Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PEP.Wr# R D / 3/k'�/�/UUO S�D6 99 <br /> SITUS/FACILITY ADDRESS: � <L <br /> DBA <br /> BILL TO: <br /> PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: 7722 �� / ZIP: <br /> PROGRAM•,��tCJ„Sll TYPE OF SERVICE <br /> THE �IRvIUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME LS COMPUTED TO THE <br /> NM,% ST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> 9S( G — �NFh Story SafiPLf <br /> r4rvK ,4c�rrw� ` sem <br /> I CIA <br /> /-ecei <br /> TOTALS <br /> BALANCE DUE <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />