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ENVIRONMENTAL HEALTH DIVISION <br /> T ACCOUNTING WORKSHEET <br /> UNrr# 1- <br /> COMPUTER/PERMrr# <br /> SITUS/FACMM ADDRESS: <br /> DBA hel�S <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CrN/STATE: �i ZIP: <br /> PROGRAM: ��TYPE OF SERVICE: <br /> THE MINIMUM TME FOR EACH INSPECTION IS ONE (1) HOUR ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAR�HA <br /> (1/2) HOUR INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 430PM-8AM/ <br /> 430PM WEEKENDS <br /> r[-svnw { 5u <br /> p q -7, I '•30• II'.• Z ph�n.e.con av/e✓ r�;Q✓la� <br /> 112q— / J <br /> [`'.3c,"Lm�n r "_ <br /> Lu I 6Y <br /> h3o ��' ��l.r , <br /> 4 4 <br /> -93 <br /> • p-rg --..�.15-Z•.I <br /> 12 ISI v�re.n <br /> 1 3�� 4'.06 -LI'30 Ph"(4L ew cep <br /> ropes-, 0svyv <br /> TOTALS <br /> BALANCE DUE <br /> ' BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />