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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 7y- M10 <br /> COMPUTF-R/PERmrr # IL V- & S nn <br /> SMJS/FACU-=ADDRESS: Eos C5• 7'�GiYrl�— r L5h( j////&)A <br /> DBA: Silver Ir/Cklj _ <br /> BILL TO: PHONE-- <br /> B9-LING <br /> HONE:BALING ADDRESS: <br /> C=iSTATE I l (J ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> rM MINIMUM TMM FOR EACH INSPECTION LS ONE (1) HOUR. ANY ADDMONAL INSPECTION TIME IS COMPUTED TO THE <br /> < < ) <br /> HOrNgLUDING TRAVEL TIME. <br /> Z- °/3 <br /> WEEIMAY WEEKNIGHT HOLIDAYS DESCRIP'ITON OF WORK REFS NAME <br /> 8AM- 43MM/ <br /> 0P -8A <br /> D 430PM WEEKENDS <br /> 2 $"93 'I r• .. PA t it' nil eui awe �0lee <br /> 3 '123 )aoo-I2:� Z - neao r <br /> U5-r; . <br /> 315-�� 9:30-(o:oa <br /> Z P r eu <br /> promor rn <br /> l ' • -.37- 2:3p evu <br /> dia�w (/nif LZ <br /> TOTALS <br /> BAUNCE DUE <br /> BILLING DATE: <br /> M!23 074 (Rev 3/22/91) <br />