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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> - <br /> coNtPVT"�-wP��trr # 1710 l'i <br /> ST,7jSIFACLLITY ADDRESS: <br /> DBA: lLtA, <br /> PHONE: <br /> BILL TO: <br /> BILLING ADDRESS: <br /> 9 a , ZIP: <br /> CITY/STATE: <br /> TYPE OF SERVICE <br /> PROGRA2Q: a�' � G <br /> T y�(MSJAd TME FOR PCH INSPECTION LS ONE Cl) HOUR. ADDITPNAL SPECTI N 4Is CONV� TO THE <br /> ,T&VZ T HALF (1/2) HOUR INCLUDING TRAWL MAE- <br /> WEE DAy WEEKNTGHT HOLIDAYS DESCRIPTION OF WORK REI' NAS <br /> SAM- 430PM-8AW <br /> 430PM WEEKENDS <br /> 4'e <br /> � I <br /> TOTALS <br /> BAIaNCE DUE: <br /> BII.LING DATE: <br /> i <br /> Z-I 23 074 (Rev 3/22/91) <br />