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ENVIRONiNJENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # / / <br /> CONIPUTER/PER:MIT <br /> SITUS/FACILITY ADDRESS: e /�/�raG�C�� /CJ�� /cw;S <br /> DBA: <br /> B(LLTO: /a 1 <br /> J � 9v4 ✓3 PH4,jONE: 0 777 <br /> BILLING ADDRESS: 1-i <br /> l <br /> CITYISTATE: �u//ry <br /> PROGRAM: 23 ic' TYPE OF SERVICE: C c <br /> TirzE MMMUM TLV¢ FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION T,ME IS COMPUTED TO THE <br /> NEAR:ST HALF (1/2) HO R INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK R E H S NAIME <br /> of SAM- 4:30P:NI-3A.M/ <br /> SERVICE 4:30FM WEEXENDS <br /> 2- I a:Lz 12. )IM w I v <br /> 2-7642 1730. 3,cvd <br /> tMU4 <br /> s- s zINILZ T <br /> Z' I I Xv 'a k &LleJd <br /> f - <br /> TOTALS (C ) <br /> BALkNCE DUE: 7 P S3 f37 ) • OC) <br /> MILLING D, •Tr•_: <br /> EH 23 074 (Rev 3/22/91) <br />