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� M <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: 6 <br /> DBA: �� � <br /> PHONE: <br /> BILL TO: <br /> BILLING ADDRESS: <br /> CITY/STATE: G F` G� ZIP: <br /> PROGRAM: 2 <br /> 3. 5O TYPE OF SERVICE: GL iveG"�<viccJ <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TUM IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR,INCLUDING TRAVEL.TLME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> div �z_ `i5-i y7 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />