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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr# -ZW— <br /> COMPUTER/PERMrr# -s R D <br /> SrIUS/FACII,rIY ADDRESS: Id 1l, S A /C�,ai j <br /> DBA: �✓ �C T7J T �h_f9�/✓� G/ <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> C=/STATF- 23P: <br /> PROGRAM: 6R33 TYPE OF SERVICE: �GG�I//G �, 4 � <br /> THE MINIMUM TES 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 /> 8AM- 4:30PM-8AM/ <br /> a 4:30PM WEEKENDS <br /> �' 1 �O.30 -1 I�3 B Jr mac.✓ u^^-, <br /> f <br /> i/ <br /> �,_ li;ea � Recei r <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE. <br /> EH 23 074 (Rev 3/27/91) <br />