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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # /N V O'- Z <br /> COMPUTFR/PERMIT # <br /> SITUS/FACILITY ADDRESS: �aV " Y V <br /> DBA: <br /> PHONE: <br /> BILL TO: <br /> BILLING ADDRESS: <br /> ZIP: <br /> CITY/STATE: �j�,may <br /> U S� TYPE OF SERVICE: /(l '�'M� <br /> PROGRAM. <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> ST HALF 1/2) HOZ INCLUDING TRAVEL <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS ) <br /> .ob 1'.0 <br /> .9 q l h6N d. nkY <br /> t'S 2:20 8C2ivZ CaPy -/o <br /> �m • Suh m.�f. dos <br /> 6k fkSl+ -I-o w,+.-es �� <br /> �•ly _�, ! q3a, (;3p t.�. rt ✓c�5 i-Srs. lin 1 <br /> `11 v`2 ruJvn Yom- d <br /> 3:3o 2 60d 54 P1 f� <br /> t LSL <br /> • l8 �l 1:30 2: .5 no •5r � 4--vs y Ito <br /> Vin - <br /> �.l •9�E 12 N5- 2'15 I`� <br /> bu vuI - h �NW✓ �lP <br /> ��p=+-ov+ YP <br /> 2;oa-230 •5 c2cced F of g tw fkl <br /> .3 <br /> TOTALS (� <br /> BALANCE DUE: `"' <br /> BILLING DATE: ��� 0 <br /> EH 23 074 (Rev 3/22/91) v" <br /> Lj p <br />