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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORI,,-SHEET <br /> UNIT # <br /> COMPUTER/PERMIT# PI E:9)AJ -�3Q �/ <br /> SITUS/FACILITY ADDRESS: SAO Gk <br /> DBA: <br /> BILL TO: S L b lro PHONE: <br /> BILLING ADDRESS: L l Ao P74dC_-� <br /> CITY/STATE: LG'f'l.-� ���5� , ZIP: �7 <br /> PROGRAM: fern 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 /> DATE WEEKDAY WEEKINIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAIME <br /> of 8ANf- 4:30PtNI-3AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> J _3 i o. <br /> ,. 4 tb 42 04 <br /> c <br /> r 9% <br /> ELL, <br /> s s <br /> TOTALS �, S <br /> BALkNCE DUE: <br /> BILLING Dr1'1'E: <br /> EH 23 074 (Rev 3/22/91) <br />