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• <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> WIT ��� AJVFiNEsc I <br /> COMPU=.JPERIMIIT # U GsT <br /> SMJS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: c. A-ri � VJu ( << PHONE: 599 VZ67 <br /> BILLING ADDRESS: C) lJox l£4� <br /> CITY/STATE. ZIP: <br /> PROGRADE: TYPE OF SERVICE /�/�+���%5���`✓� /�9/�� <br /> 7HE ,'V UN TME FOR EAM INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION MAE IS CONPUTeD TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL MM <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK RENS NAME <br /> SAM- 430PM-8AIW <br /> 430PM WEEKENDS <br /> 9- 9z b•'S0- ! � �,r„r G✓,/s�� uhf <br /> TOTALS <br /> BA"NCE DUE U <br /> Ba LING DATE <br /> E 123 074 (Rev 3/22/91) <br />