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f <br /> 0 <br /> SAN ,l OODU I N LOCAL HEAL I H D I S TR I L:I <br /> L-NV 1 R(1NMFN T AL HEALTH DIVISION <br /> / 1601 E . HAZELTON AVE. . <br /> t P O BOX 2009. STOCh:TON. CA 95-2c_11 <br /> BILL FOR SERVICES RENDERED <br /> TIME MINIMUM FOR EACH INSPECTION--1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL BL COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> r NOTE : PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED ON THE PERMIT APPLICATION. <br /> SITUS ADDRESS: V? <br /> f PERMIT # <br /> BILL T O: NAML Y <br /> ADDRESS [�f�1S c•L�C�(Q <br /> CITY/STATE 5Kz— ZIP <br /> PROGRAM: • C� S, <br /> DESCRIPTION OF SERVICE(S) :�L & ivy._ /`�— <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF BAM-4 :30PM 4:30PM--BAM <br /> SERVICE HRS WORKED $35/HR $52.50/HR $70/HR <br /> 'F OTALS 4 <br /> BALANCE DUE : _ <br /> BILLING DATE — s. -------P AYMEN I IS TO BE RECEIVED WITHIN <br /> yc-� LAYS FROM THE BILLING DATE. <br /> RETURN ONE COPY OF THIS BILL ALONG WITH F'AYMENI . MAKE CHECKS PAYABLE <br /> TO: SAN JOAQUIN LOCAL HEALIH DISTRICT . <br /> Ell 00 43 <br />