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ENVIRONMENTAL, HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT #� <br />CONIPUTER/PERMIT # e'131 <br />SITUS/FACILITY ADDRESS: /u 7/ 62, --- <br />DBA: �'r� , ?o r rr�cJ ':SX -ell <br />BILL TO: _ el /6 s.so c r 4 Ve T PHONE: - - <br />r <br />BILLING ADDRESS: 113 <br />12 /r <br />ISTr\TE: ZIP: �a <br />R C : oTYPE OF SERVICE: �"�,.� � r• GuP ,ter s %rr. Un <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 TIME. <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />SAM- <br />4:30PINI <br />WEEKNIGHT <br />4:30PM-SAM/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />REHS NAIME <br />1 <br />TOTALS <br />I3ALINCE DUE: <br />13ILLING DATE: <br />EH 23 074 (Rev 3/22/91) <br />