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OL <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # r <br /> SITUS/FACILITY ADDRESS: '�'C3 <br /> DBA: 1yGS <br /> B ILL TO: /� } � <br /> BILLING ADDRESS: oaa <br /> CITY/STATE: <br /> ZIP: U <br /> PROGRAM: TYPE OF SERVICE: i' ',w,4Z-- <br /> THE MINIMUM TIME F EACH INSPECTION IS ONE (1) HOURE. , ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF {1/2j HOUR, INCLUDING TRAVEL Ta <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIP'T'ION OF WORK <br /> SAM- 4:30PM-8AM/ RENS NAME <br /> 4:30PM WEEKENDS <br /> M G L oSv <br /> opt, — 3pt, )<F�s,vvAL <br /> sdr� rG <br /> TOTALS <br /> BALANCE DUE. <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />