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a a <br />ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />uNrr # a <br />COMPUTER/PERMIT #'sk b0 <br />SITUS/FACILITY ADDRESS: <br />DBA: /I <br />BILL TO: PHONE: <br />BILLING ADDRESS: <br />CITY/STATE: <br />PROGRAM: TYPE OF SERVICE: <br />THE iViQlIMUM 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 />BALALNCE DUE: <br />BILLING DATE: <br />EH 23 074 CRev 3/22/91) <br />WEEKDAY <br />8AM- <br />430PM <br />WEEKNIGHT <br />4:30PM-8AM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />REHS NAME <br />/,AZ- .:3 <br />.��._�.00°Ll <br />- <br />/t� f <br />TOTALS <br />BALALNCE DUE: <br />BILLING DATE: <br />EH 23 074 CRev 3/22/91) <br />