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a is <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: c Zo c <br /> c PHONE: <br /> BILLING ADDRESS: ��� Lk) ' 3 A d S t. <br /> A <br /> CITY/STATE: c /q /? �� �-� ZIP: <br /> PROGRAM: 3 /e o TYPE OF SERVICE: b � <br /> THE MINIMUM TIMI'. FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TMIE.� =- <br /> 7;m- <br /> EEKDA WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 4:30PM-8AM/ <br /> ri 4:30PM WEEKENDS , 1 <br /> 0 4 ; �r7 •i 1'.3 Ci &tivice c�� L.: v z <br /> ll)lql <br /> C cc P40t" �. A&,A4Z <br /> 3 5 3 <br /> lD:ov�- I D 30 LIT, <br /> �rcn u� <br /> u �: Eo,/ <br /> qA - lah Z <br /> 1:3c��a:oa fz <br /> 3`x'0 <br /> / 10 <br /> �. �14aI.K lW1nCl� <br /> f <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />