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0 0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# o? 3 A 1 ,? <br /> SIITJS/FACILITY ADDRESS: <br /> DBA-- <br /> BILL <br /> BA:BILL TO: <br /> PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: <br /> ZIP: <br /> PROGRAM: TYPE OF SERVICE: y/� 01:1 11 I['� <br /> THE TIME FOR EACH INSPECTION IS ONE (1) HOURANY AADDDMOWIAL IN PE O <br /> MINIMUM N TDAE IS COM�fIIED TO CFS , <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL 7Ua. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-SAM/ <br /> 4 30PM WEEKENDS <br /> DS <br /> F <br /> rO.jO <br /> (D- <br /> Ce36r ctYr �� <br /> q-01 <br /> ' p� /0i610 - 00 <br /> r <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />