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0 0 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNrr# t <br /> COMPUTER/PERMIT# 1 / <br /> SITUS/FACILITY ADDRESS: t� l , ' <br /> 00 <br /> DBA: U U � � fi. C ,� ,/ 2y 0 <br /> BILL TO: :4, 01 P' a:z PHONE: <br /> BILLING ADDRESS: Sa (k5; <br /> CITY/STATE: U <br /> zip: <br /> PROGRAM: U LTYPE OF SERVICE: Olve <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR. ANY ADDITIONAL INSPECTION TUVIE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR. INCLUDING TRAVEL TRAL <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTIONRK REHS NAME <br /> of - 430PM-8AW �`�®0 <br /> SERVICE 4:30P WEEKENDS <br /> .9 JIV lee 1 <br /> is <br /> Fu9 <br /> r v 3 sZv, Am <br /> TOTALS <br /> HA"NCE DUE: <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/91) <br />