Laserfiche WebLink
A&E?- <br /> ENVIRONMENTAL <br /> ENVIRONMENTAL, HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # f6 <br /> SITUS/FACILITY ADDRESS: 41 <br /> DBA: le—'E:7N-F- Of t-- <br /> BILL <br /> BILL TO: 25;c'r l PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: 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 RENS NAME <br /> of SAM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> "41e- rX <br /> w�7N KINl leaclo/L�� 12LL <br /> 6117141 l 1,0,U 111 DTr'N'T1 `?x'F - JV <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />