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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 <br /> COMPUTER/PERMIT # -)9 M ElySITUS/FACILITY ADDRESS: / f.fbY Z o c-1-- tier / C4, ,S � <br /> DBA: f4 errcc, n S`121"I�js F Lbah <br /> BILL TO: c);/ Sep-vice PHONE: 2a4. 7sy-teog <br /> BILLING ADDRESS: P, C) . /36x 45'D <br /> CITY/STATE: Sar+ !9n c/rea s C4 ZIP: <br /> PROGRAM: PH F-tkb TYPE OF SERVICE: 42funy vein',. , fes-, P(-4<on �sgui-+ <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, AIW ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> �akQ rt 3 a — 6' O -x . excess k1-e �c 43 <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAb(- 430PM-3AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> S / 3 (1 - 9 30 5' vel AJ <br /> 17�� �/— nEn�i..oua�.nfCc�/rH AJ / <br /> � �i,,CFw Lw /3C 4, <br /> J 1 _ <br /> 530-43o 5� ys0 �ws � �+ �:Le CeJ N1 <br /> lr 4c �vl <br /> ?1>1(i s U- 32 N/ <br /> TOTALS <br /> BALkNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br /> A � <br />