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ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # <br /> COMPUTER/PERMIT # <br /> SITUS/FACILITY ADDRESS: - =4�i'VIZAL <br /> DBA: <br /> 4 sys PHONE: <br /> BILL TO: —A)0rC- WL0'- <br /> BILLING ADDRESS: 5 <br /> CITY/STATE: co C ZIP: <br /> ME OF SERVICE: <br /> THE MIMMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDMONAL INSPECTION TIME IS C0,10UTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL Ma. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of SAIVI- 4:30PM-SAM/ <br /> SERVICE 4:30FM WEEKENDS <br /> 110:00-it: <br /> 3 l2:30-q.'30 'Y k" <br /> 0,9 <br /> TOTALS <br /> BALUNCE DUE: _� _ �_ <br /> BILLING <br /> UM- <br /> BILLING DATE- <br /> EH 23 074 (Rev 3/22/91) <br />