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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # � <br /> COMPUTER/PERMIT# L k �� f �]-��Ll V U Q I 405-T 7 <br /> SITUS/FACILITY ADDRESS: (l -o <br /> DBA: <br /> BILL TO: �U '. �"y'.�iL f PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: C.� '„?. / _ �� y ' T ZIP: <br /> PROGRAM: U�- � `I TYPE OF SERVICE: . S jlW6L <br /> THE MINIMUM TINIE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TMM. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> / r _ x',30-3i-3 t: <br /> c <br /> I1' =3v-3'.30 <br /> elf <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />