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ENVIRONMEN'T'AL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr # <br /> COMPUTER(PERMrr# G� D31 �7a- <br /> SITUs/FACUM ADDRESS: <br /> DBA <br /> IL <br /> PHONE: <br /> BILL TO: <br /> BILLING ADDRESS: <br /> ZIP: <br /> CrN/STATE: <br /> PROGRAM: .a3, �3jl TYPE OF SERVICE: <br /> TT-� ,MMAUM TME FOR EACH INSPECTION M ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIlNE is COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR,INCLUDING TRAVEL T2a- <br /> WEEKDAY WEEKNIGHT HOLIDAYS DES OF WORK REHS NAME <br /> &AM- 430PM-SAM/ <br /> 4:30PM WEEKENDS <br /> �M7 <br /> -1 `1'`/ <br /> 7.o <br /> ���'l7 IG:co - lot3a � <br /> g.3c - ID13o o � <br /> 3 31 �n;,L it <br /> 4-30- 77 <br /> An <br /> TOTALS <br /> BALkNCE DUE <br /> BILLING DATE: <br /> EH 23 074 (Rav 3/22/91) <br />