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_ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # 2- <br /> COMPUTER/PERMIT # Pero' ti e.14 *.g/) <br /> SITUS/FACILITYADDRESS: lfSoJ U. qq &Xh--4,_ <br /> DBA: /Ln /c/den <br /> BILL TO: PHONE: gyY'�3Y� <br /> BILLING ADDRESS: GOzs AtleIrZA," S/-& ✓ GA 454/4) <br /> CITY/STATE: 5TKn/ Gy ZIP: qs1-/D <br /> PROGRAiM: //Z•Oo TYPE OF SERVICE: 74,ec T-rT <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION Tavm IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAbIE <br /> of 3ANI- 4:30P,14-3A"MI <br /> SERVICE 4:30PM WEEKENDS <br /> Z141- <br /> 2- <br /> L1 r"0 -2:30 �✓' �raz /� — � � �� �' = <br /> TOTALS <br /> BALYNCC DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />