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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT# <br /> SITUS/FACI=ADDRESS: <br /> DBA: &,LnJ t l L/ r .l��itiln o <br /> BILL TO: CLIFU P ` PHONE: <br /> BILLING ADDRESS: a <br /> CITY/STATE: -/v G K4.&YU c lq- ZIP:� <br /> PROGRAM: TYPE OF SERVICE: Cao„f, wAe g 42aa2—QAJ a;L a2 OYIl <br /> Q4- liYl S/p���Q C��tt� clue <br /> THE MINIMUM TMM FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS C MPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> D� 61' 4 , <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> y pp p7 4:30PM WEEKENDS <br /> T-7, 9 g,,60- 4�oo htexi e OF <br /> o-d4- f:II ropi — <br /> vv <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />