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ENVIRONNIENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> COi4IPUTER/PI RIMIT � <br /> SITUS/FACILITY ADDRESS: 707 L& <br /> DBA: <br /> BILL TO: eco PHONE: <br /> BILLING ADDRESS: -1-131 41/ t :W <br /> CITYiSTATE: rA ZIP: ?5551 <br /> PROGRAM: tasr TYPE OF SERVICE: _ (' fps .rlu �c<.n� - a,�r +s� - <br /> THE IM MMUNI TDIE FOR E-,CH INSPECTTON IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, IlNCLUDIING TRAVEL M E. <br /> DATE WEEKDAY WEE:{VIGHT HOLIDAYS DESCRIPTION OF WORT{ REHS NAME. <br /> of SAM- 4:30P;M-MM/ <br /> SERVICE 4:30PtiI WEEKENDS <br /> 13I Cliff n,-. ezP u.� �S'�v�c,✓ <br /> i <br /> TOTALS <br /> 13.ELANCE DUE: <br /> BILLING DATE. <br /> EH 23 074 (Rev 3/91) <br />