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9 la <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # /� 6 n, <br /> COMPUTER/PERMIT # `Sk 0 0 11.3 <br /> SITUS/FACILITY ADDRESSO C!t/Gyf c <br /> DBA ( 5r <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: 22 n ZIP' <br /> PROGRAM: J TYPE OF SERVICE: C2i'YW/ '� 9f. * ('I4� l-17 �-j- <br /> THE 'v TEM FOR EACH INSPECTION IS ONE (1) HOUR, ANYAADD 1 O <br /> 1 NAL INSPECTION ME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL T &SE. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 430PM WEEKENDS <br /> F�6 f3l /-4J <br /> IILJ <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />