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0 0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # _ <br /> COMPUTER/PERMIT# <br /> SITUS/FACa= ADDRESS: I L H !I D <br /> DBA <br /> BILI.TO: i � PHONE�3r�'J 7�/2-"�1Ci <br /> BILLING ADDRESS: ��/pU, <br /> CITY/STATE: IN/ i {Ly /LCtlh [/Y ZIP: <br /> ,rJ Zv <br /> PROGRAM: ' TYPE OFSERVICE <br /> THE NUNMIUM TINIE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIINE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TUa- <br /> WEEKDAY WE KOM9GHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 430PM WEEKENDS !off <br /> R (� cr3 <br /> q3 I.o dwv (J(1uofP 7S� v' <br /> 7f- 173 u . <br /> Kms' 2 qqo <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />