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ENVIRONMENTAL HEALTH DIVISION <br />ACCOUNTING WORKSHEET <br />UNIT # <br />COMPUTER/PERMIT # V lLL�1 6o(' <br />S[TUSIFACILITY ADDRESS: l 06_7_ <br />rl:7-1 <br />BILL <br />�3 <br />C <br />BILLING ADDRESS: Lq >-�- lz� k'et dnilo 1 <br />CITY/STATE: ZIP: G <br />PROGRAM: TYPE OF SERVICE: &q 4, Y.,x-� <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. wo <br />DATE <br />of <br />SERVICE <br />WEEKDAY <br />SAN[- <br />4:30PM <br />WEEKNIGHT <br />4:30PM-SAID[/ <br />WEEKENDS <br />HOLIDAYS <br />DESCRIPTION OF WORK <br />REHS NAIIME <br />c Gi/F�IL <br />�6 <br />67 <br />2 <br />."ace <br />1:30' <br />2✓i�wPd Sam resu�ts <br />I <br />I <br />TOTALS <br />BALINCE DUE: <br />13ILLING D,\'m <br />EH 23 074 (Rev 3/22/91) <br />NA <br />/vs: <br />A' -f- <br />yy <br />&tf <br />