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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT# //3 V <br /> SITUS/FACU=ADDRESS: <br /> DBA: T Dw701e-f <br /> BILL TO: Tl� mutic PHONE: YG S 3 2-3 <br /> BILLING ADDRESS: %)/a <br /> CITY/STATE: S./, /c f •, ZIP: 9 Sdy� <br /> PROGRAM: Lf ST TYPE OF SERVICE: <br /> THE MIIVIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TAIE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> �9L- <br /> /r1-- :`T. �'l-� Aad .vc«J• C-tU N� <br /> v ✓/�uti w <br /> LA <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />