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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ]� <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> F7A H UR, INCLUDQ�IG TRAVEL TIMEEKDAYY WWEE C41GHT HOLIDA- 430PM 8AM/PM WEEKENDS <br /> we d5vh� <br /> ` 2.W-a:m ram s u �usT <br /> 4'3D-5;a0 o r0.maviD <br /> 3.N0 3.4to r-,t . . p eie f0 <br /> 6.13-qy e; rnna•r <br /> �� lo;3b •1o;36 Rna��unrvas5• c. <br /> I :ID2—II'•Ib r I <br /> IV <br /> M <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />