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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT *�� <br /> CONIPUTER/PMMIT -4 <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: '1i�7 75� TYPE OF SERVICE: GfrTHE MINIMUM TIME FOR EACH INSPECTION IS ONE Cl) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, LUCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT rOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PIvi-SANI/ <br /> SERVICE 4:30PbI WEEKENDS <br /> F-Q <br /> 4r T, n� GLnSv�E r?E� EN/ o✓r,ti( <br /> ,I a sz3"��: /N� zoo G�linyu�L 2 ✓rE'f/ E. J <br /> lU Z� G/ a:?f�.r- /'�Ii' (tJk 2v...:� "//47 •� �.if/J!//�f..� E <br /> LjvrL K rv�y �' - <br /> l2�26 ql 'SIO-4'.yD c .G, li2�ur 1 <br /> TOTALS <br /> BALANCE DUE: <br /> 'LING DATE <br /> 074 (Rev 3/91) <br />