Laserfiche WebLink
M <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 1 <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> B[LL TO: T i % C©. PHONE: <br /> BILLING ADDRESS: • Q /10 �fSGj9 <br /> C[TY/STATE: - -;It � W'� --- ZIP: <br /> PROGRAM: �. Z/�--- 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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME �� <br /> of SAM- 4:30PIVI-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> 72.5 <br /> cv <br /> i <br /> 1 <br /> I <br /> TOTALS <br /> IMLANCE DUE: 2•�X�S. ^ lg S __-- <br /> BILLING <br /> EH 23 074 (Rev 3/22/91) <br />