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0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> s� o� o5'g5 J1NV ��oo <br /> COMPUTER/PERMIT # ` <br /> S,TUS/FACILITY ADDRESS: 3 a u) '"'`` <br /> DBA: C a'& <br /> BILL TO: e 6L, p <br /> BILLING ADDRESS: ? o . <br /> CITY/STATE: �C!/(iIl _ d,,12-9 ZIP: $a <br /> PROGRAM: �23 1 (O TYPE OF SERVICE: <br /> rd�v vH s7� Z 1 Y8'� <br /> THE MIIQIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TUM IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL IM. <br /> D -f- <br /> _ 1. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> &AM_ 430PM-8AM/ <br /> 4:30PM WEEKENDS <br /> -a3-93 <br /> �-a The—, ,aa vc <br /> /l ;i�7-75itu <br /> 3;x7 31� ei� �uww <br /> Apprev-ems 2ev t . <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />