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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # �/l p�7, / I /7 b <br /> SITUS/FACILITYADDRESS: n/i/, <br /> DBA: Lr 1 ah <br /> i <br /> BILLTO: <br /> BILLING ADDRESS: <br /> CITY/STATE: <br /> PROGRAM: TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL T[PgE. <br /> ,,"(1/2) <br /> � <9i 0 <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-8AM/ <br /> SERVIICOE 4:30PM WEEKENDS:c0 <br /> !'lob oo lD0 ELrtL�� ��0&GG4 C� <br /> i <br /> 4:0o <br /> °. <br /> :-la- Ya ,0.06= 1, .3 - <br /> 9: 00- q:3D <br /> TOTALS 3 j <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />