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V V <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COiviPUTER/PERMIT # P✓hG_Elt'm ��,ZZ Sc�E� #:O(p t��ord J> : 45000(07 <br /> SITUS/FACILITY ADDRESS: <br /> DBA: 5-T-, c ln5:5-:ehs I Ud 1Cr0 (0-& FA <br /> BILL TO: S-T-. �a.S s MPAirxl Cnc-t'L� PHONE: 942, '2000 <br /> BILLING ADDRESS: ),bo N. CcL(i c-n i�. <br /> CITY/STATE: ZIP: 1,52,04 <br /> PROGRAM: 145.00 TYPE OF SERVICE: CG9C <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 WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NA1�IE <br />'! of SAtvI- 4:30PNI-SAM/ _ <br /> SERVICE 4:30PM WEEKENDS <br /> I <br /> I <br /> I <br /> TOTALS ( how <br /> BALkNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />