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I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# 3 <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: ?J �� <br /> DBA: <br /> BILL TO: i/ /Pic Li -/7R2,/ Consbuc? rm CO. PHONE:-20i-92 VS/ <br /> BILLING ADDRESS: 35/ A/ 6PcEo�c.. /��� /� (J. C�JX 357 , L�zli C <br /> CITY/STATE: L G9 ZIP: <br /> PROGRAM: yS O TYPE OF SERVICE: iii/irmdyu�r�on h^µ�w iKT� /�f/c� <br /> Gl6Tuni/ 3 <br /> THE MINIMUM TINE 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 RENS NAME <br /> of SAM- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> G 4 In parA'�-- <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />