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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # /'/ <br /> COMPUTER/PERMIT# C&NI E/6 16 5 b <br /> SITUS/FACILITYADDRESS: avi'SE A-- <br /> DBA: 7445 � nL <br /> BILL TO: /� o wiMC�rG'a( 4rr5 / lnC PHON Zo9) a75 DY'/y <br /> BILLING ADDRESS: P C7. I/JO-< I DO el <br /> CITY/STATE: Trt SV�,O 61; ZIP: 37 <br /> PROGRAM: d 300 TYPE OF SERVICE: :;- <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS CO?4PUTED To THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAM <br /> of 8ANf- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS <br /> Is Go geuinu <br /> a g - too . 1 <br /> is-s~5 3o- , L 5 �m: l �11:3 ulcv r(A <br /> I <br /> TOTALS 3 h.s oQ, <br /> BAL,kNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />