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4' 0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING- WORKSHEET <br /> UNIT # � <br /> COMPUTER/PERMIT # ZZ <br /> SITUS/FACILITY ADDRESS: - +/ <br /> DBA: U . ✓ iL1Ur?� <br /> BILL TO: �Y��- `7�1 S '�°v/cE PHONE: <br /> BILLING ADDRESS: I'l o- <br /> CITY/STATE: 27- ?'V4—XPN Z- ZIP: Q 5-'- <br /> PROGRAM: D TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATEWEEKDAY WEEKNIGHT HOLIDA OF WORK RENS NAME <br /> Of SAM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKS C <br /> /el_- duf � z <br /> ver. <br /> TOTALS <br /> BALANCE I)UC: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/41) <br />