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'T jolt <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 400 e <br /> ACCOUNTING WORKSHEET <br /> uNrr# ��-/ ; l � <br /> COMP /PE # <br /> SITUS/FACILITY ADDRESS: L.. v-) J14e- <br /> DBA.: L - <br /> 9 <br /> BILL TO: L PHOHg: e A <br /> BILLING ADD 7 <br /> Cn Y/STATF- ZIP: <br /> A�, <br /> PROGRAM: TYPE OF SERVICE: L m <br /> THE INGNIMUM TIB E FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION T36 IS COMPUTED TO THE <br /> NEAREST HALF C1/2) HOUR,INCLUDING TRAVEL TIME. 17, <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRUTION OF WORK REHS NAME <br /> of SAM- 4:30PM-8AMI <br /> SERVICE 4 i0PM WEEKENDS <br /> ® <br /> =TOTALS <br /> BALMNCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />