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ENVIRONMENTAL HEALTH DIVISION , <br /> ACCOUNTING WORKSHEET <br /> COMFUTE-134?EMIT # _ <br /> SrrUS/FACnZrY ADDRESS: S Scvf�s ck C14 <br /> DBA: <br /> BILL TO- ��.��r r PHONE: IN 'A117,3 <br /> BILLING ADDRESS: �f'o, 60Y �Sy <br /> C=/S'rATE: c ; U r f B��d ZIP: 7s y 7 <br /> PROGRAM: 67 TYPE OF SERVICE: <br /> irk 1rI1}VTMU14[TIlv E FOIL EACH INSPECTION IS ONE (1) HOUR ANY ADOMONAL INSPECTION TIME LS COMPUTED TO THE <br /> NEAR=HALF (1/2) HOUR INCLUDING TRAVEL TTNA. <br /> WF.Ej�DAY WEEMNUGHT HOLIDAYS DESCRLPTION OF WORKRJN,1111,1/E. <br /> BA,M- 4:30PM-SAAf0��'� <br /> 4:30PM WEEKENDS <br /> � <br /> Z//6(� 91S4-93�r1 'ZS r�•�0 c� i .� u ti7i <br /> -el <br /> ��✓drr Gt �1 tcLr ` /7� /\� <br /> +/-dm u w.2—k <br /> TOTALS <br /> SALkPYCE DUE: _ <br /> BILLING DATE: <br /> EH 23 074 (Rev 3=91) <br />