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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: <br /> DBA C/, ' .vifJF� <br /> BILL TO: ��i-f' ;�I��F�C-1'E�_ - - PHONE: <br /> BILLING ADDRESS: 2 72 /BGG <br /> CITY/STATE: ��dG�h n l G�— - (' ZIP: c� <br /> PROGRAM: .E OF SERVICE_.: 417- �' ��✓ �� <br /> / <br /> TI- WNLMUM TIIv1E FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDI'IiONAL INSPECTION TIME 1S COMPUTED TO THE <br /> VE2EST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WE=GHT HOLIDAYS DESCRIP'T'ION OF WORK RENS NAME <br /> 8A.M- 430PM-8AM/ <br /> 4:30PM WEEKENDS <br /> AT A-Aiee A4 1,4F-A4YE,-rr <br /> 3a 7 v4»•rz ,� Z �,E'vr F v �o�L�'£5�`� �L�1 <br /> 7 tel/ �r5_2���j 5 .a e-or <br /> � s �, <br /> �t B?' w cTf1rB/Z �L <br /> Zo -30-Z 3a .� rsAz Al 7- <br /> (711k <br /> TOTALS <br /> i <br /> BALANCE DUE: — 75 )C 3 = <br /> BILLING <br /> DATE- <br /> H 23 074 (Rev 3/22/91) <br />