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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMTT # <br /> SITUS/FACILITY ADDRESS: SSS /v V, <br /> DBA: <br /> BILL TO: PHONE: 2-31r -55-6/ <br /> �N 4�' }ter � - P- _- <br /> BILLING ADDRESS: 5 S S 1u. m 4: 2 M rg C95 -3 --2, 1, <br /> CITY/STATE: ZIP: 9 5 3-5 L <br /> PROGRAM: TYPE OF SERVICE: <br /> THE rWNUV TM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TMM IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR., INCLUDING TRAVEL TME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 430PM WEEKENDS <br /> 3©-��-- rr :�� Qom_ �� � ��� �. l� � ,� ► <br /> TOTALS <br /> BAL NCE DUE <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />