Laserfiche WebLink
ENVIRONMENTAL HEALTH DIVISION e <br /> ACCOUNTING WORKSHEET <br /> UNIT# <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: z�6 <br /> DBA: <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: 000 <br /> CITY/STATE: ZIP: <br /> PROGRAM- TYPE OF SERVICE: <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) OUR, ANY ADXTNAL INSPECTION TIME IS COMPUTED TO THE <br /> 4��NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. L Df 6- <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 8AM- 4:30PM-8AM/ <br /> SERVICE 4:30PM WEEKENDS <br /> L J\j <br /> TOTALS 7�11 <br /> BALANCE DUE.- <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />