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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 3 � / <br /> COMPUTER/PERMIT # 3 0C� �0 f �/ <br /> SITUS/FACCIILITYADDRESS: 'Pok lU, cln 9-,40Ic-k <br /> DBA �f"oc�c.�rin S'Qrv+ce ��-�ryr� <br /> BILLTO: .S-1-� ac7tr, , gerur,�e x -Acari PHONE: Y(a5/-�3�3 <br /> BILLING ADDRESS: U IJppO X SU8 <br /> CITY/STATE: ZIP: C/ 5-;,)-U/ <br /> pati i-eortc,) <br /> PROGRAM: GIGT TYPE OF SERVICE: Ttrn E v��r ��[.�Svi/Sa„��o/ra C loS w�ovC/ru/ <br /> THE WNRA JM 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 /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8A.M- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> /U-z <br /> Cl� Aa <br /> AT <br /> 7� y3 31ro 3 •'3 o z rec'(. e+`i i eJ J� Aj= <br /> ��4 9'.�i-0"�Y /�✓,. .� Pln.v.e cc..-Q-('�plr �rn. �J{ <br /> l/3 $ 14K T�n.F rem inrc Mr e� inJ/ <br /> Of 06 NI <br /> _ q:Do-ID'.3 <br /> i, <br /> TOTALS <br /> Lh r <br /> BALANCE DUE: ` <br /> BILLING DATE <br /> EH 23 074 (Rev 3/71/91) <br />