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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # -3 <br /> COMPUTER/PL-RMIT # .13 //73 <br /> SITUS/FACILITY ADDRESS: 3 O /72 <br /> DBA: &e-a ",x, � <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: lg� I ws� e <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 TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 8AbI- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> /3 v�.✓�S ..t <br /> ZQlJ-�iOQ uH ac�4CrecPlso. I`C�YC✓! �J Lv � <br /> / Y 3 Z3o '/P a u. C > <br /> /vel <br /> 3a N 3(7'3 5 i u o✓GQinclvv AA <br /> —/6'93 y r <br /> I <br /> TOTALS <br /> BAL%NCE DUE: <br /> BILLING DvrE: <br /> EH 23 074 (Rev 3/22/91) <br />