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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # JJ�F <br /> COMPUTER/PERMIT # EN6ll✓ �� ��� �� <br /> SITUS/FACILITY ADDRESS: W• VYayy ,-� <br /> DBA: C , o, S. <br /> BILL TO: A(A/y �U D"IV 1'// 1 • PHO EvIyN-8357 <br /> BILLING ADDRESS: Cwt % Jr if• EI �DYLca p / <br /> //__ CA 9szoz-�99� <br /> CITY/STATE: �r6�1 ZIP: <br /> PROGRAM: V 5� TYPE OF SERVICE: <br /> THE NIlNDAUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> d �2 wo <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> lnt e ec,su(e <br /> 9 Io .3a i s2 —�ft . O .*D lob <br /> 2��'q2 Iloo.3D !!� PARC WYot-c �p w,w <br /> ort. <br /> I�4' 12 3' •.30 40 <br /> por+iA.f6V <br /> Jim '�O Wrl}L ?.POy} I7,-1 6"4L <br /> r`Gail a ,o/i< <br /> TOTALS <br /> BALANCE DUE:- <br /> BILLING <br /> UE:BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />