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ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> U N IT <br /> COMPUTERIPERIMIT <br /> SITUSiFACILITY ADDRESS: 13 1 Mari tic, �oar.� dek-1 . CA <br /> DBA: <br /> BILL TO: A�e_ _ar'rmi c _A.,e-- PHONE:_�Z 07 -ilr 5-- '9YA4) <br /> BILLING ADDRESS: C /I—ri,Wv<- c- Rd <br /> C(TYiSTATE: —Oc u2t) CA <br /> / zip: iSC� <br /> PROGRAIM: 6�,1'^ TYPE OF SERVICI~: Nl�,f <br /> Iiia ,,vUNUvlUM 7 M FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION TLE IS COMPUTED TO THE <br /> NE.ARZEST I-,.AL.F (1/2) :HOUR, INCLUDING TRAVEL TLME. <br /> I Ff DATE WEEKDAY WEHKNIGHT HOLIDAYS DESCRIPTION OF WORD REHS NAME <br /> I of SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> i <br /> s. <br /> ume 4k/ <br /> ,arse <' .s f <br /> /pry 2:0-o OOP" I �� N <br /> 5 � �^ /`'0 3-x:c�af�d �•��_ ,ala' �9 <br /> !" ,c�•� �ja � .Otl'K�CO,��'� �' r� �X' t STt'tcf L <br /> I // .00— QO r i AJ <br /> ,j <br /> TOTALS <br /> BA1,0CE DUE: _ <br /> BILLING DATE: <br /> 123 074 (Rev 3/91) <br />