /> BILL TO: _- Enyo fo / AILS K Ll Ne_ PHONE: <br /> BQ-LING ADDRESS: 16 76 Sea por 1 8 1 Vd . <br /> CITY/STATE: U/0 St S Q c r a Y►L( GtTn , C/4 ZIP: <br /> PROGRAM: 43, 3 d TYPE OF SERVICE: kl UJ S/ --e_ Gl S t !]J1 Shu PDQ 'a,ti <br /> r —rqA.)ic� . <br /> THE MINIMUM TRAE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TALE 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 /> 430PM WEEKENDS <br /> d3:56-1:31 0 part +^ee s + <br /> 1. 3 b"aI � . <br /> DPau.. ..�..r.� ��...i, se i-�.:.1 A <br /> K7 / `3 �. Io ;oo l. s �hi vTn <br /> Q3s-93 s .'3� -9'.00 <br /> -a - '3i0'oo -ii; oa D F`n <br /> TOTALS /, / '� <br /> BALANCE DUE: Y /�, <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />