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* 00 <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 <br /> COMPUTER/PERMIT # G/iyioA-) ,/3 S pA /ice/ <br /> SITUS/FACILITY ADDRESS: L/37 �- 12?1.,7 ell- <br /> DBA: <br /> rDBA: a"7 Ion ��� � O,-e7 <br /> BILL TO: PHONE: 5/0-7,'3 -7su'p <br /> BILLING ADDRESS: /Sa Wa sa lJin 7o» <br /> CITY/STATE: ZIP: <br /> PROGRAM: I.((40�j TYPE OF SERVICE: u F 4m - <br /> rc,e- vta— <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 REHSNAME <br /> of 3AM- 4:30PM-3ANU <br /> SERVICE 430PM WEEKENDS p � <br /> 3�A//yd 7—/0A I /ani!✓it�J 4t�e�P �y�s C.G"eoe' <br /> y�6/,q <br /> Ace n e- c�woc <br /> 518 4 a i -ii eM ve 1^w7,, N <br /> 717 If Z - L / <br /> TOTALS <br /> BALANCE DUE: 1561, <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />