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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # -` <br /> COMPUTERTERMIT # <br /> SITUS/FACILITY DRESS: ( <br /> DBA: f <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: / ZIP:: <br /> L <br /> G�/PROGRAM: �� TYPE OF SERVICE: p/f i q I _4 .D / /C.f1 <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NE7ST &:;/.2) HOUR, INCLUDING TRAVEL TEMRv <br /> �tl <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> } SAM- 4:30PM-8AM1 <br /> fJ 4:30PM WEEKENDS <br /> 9:jo—q:1-7 IZtuin �' G� c� �'d�s3 <br /> r <br /> 61✓j (' 4, <br /> ,B—Z,94 :5a-/o:5D w t°prp � ss <br /> 3p�1r:00 P r <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />