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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# -�Z 3S98 <br /> eesgxbER/PERMIT# S00 I �N v <br /> SITUS/FACILITY ADDRESS: X23 Z 7 / j vel / � <br /> ��I'ye , aze � <br /> 5k <br /> DBA: Pani J freta <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: � ) ZIP' <br /> PROGRAM: VST TYPE OF SERVICE: <br /> THE WNRAUM TUa FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> HALF (1/2) HOUR, INCLUDING TRAVEL TTM& <br /> koti — 6 -9 3 <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- WEEKENDS <br /> 430PM V1T;�NDS <br /> q p2 306-y:6o <br /> knLr7 revwr osuKr� GDS <br /> 5ubnn'�+65 <br /> �r zo,�-5 I�� �GJ M1✓1 11 <br /> too— �'.K5 '' `� wrolc�-f r�farfi, + <br /> 6-2 <br /> 9•.�8'9'•3D ' one.cm�kw taw a.a�a✓ <br /> 9,2 rL 5 <br /> �2 3 2'.00 2.30 Rem .5a#r <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE- <br /> EH <br /> ATEEH 23 074 (Rev 3/22/91) <br />