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0 0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT $ i61 <br /> COLmPUTER/PERMIT <br /> SITUS/FACILITY ADDRESS: Z15a,0 S. 5fibc-k4-ory <br /> DBA: ✓t llnr t`reiel { SstPm - <br /> Cki3Y08 <br /> BILL TO: yeit"W Fre"Af- w.&M PHONE: 1-900"V.57 ?3Z-? <br /> BILLING ADDRESS:20 Ros %Z70/9'9-207 /0790 Roe Age_ <br /> CITYiSTATE: Qye laAd Park 1:ooccrs ZIP: <br /> PROGRAM: .Z 3 . So TYPE OF SERVICE: Te•n 2nq r'/osscu< P/ate tw�ri"i <br /> THE MINLMU,NI TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE4R3ST HAI..° (1/2) HOUR, INCLUDING TRAVEL.TIME. <br /> Pore/ 300 r/2.-/92 Meek 0 -27rS37 <br /> DATE WEEKDAY WEEKNIGF1 HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAm- 4:30P.M-SAM/ <br /> SERVICE 430PNI WEE=-NDS <br /> /o-//r 3o I C/osaoc a Rra�w <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DekTE: <br /> EH 23 074 (Rev 3/91) <br />