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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ' <br /> COMPUTER/PERMIT # .Z Ly ;? ",5/��J� �/ <br /> SITUS/FACILITY ADDRESS: /SIG DAY /..GitLCal_C., <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: O �/�� <br /> CITY/STATE: ZIP: 7sa o <br /> PROGRAM TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF fL2) HOUR, INC LUDI G TRAVEL E. <br /> dS, 3 adBiu civ /'i°1>i �rsjoe=�b <br /> DATE WEEKDAY WEEKNIGHT HOLIDA S DESCRIPTION OF WORK REHS NAME <br /> Of SAIVI- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS 11 <br /> a :30Ki, <br /> �-1g Qaa:oo �}p�rov-c- per,&-fL IUB <br /> a_al�-9 woo l vo ee. <br /> s r <br /> 1!66- /130 <br /> a° <br /> I <br /> TOTALS <br /> BALINCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />