Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> CONIPUTER/PERMIT # 115 5�- m A )J T <br /> SITUS/FACILITY ADDRESS: L <br /> 4l rev �s� <br /> DBA: �Vr �`+ v\ % �-lel Sc lido l <br /> BILL TO: � �n e ry 1�v�' � _ Sc�c _�_. 1} tc PHONE: a-Z5 -3 2-- --y <br /> BILLING ADDRESS: 'ZS o 1 <br /> CITY/STATE: �_� .r e �' + ZIP: 952,3D <br /> PROGRAM: 2TYPE OF SERVICE: Gvt k 21e AAo u <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, AIW ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. rr <br /> L�(a d a;� �a� nlcs �keclG /ZyJ 7 <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAN[- 4:30PM-3AMI <br /> SERVICE 4:30PNI WEEKENDS <br /> r,Is c.c <br /> I '..J� J•Ems'�� - L I.i M✓l-f'N"5�..�t� �4��' �i �! <br /> 1 <br /> TOTALS <br /> 13nL kNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />