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mocole <br />19AVAlffol 'IRA F&I 00 1: <br />UNIT # <br />COMPUTERIPERMIT # <br />SITUS/FACILITY ADDRESS: <br />DBA:– LlszoLs :rLL/,ino 7:6m.! Neer- <br />BILLTO: k'07'7-1 —1,-,4tLtd Cie- C4,2zezdmrL PHONE: <br />BILLINGADDRESS: 7,D,90X 960 <br />CITY/STATE: <br />PROGRAM: TYPE OF SERVICE: <br />ZIP: q52�(j <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 <br />of <br />SERVICE <br />WEEKDAY <br />8AM- <br />4-30PM <br />WEEKNIGHT <br />4:30PM-SANV <br />WEEKENDS <br />DESCRIPTION OF WORK <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/91) <br />