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P <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # '3 <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: 3 L/ND �, �a ih S ��vn 059 9SacJ� <br /> DBA: uc�� <br /> BILL TO: PHONE: 2 oe, -5x3-332Y <br /> BILLING ADDRESS: <br /> CITY/STATE: ��un�vvc� (� �1�7 3D zip: yj�3D <br /> /-tvitw �rnu vs PE /uw <br /> PROGRAM: /mss% TYPE OF SERVICE: <br /> r <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 TTME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS _ <br /> S / _ <br /> (.rn.2 Il in��lu1� . lGiiµ _ <br /> �Iv,4 <br /> lelgA,4 9/n --5- <br /> /r u Com/h J, �N cv AA.Z s w <br /> Ai 19 <br /> ux <br /> ,V��m <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />