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4 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # /9 77 <br /> SITUS/FACILITY ADDRESS: �7 1D �- Goad Ar�f• G��1' <br /> BILL TO: <br /> BILLING ADDRESS: C9 7,4 / <br /> CITY/STATE: /L44� riOD ZIP: <br /> PROGRAM: 'S;l> TYPE OF SERVICE: <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 SAM- 430PNI-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> fAA <br /> /v:vo-rr:oo rc-9$yw L L Q <br /> 4 F >, ► <br /> Qj (�aCl2j l(:vo- cl�rZ !� � <br /> A�kNyJ��AnI�FES �E <br /> I <br /> TOTALS <br /> II,%LANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />