Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # // <br /> COMPUTER/PERMIT# <br /> SITUS/FACILITYAD/D�RESS: � Y S Cl. Jee <br /> DBA: I�C� i�f <br /> BILL TO: I�e,2 IJ 245 c° �leX // X45 7+ //0 PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ��c ��✓ ZIP: <br /> PROGRAM: -'25V(- TYPE OF SERVICE- <br /> THE <br /> ERVICETHE WNDAUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TDOL <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME QQ <br /> 4�M WEEKENDS c� &\ <br /> C0 <br /> I� <br /> ,v-A- 72- <br /> TOTALS 3X53.=is9. <br /> BALANCE DUE <br /> BILLING DATE <br /> EH 23 074 (Rev 3/22/91) <br /> v ./ <br />