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ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr # <br /> COMPUTER/PERMIT <br /> S[TUS/FACmrry ADDRESS: <br /> DBA <br /> BILL TO: <br /> PHONE:(0,4­0 222 Sz ro <br /> BILLING ADDRESS: 17 <br /> CI'PY/STATE: /�eE�iitJL� _ <br /> ZIP:_21 70 <br /> PROGRAM: Z-3 • 50 TYPE OF SERVICE; /12f /c vAG- <br /> THE MINIMUM TINE FOR EACH INSPECTION IS ONE (1) HOUR ANy ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> v -AREST HALF (1/2) HOUR. INCLUDING TRAVEL T24M <br /> WEEKDAY WEEICNIGHT HOLIDAYS DESCRIPTION OF WORK <br /> Mm- 4:30PM-SAM/ RENS NAME <br /> 4:30PM WEEKENDS <br /> /2Evr Ew r�tvEr <br /> L IZ 3o O. D- fi rDU GGblI4G LL 7�Qr/Oi N� ii <br /> TOTALS <br /> IAL-kNCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />