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i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACI(LIITY ADDRESS: <br /> . . D G. a-��l'I/� , 1�— <br /> DBA: ) / /G/ L\J6W.2 /� ��l���/�000O/��, <br /> BILL TO: /Q,S�./ p40 (f. PHONE: 707) <br /> BILLING ADDRESS: . 0, �O <br /> CITY/STATE: / / r ZIP:g5 <br /> l/1ro�r� <br /> PROGRAM: a S� TYPE OF SERVICE: <br /> 0 S010 <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COP PUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 8AM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 5-1 -91 a; . °` 2X .5'-? <br /> 5 d�B-41 <br /> 7 '66 - Y�,c <br /> P sOle <br /> TOTALS <br /> BALANCE DUE: 3 l <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />