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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# --� <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: _ 1Z7 N <br /> DBA I2'l/f4f ''I G,P <br /> BILL TO: _ -P&.'/*jp PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: STb���o�l / G� ZIP: "SZa� <br /> PROGRAM: 4013 .9D TYPE OF SERVICE: ,%$,AJ <br /> THE MINIMUM TINIE 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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> If <br /> �i:D02�3D GLDI` � i,1 <br /> 1 r 5' d S fi <br /> f.J.4 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />