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^'Q'. 1" .Zoic U6 ,38117 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # _ <br /> CONIPUTER/PER:vIIT # S-J(kk I S <br /> SITUS/FACILITY ADDRESS: /533 <br /> DBA: S-hxk4o� -t-- <br /> BILL <br /> BILL TO: Wof yN r�3i eerifa PHONE: Q16-37z- /gam <br /> BILLING ADDRESS: P. 0 . Box 1oz.'�— <br /> CITYiSTATE: kl.t 5gerr2we ife, Gq ZIP: 9569/ <br /> PROGRAM: UbSr TYPE OF SERVICE: rq Ak ?/,, rltu•«✓f <br /> THE MINIMUM TINIE FOR EACH INSPECITON IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, 4YCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEK`IIGHT HOLIDAYS DESCRIPTION OF WORK REHS NANIE <br /> of SAM- 4:30PNI-SAKI/ <br /> SERVICE 430PNI WEEKENDS <br /> I <br /> PA <br /> !/.?/4 <br /> .? z I av / as G [ <br /> //bc7 o I TOa 1NSTcr% 'LNv7 <br /> D.� ,Fi.v �' <br /> 4� ks 113,-1 y <br /> 30 // ?N 4�� 5,—Hr-V 1 <br /> i o - :Ya r S d j--kV ' !Z-. G C <br /> �' 9�3U- O'..i� ''KT_niC �P'��ZuaOmlri.•+ C <br /> 2��%G� 3:3U-y'3c� 1 S�•.•e% /% r 1' iu C. ..� <br /> c 90r� <br /> �� <br /> TOTALS 9, S Ars <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />