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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ' <br /> COMPUTER/PERMIT # f?�� <br /> SITUS/FACILITY ADDRESS: <br /> DBA: Yi' <br /> BILL TO: cs " <br /> BILLING ADDRESS: � - <br /> ZIP: X13 Z) <br /> CITYISTATE' <br /> PROGRAM: <br /> TYPE OF SERVICE: <br /> TO THE <br /> THE MINIlVIUM TIME FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TIME IS COWU'rM' <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TME- <br /> WEEKDAY <br /> M E-WEEKDAY WEEKNIGHT HOLIDAYS DESCREMON OF WORK REHS NAME <br /> SAM- 4:30PM-8A1' / <br /> 4:30PM WEEKENDS <br /> 2 <br /> 3 <br /> 419 AU A <br /> 1/sly3 - A)4 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />