Laserfiche WebLink
1 t 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # L 6-0 <br /> COMPUTER/PERMIT # l <br /> SITUS/FACILITY ADDRESS: Co ' -" L x <br /> DBA: �— L I a C) <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: '� + �' <br /> CITY/STATE: LI�j � KAA 12-f ZIP: -s' <br /> PROGRAM: V I TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TMM IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. 6®"7' <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> 36 <br /> G® S Y3 <br /> TOTALS <br /> BALANCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br /> I <br />