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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> comPVTEjPERMrr# l� <br /> DRESS: <br /> S ITUS/FACILITY AD \ <br /> DBA: Imo- �ar YC.r <br /> S3 <br /> PHONE: <br /> BILL TO: c <br /> BILLING ADDRESS: L c <br /> Z,IP• <br /> CITYISTATE: LA j*e&4 <br /> PROGRAM: <br /> �?j [� TYPE OF SERVICE: 'r' <br /> THE NMIIIVIUM TMM FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TMM IS COMPUTED TO THE <br /> i�1EAREST HALF (1/2) HOUR,INCLUDING TRAVEL, r g <br /> A <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> SAM- 430PM4" <br /> 430PM WEEKENDS <br /> �- <br /> "Yo <br /> TOTALS <br /> BALANCE DUE: Zs -O D <br /> BILLING DATE: <br /> EH 23 074 (REV 3/22/91) <br />