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ENVIRONNiiENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> �07�- <br /> CO <br /> ,IPUTER/PERlWr # /AF20= Yff <br /> SI US/FACII= ADDRESS: 4W ? L2 <br /> DBA: <br /> 3ELL TO: :ss l' " i 'tL 5z,1 PRONE <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: <br /> :c[ ` MM,4UM ME FOR ?A0i INSPECTION fS ONE (1) HOUR. ANY ADDMONAL INSPECTION TIME iS COMPUTED TO 7-7- <br /> - <br /> YEAR T HALF (1/2) HOUR, INCLUDING TRAVEL.TIME. <br /> WEEKDAY WEEICIIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 4:30P'.Nf-"W <br /> 430PM WEEKENDS <br /> 3 11/4 /r7 fe VPvie G N/ <br /> i <br /> i <br /> I <br /> I <br /> i TOTALS i <br /> BALANCE DIIE: <br /> BILLING DATE: <br /> EH 23 074 CPW 3/22/91) <br />