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ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: � �lzC <br /> DBA: C � — rrrr <br /> BILL To: U-� b n Ve - s C - Brow r, "44w Spe+'qHo�IVE: <br /> BILLING ADDRESS: r t g/ud <br /> CITY/STATE: I U CK+ty� <br /> f ZIP. <br /> PROGRAM: VST TYPE OF SERVICE: I 6VA-L <br /> THE MINIMUM TMIE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPEC•ITON TIME IS COMPUTED TO THE <br /> ST (1/2) O INCLUDING TRAVEL T M. <br /> WEEKDAY EWEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- PM-8ANV4:30PM EKENDS <br /> ml _ <br /> �'ys3o � ��' Jnr � v� c o <br /> �:yo- h w - �rn !a /� ffr <br /> � .PA-!p-, �rk� in�p•ILL contra � <br /> IDs3{a r �� n M 3 S5 r in G F•P w UR►tI� <br /> - (Z 1r;ap , i fir? Srl4,n,i P <br /> 8430 x:30 - i"' Lhprs <br /> ra rte+ <br /> rp;►r,6^4 <br /> 11-2, <br /> As" 12 <br /> '�-"�.3 :b o -- � � �� �� ereo r v�•ems a-mto rrs� <br /> TOTALS <br /> BALANCE DUE: ($� <br /> BILLING DATE: <br /> EH 23 474 (Rev 3/22/91) <br /> '4 <br />