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ENVIRONMENTAL HEALTH DIVISION <br /> r ACCOUNTING WORKSHEET <br /> UNIT # <br /> CONIPUTER/PERMIT # w 147-69 .±311 7 <br /> SITUS/FACILITY ADDRESS: <br /> DBA: <br /> BILL TO: I k.-U T7 . CC} i tG PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> < TYPE OF SERVICE: _ � / o ' <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS ON11MD <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NA.,fE <br /> of SA.Nf- 4:30PNf-SA,Nf/ <br /> SERVICE 4:30PNI WEEKENDS i <br /> 41130-1b.31 ' rrovecu� '"` <br /> ,, - - <br /> [TOTALS <br /> BAL\NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />