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ENVIROMN NTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNrr * /// <br />COMPUTER,?ER!Mrr * <br />SITTUS/FACU-ITY ADDRESS: '� 7- O <br />DBA l� % Pon M'% I I �q - <br />3ELL TO: l ei NcW% ( << PHONE 5`t9 YZ67 <br />BILLING ADDRESS: toc) <br />CrrYISTATF ZIP: <br />PROGRAM �3 d TYPE OF SERVICE: <br />irW .VUNL4 UM TIME FOR EACH INSPECTION S ONE (1) HOUR, ANY ADDMONAL INSPECTION TUC IS CONTU7.D To TRE <br />NEiRESC HAL'• (1/2) HOUR, INCLUDING TRAVEL TMM <br />BALANCE DUE <br />BQZING DATE: /a <br />E-: Z3 074 (Rev 3/22/91) <br />. ;"cp <br />�v <br />0 0 <br />I <br />PAYMENT <br />RECEIVED <br />DEC 14 1992 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />WEEKDAY <br />8AM- <br />4_ 0PM <br />WEEKNIGHT <br />430PM-8AW <br />WEEKa""1DS <br />HOLIDAYS <br />DESCRIPTION OF WOR.IK <br />REI -IS NAME <br />l✓,/s+N �fif <br />TOTALS <br />BALANCE DUE <br />BQZING DATE: /a <br />E-: Z3 074 (Rev 3/22/91) <br />. ;"cp <br />�v <br />0 0 <br />I <br />PAYMENT <br />RECEIVED <br />DEC 14 1992 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />