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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # _ <br /> COMPUTER/PERMIT # !955" <br /> SITUS/FACLLITY ADDRESS: Tec a/s oh <br /> DBA: 60is <br /> SGL( � ' <br /> BILL TO: /fin_ 35 G_ slvh PHONE: <br /> BILLING ADDRESS: <br /> CITYISTATE: / F_ z�� lrr , 09 ZIP: <br /> PROGRAM: W6?u�;/3 TYPE OFSEAVICE <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- 430PM-8AM/ <br /> SERVICE 430PM WEEKENDS <br /> Y//1/9/ evro.J <br /> '/1/71! ?.4NG,QFftovA4 �J.4EvFN�— <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/91) <br />