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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# -S o n Q <br /> SITUS/FACILITY ADDRESS: �L JLC �� ✓ p� �^ �J <br /> DBA <br /> BILL TO: f t a a4 �I%P�i l /�CD/� 1�iPs(D�� G� %iso PHONE: <br /> BILLING ADDRESS: / <br /> CITY/STATE: i� fL aP: 3c�j <br /> /t <br /> PROGRAM: <br /> 23, TYPE OF SERVICE: <br /> THE MINIMUM TRM FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDTIIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 430PM-8AM/ <br /> 430PM WEEKENDS {� <br /> in el <br /> 7 Iofoo l''2�n <br /> r <br /> A.D G <br /> 1 '3b-R /;Do-/ ; I y FAX s1 <br /> ,a• . 30- 0'.0 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />