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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COiv(PUTER/PERb[IT # #t/C0417- 0/x/7/ <br /> SCiUSiFACILITY ADDRESS: 23 20 t/ 14JV 9y <br /> DBA: �� W L✓ ( ons 71Y /nr9/I <br /> BILL TO: Santo PEON': 57 ,-146S3 <br /> BILLING ADDRESS: N 31 <br /> CITYISTATE: kD ZIP: '753 5/ <br /> PROGRAM: _ 23io TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TME IS COQ IPUTcD TO Trc <br /> NE?R:.ST HALF (1/2) HOUR, INCLUDING TRAVFL Ma, <br /> N / 5r/. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAN[- 4:30P.N(-3AN(/ <br /> SERVICE 4:30PNI NVEEKENDS <br /> -/- yz- I - 1q., 3� <br /> 6 -a13o 5 I I I i tit <br /> -7-q2 -/a!a) IZ • [T�� n JE_ ewto�� <br /> I I I <br /> I <br /> I I I I <br /> I I <br /> I <br /> TOTALS <br /> BALINCC DUE: 7 2 . SJ <br /> II[LL[NG D,>,TE: <br /> EH 23 074 (Rev 3/22/91) / <br />