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0 <br />ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # /// AJVFiNEscI <br />COMPUTc.R/PER.mrr # U GsT <br />SMJS/FACILITY ADDRESS: <br />DBA: v, : Pon <br />BILL TO: aPHONE: 59i VZ 67 <br />BILLING ADDRESS: �� lJox 1i4� <br />CITY/STATE o Cs ZIP. <br />PROGRAM: 2-S � TYPE OF SERVICE: /�/�+���%5� �`✓� /l9/%- <br />THE N, UN TME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TINE IS CONPU-MI) TO THE <br />NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL Tna. <br />BAL-tNL CE DUE 41 � . 'o <br />BILLING DATE <br />EH 23 074 (Rev 3/22/91) <br />41 0 <br />PW <br />WEEKDAY <br />SAM- <br />430PM <br />WEEK" 0HT <br />430PM-8AIW <br />WEEKE*IDS <br />HOLIDAYS <br />DESCRIMON OF WORK <br />REHS NAME <br />9- 9z <br />D•'SO- ! � <br />�,r.;r <br />G✓,/s�� uhf <br />TOTALS <br />BAL-tNL CE DUE 41 � . 'o <br />BILLING DATE <br />EH 23 074 (Rev 3/22/91) <br />41 0 <br />PW <br />