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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COL'YiPUTER/PERMIT _-- / 2 <br /> SITUS/FACILITY ADDRESS: _ ( .���,(� �do,G .r Sark orr <br /> J-DBA: <br /> BILL TO: {` 7tkrNc' PHONE: <br /> BILLING ADDRESS: <br /> CITYiSTATE: ark��'��rf' _ ZIP: 752a <br /> PROGRAltii: 6/G Sr TYPE OF SERVICE: <br /> THE IMIMhIU41 11ME FOR, EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECITON TDAE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRLPTION OF WORK REHS NAME <br /> of SAM- 4:30PNI-SAKI/ <br /> SERVICE 4:30P:Yi WEEKENDS <br /> ve-/O.'©tl <br /> 1 <br /> J <br /> TOTALS <br /> BAL VNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />