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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FA <br /> fC <br /> CILITY ADDRESS: a/ <br /> DBA: 6flw`T 1)6La4z�L �/4L <br /> BILL TO: SgArGU PHONE: <br /> BILLING ADDRESS: G13( w' Nl�TGf� Rv <br /> CITY/STATE: �ODE�L7 G/� ZIP: <br /> PROGRAM: Z3 TYPE OF SERVICE: �haL"4-6, <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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAbI- 4:30PM-SAM/ <br /> SERVICE 4a0FM WEEKENDS <br /> REG/ v- , 10 7.00 0/e <br /> yL /9Z /v=ov-rv.•IP CGaSheE eve Eee. �/GV J <br /> I <br /> I <br /> TOTALS <br /> BAL\NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />