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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT - <br /> CONIPUTERIPERNUT L�9/�EA/Z- <br /> SITUS/FACILITY ADDRESS: ZS4112 —TA1(1f)Vm-7i lk-IaAfoU <br /> DBA: 110 . G- Z— <br /> BILLTO: �TlXf 0.16— PHONE:(zc9)365-6(-75 <br /> BILLING ADDRESS: --- 7 <br /> CITYISCATE: L-OYD ZIP: <br /> PROGRAVL• Z3- Pi Z TYPE OF SERVICE: 41,16-7- IeC-lte4VI L - <br /> THE MINIMUM TIME FOR EACH INSPECITON 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 NA,NIE <br /> of SAM- 4:30PNi-3ANI/ <br /> SERVICE 4:30PIvf WEEKENDS <br /> 21 a Z;ou-z-aop� QRaO �� v �'kEuF-nl <br /> TOTALS <br /> 3ALA,`NCE DUE: <br /> CLING DATE: <br /> '3 074 (Rev 3/91) <br />