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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT #:�-i- <br />COINIPUTER/PERMIT # <br />SITUS/FACILITY ADDRESS: <br />DBA: act l's; self <br />BILL TO: PHONE: <br />BILLING ADDRESS: <br />CITY/STATE: ZIP: <br />PROGRAM: <br />TYPE OF SERVICE: <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 3/91) <br />4ink Adb�l <br />4w it <br />WEEKDAY <br />8AIM- <br />4:30PNI <br />WEEKNIGHT <br />4:.')0P.V-8A&I/ <br />WEEKENDS <br />DESCRIPTION OF WORK <br />BALANCE DUE: <br />BILLING DATE. <br />EH 23 074 (Rev 3/91) <br />4ink Adb�l <br />4w it <br />