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0 4 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr �L <br /> CoNeUTERERMIT # SRD�3c16-Y 0 `fa03� <br /> S <br /> TliS/FACiLITY ADDRESS: / (o JT� S• �/r . c <br /> BA (3't/f7e D F (111-11 ,, r f:v <br /> O <br /> BII.L TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY)STATE ZIP: <br /> PROGRAM: 8 D "TYPE OF SERVICE: <br /> T'r:E TIME FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TI14TE IS COMPUTED TO TI'.E <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIIHE_ <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIP•RON OF WORK RENS NAME <br /> 8AM- 430PM-8AM/ <br /> 430PM WEEKENDS <br /> 1 0, — Flee rev; , <br /> Ste — S <br /> I <br /> 3- 4t <br /> IO - 1D:30 <br /> TOTALS I <br /> BALANCE DUE- <br /> BILLING <br /> UEBILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />