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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> r-, <br /> UNIT # <br /> COMPUTFIUERMIT # SR Cll l x711-DUV03 ' �7S? <br /> IT <br /> SUS/FACILIII' ADDRESS: I O� S . Z e)G <br /> DBA: /yy�DQ Fi <br /> ® <br /> BILI.TO: /Cl 2,jl/H/11C�� z C9 0 ZJn !,o <br /> /N/!/ E: <br /> /�✓�/Ci��iC�� � PHON <br /> BILLING ADDRESS: d D 3 �/ i �f � <br /> n � zS-�� <br /> CITY/STATE: G -y- zlPc <br /> PROGRAIM: L 43 � � TYPE OF SERVICE: 37 / / WA�/l�/ <br /> THE MINIMUM TIIKE FOR EACH INSPECTION IS ONE (1) HOUR ANY ADDITIONAL INSPECTION iIl1� IS CONT V ID TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHTHOLIDAYS DESCRIP ION OF WORK REHS NAS <br /> SAVE- 430PM-MM/ <br /> 4:30PM WEEKENDS <br /> a�- <br /> �j <br /> TOTALS <br /> BALANCE DATE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />