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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # . <br /> COMPUTER/PERMIT # ;F�F_ L 3 0 <br /> SITUS/FACILITY ADDRESS: 30x3 'IF , <br /> 9SZv5- <br /> DBA: Z/ue177or G l i`e TUJ� Co <br /> BILL TO: Jys P 917 PHONE: <br /> BILLING ADDRESS: 3v' 3 /vI V✓- /e Sf -S"40 c-1 <br /> CITY/STATE: ZIP: q tZ os— <br /> PROGRAIM: 6165T TYPE OF SERVICE: GICs%iPinyyaOo/u.�/ ryicc, /v/�� Gt� _ <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 /> ami 3/vrf/ 3 yosd' <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3AhI- 4:30PM-SAM/ <br /> SERVICE 4:30PNI WEEKENDS <br /> i <br /> 3 i 6 / – /ff3 z S Gnu Ceci!ocvns� N 1 <br /> A// <br /> fo/�/f i —i 3o .� •R..:.,le vim. :,-_�� �tj /u/ <br /> I <br /> TOTALS <br /> BALkNCE DUB: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />