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1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> _w -7�v v <br /> COMPUTE E rr# <br /> SITUS/FACILITY ADDRESS: l <br /> DBA <br /> BILL TO: <br /> PHONE: <br /> BILLING ADDRESS: a, <br /> CITY/STATE: . ., .. ZIP: <br /> PROGRAM: k TYPE OF SERVICE: 1i <br /> THE MINIMUM TBE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TMM IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCREMON OF WORK RENS NAME <br /> of SAM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> l <br /> 11 TOTALS <br /> BAI.ANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />