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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> uNrr# � V•�=� <br /> COMPUTElUERMIT# 5RD0/�fl�� /N <br /> SITUSIFACILITYADDRESS: <br /> DBA: �Y�{ <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP' <br /> PROGRA.�4: TYPE OF SERVICE: <br /> THE �WIIMUM TIIa FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION TIME IS COMPUTED TO THE <br /> ( HO CLUDING TRA TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> SAM- 4:30PM-SAM/ <br /> 430PM WEEKENDS <br /> - �vG l-OWn <br /> ISI 3',aD � rO i'2V ' 1qf:. <br /> ea.%vert4vrn x. r <br /> �I-2q-93 10 3 8o'a� <br /> nd• remavNf •5 hn <br /> 2.30 <br /> + sz <br /> RoM�n 1 u5T• <br /> - 1g �1 Z-oo\nr wr,rlvruw Prw„avtier FVLar <br /> 2-Z3 Ib'.36' I I'•DD BU 1 u 56FR <br /> r /� hme Gen f+'a-cAa✓ <br /> Ye'. n <br /> �� yzu-y.3o it <br /> 22 <br /> r <br /> ID;00 -ID:3O e �x ln5a MA n1 <br /> 2• <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />