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ENVIRONMENI'AL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> wrr � <br /> cOM ulr—ZR/PERMrr * <br /> S=S/FACM= ADDRESS: 4-i �Z ��✓� <br /> DBA- <br /> BILL <br /> BA BILL TO: PHONE.��/✓L. PHONE <br /> BILLING ADDRESS: �� � <br /> C=lSTATE C ��/tZ Af /1JlQC.�5 G� �' -•`_9�—`- / <br /> PROGRALM: 2 3 �� TYPE OF SERVICE <br /> MIND4UM Tnvm r'OR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TAdE IS COMPUTED TO TI-M <br /> NEAREST HALF (1/2) HOUR INCLUDING TRAVEL Ma- <br /> WEEKDAY <br /> IME.WEE DAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WOR REFIS NA2� <br /> SAIIM- 430PM-8A.VI/ <br /> 430PM WEEKENDS <br /> «ivP�' /eG v/Eui Fes/ <br /> �/ t�v q I;3n-5•. �r�,JK REi•rov/�L <br /> 30 <br /> q:va-9•'r <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> c.-I 23 074 (Rev 3/22/91) <br />