Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET 4 <br /> UNIT # <br /> COMPUTER/PER,,M7 * <br /> S IT US/FACa=ADDRESS: - zovy 5 - <br /> DBA <br /> BILLTO: __ %y SGtu�Gt �/rCrric ��[ rr hlr�y ✓ /1F4. PHONE: fifes o '3S <br /> BILLING ADDRESS: /Y6 Y <br /> I <br /> CITY/STATE: C,4 ZIP- <br /> r <br /> PROGRAM: fl6 57 TYPE OF SERVICE <br /> TIHE NII`i(IIvIUM TIME FOR EAC.ci INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME LS COhIPUTID TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> 125 <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8A.,I- 430P.M-8AM/ <br /> 430PM WEEKENDS <br /> i/d3/9l� /R-UD -"u /Iua/ ✓vim v h.� /�_ <br /> /2 V);e,.J <br /> — <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br />