Laserfiche WebLink
S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COL'YIPUTER/PERMIT # Che;^r <br /> SITUS/FACILITY ADDRESS: <br /> DBA: � <br /> BILL TO: C O PHONE: CaG9 ?�f-jG <br /> BILLING ADDRESS: 2-3 I LCI, <br /> CIT YSTATE: <br /> ZIP: <br /> PROGRAM: (l_C S t TYPE OF SL-RVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIIONALINe PE ON TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> Of SAM- 4:30PNI-3, <br /> SERVICE 4:30P:`4 1VEEiCENDS <br /> 13--3- 41 fo;co- X0,3,, � SPaf� , <br /> < , <br /> ao- .5 I l�p�ka-kv c�c `— <br /> Iutcb- 1:301 �J<catJvhoyv roctsr- <br /> TOTALS vT.?Slvz.� <br /> BALkNCC DUE: <br /> MILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />