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so <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # ly <br /> 0 //v <br /> COMPUTER/PERMIT# <br /> SITUS/FACILTTY ADDRESS: <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> y/ J` o <br /> PROGRAM: TYPE OF SERVICE: <br /> THE NUNW-TM TMIE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TMIE IS COMPUTED TO THE <br /> 7ZZr ) HOUR, IN UDING TRAVEL <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> n'e%�' 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> qq <br /> 4111 jq4 10A- 10 <br /> q�%P-� SSP l6 3 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />