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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT <br /> COirIPUTER/PERNirr 104/ <br /> SITUSi'FACILITY ADDRESS: 4/900 s4oc/FfO,,� <br /> DBA: Deth, Ch 4CPnyic2 <br /> BILL TO: A & A (,lNcre4e / / ay ou PHONE: .909- `YC2- 11187 <br /> BILLING ADDRESS: 3028 Cam! Onzw <br /> CITYiSTATE: CA ZIP: 4520`( <br /> PROGRAM: 6161sT TYPE OF SERVICE: Closunt eeeN R�✓rte " <br /> ir.E �,QNLMBIM TAME FOR EACH INSPECTION IS ONE (1) HOUR, kNY ADDITIONAL INSPECTION TDA IS COMPUTED TO T'rm <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL MAE. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WOR{ RENS NAME <br /> of SAM- 4:30P.M.SAMI <br /> SERVICE 4:30P'I WEEKENDS <br /> /ti Iz ,00"v:sd I �, m <br /> ��2? k� / :no-!:3J' I �vr4 reEy��rs �Evrfw k'T�EvEN <br /> /p/l� 5vc-?s v i EW <br /> �/IZBGrL <br /> I eft <br /> fpA-fJ: ,5rrE✓i5Fery Lpj4F*e4j <br /> 77 G Trvrl <br /> �,1� IIS%pJn-Il.�aU.h To OA•� 6r/F'�q� � � Di(Z4 �• rP iy C_ G_'�L� I;UI�I�I <br /> SSfci oJ'�syab � Tu w 6 ry <br /> �' � p,4A9-G.CSEE �`'•rf�Y ry/z�,(a <br /> R viEN/:/ygr <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE- <br /> EH <br /> ATE^cH 23 074 (Rev 3/91) <br />