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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> COMPUTER/PL-RMIT # ReeA�S^ 1 SDw�-�# 2�I <br /> SITUS/FACILITY ADDRESS: _ �[353(0 1 e A 1 nc,r' �oaQ , 4;4" <br /> DBA: �1 ua rd C , a rra h <br /> BILL TO: C.k+'Y\ V lC>✓ &41 O <br /> BILLING ADDRESS: D Q <br /> CITY/STATE: 5fbc'K+t>-n ZIP: ,1 <br /> PROGRAM UST TYPE OF SERVICE: ReY c)w L <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST 1/2) HOUR, INCLUDING VEL TIM <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 1' y 30 In a2 rove( l� <br /> 829/ 9:00 - 0r t ✓la/� <br /> Lo emav� Urn V1464 <br /> l!0 q q •.o0 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />