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ENVIRONMENTAL HEALTH DIVISION ' <br /> ACCOUNTING WORKSHEET <br /> UNIT # ,-ZZ,__ <br /> COMPUTER/PERMIT <br /> SITUS/FACILITYADDRESS: 4w- <br /> DBA: a 1 0-1 <br /> BILL TO: a PHON . Loz a <br /> BILLING ADDRESS: <br /> CITY/STATE: —� ZIP. Al- <br /> PROGRAM: <br /> fPROGRAM: A!!�� _ TYPE OF <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 NAME <br /> of SAhf- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> G / �f <br /> � • A <br /> d p <br /> TOTALS <br /> BAL1NCC DUE: <br /> I3ILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />