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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />uNrr # <br />coMPVTM?ERMrr # <br />srrUS/FAcum ADDRESS: Zae�o o //0LGY cA- 9-6 378` <br />DBA:. <br />BILL TO: !'��Gi. r 5� Go eP PHONEO'l) X35" 3x f o <br />BILLING ADDRESS: F o • 3-g 0 . <br />C=/STATE: . LZ e;4 <br />Z TYPE OF SERVICE: ��'���'-✓,���5' <br />PROGRAM: <br />THE M Mwm TMIE FOR EACH INSPECTION LS ONEH I INSPECTION TMIL IS COMPUTED TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL <br />WEEKDAY WEEKNIGHT HOLIDAYS <br />DESCRIPTION OF WORK <br />RENS NAME <br />SAM- 4:30PM-SAMI <br />430PM WEEKENDS <br />�jrTE tir5 S <br />SCG/F.4Sf aF' <br />1G <br />�i►'F-+J'� <br />/t 0IM6� <br />.r <br />r�Gn w v l9 SP•4-L_ <br />.� <br />TOTALS <br />L <br />BALANCE DUE: <br />BILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />