Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORI,,SHEET <br /> UNIT # <br /> CONIPUTERMERMIT* W :57; 3 <br /> Sl-IUS/FACILr Y ADDRESS: 75-5 <br /> DBA: / CJ�j��%�i - LLIeLa- <br /> BILL TO; - / rte �'I '�17� �(.� -2-� _ PHONE: g7I7- &12q <br /> BILLING ADDRESS: <br /> C ITY/STATE: ZIP: <br /> PROGRAM: � � TYPE OF SERVICE: &� /,A <br /> TETE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INS?ECTION TIME IS COMPUTED TO THE <br /> NEARESTHALF (1/2) OUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3A.&I- 4:30P.M-SAM/ <br /> SERVICE 4:30PI4 WEEKENDS <br /> 10"w E:1Ji ���Gcr.. �b.wr# m <br /> ' 7/ i:i 3.�C /�'� 1�} d�,k► x� +�,,� r cry �- . V <br /> 9:D pp — 1��s (, Aeviteved- AU-,a* <br /> -' 1W, D ftei W <br /> I <br /> NO <br /> TOTALS <br /> IlAr<1Nce DUE: <br /> BILLING MkM <br /> EH 23 074 (Rev 3/22/91) <br />