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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # \ <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: o � ��T D S• L J r �YVI l,[l <br /> COMPUTER/PERMIT <br /> BILL TO: / Gfi f^C : PHO 0161 79- 714 <br /> BILLING ADDRESS. <br /> CITY/STATE: �(�GNy �? CR [y ZIP:-7 <br /> PROGRAM: 2.3 r TYPE OF SERVICE: / ( - # ` <br /> THE NIINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION Tmm S COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TZ E. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> Rcvi " <br /> /:3o-a goo on Sr re W�u <br /> 77 <br /> TOTALS O ,r. --re <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />