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` r <br /> i <br /> MY <br /> tti <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTERIPERMIT# �"°� a 3 �f3 <br /> SITUS/FAClLrrY ADDRESS:�a <br /> DBA: <br /> BILL TO: _°F ( �7 . „ „ PHONE. <br /> BILLING ADDRESS: � m <br /> CITY/STATE: %! �_ � .....-- ZIP• 13 76 <br /> PROGRAM: oS TYPE OF SERVICE:�i c�l[i�Q •„� <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDI'IMONAL INSPECTION TI1 M IS COU?UTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TLME. <br /> WEEKDAY WEEKMGHT HOLIDAYS DESCRIP'T'ION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> &-3643 <br /> ', <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE- <br /> EH 23 074 (Rev 3/22/91) <br />