Laserfiche WebLink
0 ! <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> COMPtJTERIPERIMIT # ` 7NE© 10 SGG l <br /> SITUSIFACILITY ADDRESS: 50/"5- JIB yy L7,'I VE ,3TwK7Z�'A1 <br /> D B A: M� r I, -1 _. <br /> BILL TO: FST ,Il LET�'?2 JEXVIC, /uC. PHONE:(2017)1y19-&12V <br /> BILLING ADDRESS: ) k( 9Jr2CL7- <br /> CITYlSTATE: ZIP: 2a <br /> PROGRAM: TYPE of SE VICE: <br /> THE ?r{1N MUM TIME FOR EACH INSPECTION IS ONE Cl) HOUR, ANY ADDITIONAL INSPECTION IS COMPUTED TO THE <br /> N "ST HALF (1/2) HOUR, NCLUDING TRA `E'L TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NA1tiIE <br /> of SAKI- 4:30P.M-SANU <br /> SERVICE 4:.30PNI WEEKENDS <br /> Z I C t, oaa ea.4. <br /> 'l ke w/77n+ ei1 "w-,lfnceron +^ <br /> v 'a leAp1 <br /> eoke w I toestsrn Mc+fcr cn.p t <br /> 1 <br /> `-� 9 IJ. <br /> 2 U gI �Z`:3v aVF <br /> BALANCE: DUE: 3 hr!j X-MU"a <br /> BILLING DATE: (,2/-Zo l 13( 2 ,30 } <br /> i <br /> } <br /> EH 23 074 (Rev 3/91) <br />