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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # _ <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: IIf Cf F��S fyYlinn S <br /> DBA: <br /> BILL TO: <br /> BILLING ADDRESS. .1131 w_ <br /> CITY/STATE: —aa-c0 GC <br /> PROGRAIM: o?3, (� ZIP: - T - a <br /> TYPE OF SERVICE: <br /> THE MINIMUM TT ( ) <br /> ME FOR EACH INSPECTION IS ONE 1 HOU 6�" S 6777 �QJ <br /> NEAREST HALF (1/2) HOUR, INCLUDING T VEL / R ANY ADDITIONAL 1NSPECTIO TIME IS COMPUTED TO THE <br /> Cn a�( "3Via_ a . <br /> DATE WEEKDAY <br /> of WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAN[- 4:30P,M-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> o5 kA� i <br /> ;f-9a 9; Zoo 7 iu re+tp <br /> `3 y 30- 9 Do tincieQ�,, � P <br /> 3- <br /> 1 <br /> TOTALS <br /> BAL%NCE DUE: <br /> BILLING Dr1TE: <br /> EH 23 074 (Rev 3/22/91) , <br />