Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # —�2� <br /> COMPUTER/PERMIT# GI fVfGQ 7 7 # 7 <br /> SITUS/FACILITY ADDRESS: -777 <br /> DBA: 1✓�piter �c��nf <br /> BILL TO: in��ol �✓�'�� /i'vc,EO�r PHONE: 595 -4 6 9 <br /> BILLING ADDRESS: nn �� �C�X tf 3 1'/ <br /> CITY/STATE: 1�� Jon �+ ZIP: qs 3 b <br /> PROGRAM: 1>66 TYPE OF SERVICE: 02 %oak �t/�7�� /s <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTIQN TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. S e 1 p'�I <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SANE- 430PM-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> /-/5-13 3- 51EVO lin �Zvicu <br /> 3-24-53 a - S:o� <br /> o- 52 - 10:3D I JOCU, c Ren 7 a All <br /> � I I <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING Dim: <br /> EH 23 074 (Rev 3/22/91) <br />