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6 <br /> ENVIRIONtMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr# <br /> COMPtr # °l <br /> SCTUS/FACUZ Y ADDRESS: !2-(Z� <br /> DBA: � Z <br /> 1, t� l� ( ,�� r' E� r <br /> .tee �� �� z � � .�- <br /> a <br /> BILLTO: F` O , E Q PHONE: <br /> BILLING ADDRESS: S 5 7 j3 <br /> crrY/sTATE: <br /> \,4 y -12 WIWI 0& ZIP: �5 <br /> PROGRAM: UCTST TYPE OF SERVICE: <br /> THE WNIMUM TME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL.INSPECTION TMM IS COMPUTED TO THE <br /> NEAREST HALF (I/2) HOUR,INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEXNIGHT HOLIDAYS DES ON OF WORK REHS NAME <br /> of 4:30PMAPOW <br /> SERVICE 4:30P S <br /> 3 /qq <br /> TOTALS <br /> BALUNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />