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�.. VI/ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # i <br /> COMPUTER/PERMIT <br /> SITUS/FACILrrYADDRESS: /*JG7ih A/ <br /> DBA gl, fE <br /> BILLTO: PHONE: 33�I^62�zj <br /> BILLING ADDRESS: /Li��Z /`�- D•4�lC <br /> CITY/STATE: /-elm T ZIP: <br /> PROGRAM: 23. ZZ TYPE OF SERVICE: A&'c-ovAG - <br /> THE MINIMUM TIME 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 /> DATE WEEKDAY WEEKNIGHT HOLIDAYS I DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30ni-$ASI/ <br /> SERVICE 4a0PM WEEKENDS <br /> 9�zyq GGoS'vre� ,P�vr�.i £'e vE1J� <br /> lv/� QI �r-vv—w:n+�jar L� /Pyi�v✓ L G t! 21 a /n:ao-/o:sa., �• � • v - �nrce i/•dvf+�' <br /> TOTALS <br /> IIAIANCL•' DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />