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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # <br />COMPUTER/PERMrr # Lf3 <br />SITUS/FACILPTY ADDRESS: / G <br />J� <br />DBA: � \ *"� ' r G Gc�J 7G-A—C) (:�ICJu/ <br />BILL TO: PHONE: <br />BILLING ADDRESS: <br />CITY/STATE: / 6 �J / �^ Zm: <br />PROGRAM: ��0 <br />3r TYPE OF SERVICE: � k0omcvez-� <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 />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />J <br />WEEKDAY <br />8AM- <br />4:30PM <br />WEEKNIGHT <br />4:30PM-8AM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRUMON OF WORK <br />REHS NAME <br />q:3� <br />, <br />r-- �o-io <br />s <br />c- atc <br />L <br />5:c0--x'302tz <br />TOTALS <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />J <br />