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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT# //iY 13 E,4 C0 <br /> SITUS/FACILITY ADDRESS: / S T <br /> DBA: <br /> BILL TO: G.l l�ra m un /�c - PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: Ify ZIP: cj 3,) 3 <br /> PROGRAM: G/G5i TYPE OF SERVICE: <br /> THE MINMIUM TDa FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TACE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TMIE. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS , `, G.w�c pet- ( cti <br /> ifs fl A,'W ER 01 4 lysin <br /> 101,912 Am -106- <br /> /010" <br /> /rl6 <br /> 6 3 f pct 6r�Iell aim <br /> J j tom, qlc <br /> C G I ✓� l, -v` /-e eLo' <br /> / <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />