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r ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT 4 3 <br /> COM'UTER/PERMIT # Zsa 3 <br /> SITUSrACILITY ADDRESS: 7 oa /n c!4 ski c� <br /> DBA: <br /> � <br /> BILL TO: �c bn 5�'✓u PHONE: J� <br /> BILLING ADDRESS: 15:2, /.TJX lc�b 6 <br /> C <br /> CITY/STATE: ZIP: <br /> G!!<�+quiu.� vt17 /sc <br /> PROGRAM: _ �a44lc 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 SAbI- 430PN1-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> 114 <br /> S/ !L <br /> I <br /> I <br /> TOTALS <br /> BAL\NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />