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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT #- <br /> COMPUTER/PERMIT #�3 //73 <br /> SITUS/FACILITY ADDRESS: �3 ' �/ y c/ <br /> DBA: Beac.�yl 0/ I C[X /L Ch l Cw C 1 <br /> BILL TO: C, eCcJ <br /> BILLING ADDRESS: - "� 32, <br /> CITY/STATE: oC Z'IP- T <br /> PROGRAM: 3, .' 'TYPE OF SERVICE: <br /> THE MINIMUM T IVIE 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 /> WEEKDAY WEEKNIGHT OLIMD DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> ns a <br /> q,�i <br /> J �3 iD - Ola <br /> 19, - 3 <br /> Xl <br /> �t3c-3 <br /> c- <br /> I <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />