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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITY ADDRESS: D ~ <br /> DBA: 1 j <br /> BILL TO: fg " pie PHONE: (910332 <br /> BILLING ADDRESS: 7 �( d�'l L �'I, f� • <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: r <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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> 3, ®` J <br /> �. <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />