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I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT# u <br /> COMPUTER/PERMIT#S L'3 �g / V G' t AQ 5& <br /> SITUS/FACILITY ADDRESS: [ 'D��i -��` C <br /> DBA: a , c^c O Sb2 C%/\ )Y <br /> BILL TO: PHONE: <br /> BILLING ADDRESS: <br /> CITY/STATE: ZIP: <br /> PROGRAM: TYPE OF SERVICE: T ' <br /> THE NUMMUM TAE FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDITIONAL INSPECTION TAE IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> 8AM- 4:30PM-8AM/ <br /> 4:30PM WEEKENDS <br /> vv <br /> 8a7'�'7 ;DO-330 � rte. <br /> e c µea d' 'm. <br /> Re <br /> vv <br /> ,h <br /> TOTALS `� <br /> BALANCE lim. ~`� i V1 � <br /> BILLING DATE: <br /> EH 23 074 (Rev 3/22/91) <br />