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F, <br /> w <br /> ENVIRONMENTAL HEALTHDIVISION <br /> f <br /> ACCOUNTING WORKSHEET <br /> UNIT# _ <br /> COMPUTER/PERMIT# 511eX1001 <br /> SITUS/FACILITY ADDRESS: D 4,S" L^ �k-7" e A j Zr2-3! <br /> DBA: o pv /e <br /> BILL TO: `7� t ��S .s a,i �llr IPHONE: <br /> BILLINGADDRESS: <br /> $ az $ 1 23/ A7'TN <br /> , 7 <br /> CITY/STATE: G' ZIP: �23/ <br /> PROGRAM: V &'S"T TYPE OF SERVICE: 5I2 S AI r SP 1 <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIlkIE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> of 8AM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 11 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: L/ <br /> EH 23 074 (Rev 3/91) <br /> 1 <br />