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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT #.` <br /> CONIPUTER/PERMIT # <br /> SITUS/FAC[LITYADDRESS: <br /> DBA: COGGA ,�cZ ocD / <br /> BILL TO: ��..t � � PHONE: <br /> BILLING ADDRESS: �''� <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: ��00 a <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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SA-Nf- 4:30PNI-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> TOTALS <br /> BAL1NCE DUE: <br /> [TILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br /> s' <br />