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i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ) 7 u p <br /> COMPUTER/PERMITo <br /> SITUS/FACILITY ADDRESS: �� S <br /> DBA: <br /> PHONE: <br /> BILL TO: rp <br /> R6 <br /> BILLING ADDRESS: <br /> ZIP: q 535 I <br /> CITY/STATE: <br /> PROGRAM: �� <br /> TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDIING TRAVEL E. <br /> DATE WEEKDAY W(E�EKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME n <br /> of 8AM- 4:30PM-SAM/ I v <br /> SERVICE 4:30PM _ WEEKENDS <br /> 15 g-lo`l/ <br /> �q 4 b oI ' - <br /> IS-4( <br /> 1110D 1 13 0 `S �° ,4 <br /> I-19-9� °I°, �I . , aw <br /> TOTALS S <br /> BALANCE DUE: ' <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) /' <br />