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bow � <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # :jlfi <br /> CObIPUTER/PERMIT # �C//� I f <br /> SITUSiFACILITY ADDRESS: iY /S� ��jt//✓��/c� <br /> DBA ��/�2til1V P• ccsD <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITYISTATE: ZIP: <br /> PROGRAM: 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 SA,NI- 4:.30PNI-SAW <br /> SERVICE 4:30PNI WEEKENDS <br /> `ll/ e/ /-�,�Ec �?-h �Fdi w• /,Ii#�1-,d , c%1�.1.' � /x/68 <br /> �Q -GtoS��' E• <br /> 4 /d=vtz,-/dam, TpErr <br /> // / q S i5 -8'24I Erv6c� <br /> a e:iti-�1. tv <br /> TOTALS <br /> BALANCE DUE: <br /> BILLLYG DATE <br /> EH 23 074 (Rev 3/91) <br />