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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr # Q <br /> COMPUTER/PERMrr # <br /> SMJS/FACILrrY ADDRESS: <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> C=/STATE: ZIP: <br /> PROGRAM: 7 I TYPE OF SERVICE: <br /> THE �LV[INW M THAE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TII'm IS COMPUTED TO THE <br /> NEARF (1/2) HUR, INCLT/ IN TAQE. <br /> DA j2�y <br /> r 3 <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 430PM-8AM/ <br /> Dr" 430PM WEEKENDS <br /> P <br /> 2 2:00-3 .00 /n[ ev o P <br /> TaeA- IV �On <br /> I��1/3]' 13 ioO-y`3o Y2Vtl..1•svb io <br /> LLQ <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE- <br /> EH <br /> ATEEH 23 074 (Rev 3/22/91) <br />