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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 <br /> COMPUTER/PERMIT # -ec-To e /S <br /> SITUS/FACILITY ADDRESS: /57/l/ F, S cotes ,9u.o STU C-I&VA cq,_ <br /> DBA: ca r hr A cl%es <br /> BILL TO: — caPHONE: <br /> BILLING ADDRESS: c.)3 0 M4, Ile rp" n„ 121d, <br /> CITY/STATE: S c d 44-s Vc, //r C74 <br /> ZIP: q�-y(, / <br /> PROGRAM: P95/.=HD Gl TS TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECT]ON IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY 'WEEKNIGHT HOLIDAYS DESCRIPTION OF `YORK REHS NIMME <br /> Of SAM- 4:30P,YI-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 9 -3 /f o—/z- G u , cR,�•�a,'n, oV <br /> SX/Y//f <br /> I <br /> I <br /> TOTALS <br /> BALlNCE DUE: <br /> 13ILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br /> cl <br /> s� <br />