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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # -TIVV <br /> COMPUTER/PERMIT # <br /> S[TUS/FACILITY ADDRESS: -� <br /> DBA: <br /> PHONE: <br /> BILL TO: <br /> BILLING ADDRESS: <br /> ZIP: <br /> CITY/ST.,\TE: , Q <br /> PRPROGRAM: �/ <br /> ' 1 TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> ST (1/2 HO R. INCLUDING TRAVEL.TIME• <br /> i <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WOR REHS NAME <br /> Of SAM- t:30PM-�A\t/ <br /> SERVICE 4:30PM WEEKHNDS <br /> 6v w <br /> TOTALS <br /> BALuNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />