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A <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr # <br /> COMPUTER/PERMrr # <br /> SITUS/FACILnY ADDRESS: �I <br /> J <br /> DBA: c� <br /> BILL TO: - 1 a- PHONE: .33 <br /> BILLING ADDRESS: &±z SO ? <br /> C=/STATE: St/C� , C rJ ZIP: �� b <br /> PROGRAM: �3, �?6 TYPE OF SERVICE: <br /> THE VaNIMUM 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 /> i <br /> WEEI6AY WEEKNIGHT HOLIDAYS DESCRIP'T'ION OF WORK REHS NAME <br /> SAM- 4:30PM43AM/ <br /> 4_30PM WEEKENDS <br /> ( ;a — ' Det C Gir <br /> J <br /> '.3 .317 <br /> TAN r <br /> �t—U-9 9:vo-/o.3� S1�Is v� X e <br /> -02 J.'60-/lTOUA (. U�-✓✓ LTA'` /�Otr,�^ <br /> w <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br /> 0 <br /> 1 10 <br />