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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT#� <br /> COMPUTER/PERMIT# A —7 p / <br /> SITUS/FACILITY ADDRESS: iZ y/� GOG�'.E l�al7+J <br /> BILL TO: . ew::5APHONE: 727 5113D <br /> BILLING ADDRESS: ��• l30X JrZ <br /> CITY/STATE: S O^�/G i bl�ol GLV ZIP: <br /> PROGRAM: �3• TYPE OF SERVICE: �AJIW /� �F✓f'/dliAG / <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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> U� v '' x/77lk <br /> g G[a :oo-N DD rfA nf,'✓,2�hcvA L >FatEti�lcr( <br /> i <br /> (fS qZ zys- =2o P , , 14 , T. � <br /> (l<6 BIZ :vo- lf,�v R �swRrFiw �� <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />