Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr# l <br /> COMPUTER/PERMrr l ' G,� <br /> S MJS/FACILrN ADDRESS: Z114 1�37e?/ <br /> DBA: <br /> N <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: M s <br /> CITY/STATE. ZIP: <br /> PROGRAM: _TYPE OF SERVICE: <br /> THE MINIMUM TINIE FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR,INCLUDING TRAVEL.TZM <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> of SAM- 4:30PM-gAMI <br /> SERVICE 430PM WEEKENDS <br /> G - <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />