Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT <br /> SITUS/FACILITYADDRESS: 3-ilf� e,41//VF� Aye SYoclClZ9h/ �� <br /> DBA: <br /> BILL TO: OEA-1 /P l E,0z�-770/y 15AXw4E O . PHONEr414,y ! <br /> BILLING ADDRESS: �Algec�&_y0J <br /> CITY/STATE: .y At rte ZIP: 950s <br /> PROGRAM: Z9 .,U TYPE OF SERVICE: <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 WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAKI- 4:30PM-SAM/ <br /> SERVICE 4:30PM WEEKENDS -` <br /> yZq/q� :95wr.J7.'ISPM y'd t0 Gi; ne5s sei $4w,s INS �'!L�/ZPV <br /> !� 294 �:oo w,_z;ls b\ Iv; o¢ o: • '=5 G/RG '1��N <br /> TOTALS <br /> BALINCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />