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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT # S .D 155� 911^/ <br /> SITUS/FACILITY ADDRESS: 02rl �G� SALly. <br /> /qJ J <br /> DBA: 121P.rDP <br /> BILL TO: PHONE <br /> BILLING ADDRESS: <br /> CITY/STATE: ((�� ��� ZIP:-23, 6U <br /> PROGRAM: �• TYPE OF SERVICE: �^ '" ¢- -�/W <br /> 1H�t�`J <br /> oi- S�f22G <br /> THE MII4IMSJM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY NY A ADD ONAL INSPECTION TIlLIE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-SAM/ <br /> 4:30PM WEEKENDS <br /> Y:oO—V"3C> <br /> iareo-�ot3o c, s-uk-� . <br /> ece;se <br /> 30-tet <br /> fr •- <br /> 9 TNKA"y �- <br /> TOTALS <br /> ,ALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />