Laserfiche WebLink
�,j ��- / <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET .Sx;:�- 3 a 33 <br /> UNrr # 1 7 v 9 2 0 <br /> COMPUTERIPERMIT# <br /> SrruS/FACILITYADDRESS: � �N� lZ� �/L' a L C^P` 87-376 <br /> DBA C,e ./ u0N u54�-s <br /> BILL TO: t�;Lr/ePHONE: -5/�-5W-��Z� <br /> BILLING ADDRESS: 1 SX7 �X C �✓� �e C,z-f <br /> CrrY/STATE: l-1 V N�rro le-A f- I ZIP: �� U <br /> PROGRAM: l 1�� - TYPE OF SERVICE �LR v IZe V Iz J /f�f l k Le t,t, J <br /> THE it M4UM 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. Ad 9�'le � �/ z7 � = '1 111 <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 8AM- 4:30PM-8AW <br /> SERVICE 4:30PM WEEKENDS <br /> S 30� ld /� t / 7�v1e,� / �� <br /> !L r $ AMpL.iJ � ?/. s <br /> TOTALS <br /> 8ALUNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />