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_ENVIRONMENTAL HEALTH DIVISION <br /> ACCOUNTING WORKSHEET <br /> UNIT # .� <br /> COMPUTER/PERMIT # <br /> SITUS/FAC[LITYADvDrR4�EcSoSu: _sPf+r�c+�zsiu�4Z�Jy4'c�.v-r '� .Yc.ut7c!' <br /> (r4tt,czcr <br /> of C0Toz �--�G/L/ �Z <br /> DBA: <br /> BILL TO: PHONE 2-39- F4/&o <br /> BILLING ADDRESS: /Ool <br /> CITY/STATE: /q4i!J ZIP: 9s3,36 <br /> PROGRAM: q / TYPE OF SERVICE: ,34,ui>6 <br /> ¢ PFe"17- <br /> THE MINIMUM TIME FOR EACH INSPECTION IS ONE (1) HOUR, ANY ADDI'T'IONAL INSPECTION TIME IS COMPUTED TO THE <br /> NEAREST HALF (1/2) HOUR, INCLUDING TRAVEL TIME. <br /> DATE WEEKDAY WEEKNIGHT HOLIDAYS DESCRIPTION OF WORK REHS NAME <br /> of 3A?vI- 4:30PM-SAIM/ <br /> SERVICE 4:3OPM WEEKENDS <br /> /Y <br /> .J !'—Eve E.�.J�-wD,e s �`' • � L�v L/K.( <br /> :2? /. O /1 r P��erc/'j �4Pf�cr477en1 ,Q�EU� <br /> �4AFA r Opt Ekrr wor-K 6:�.oc/urfe4 <br /> Q /. 0 Ale �4�'�L�/SI�S / /'d�bl6E F CSL v41l471 <br /> GS q2 pcli I <br /> w .z�h 4 04 rT- w0-a ti AG a.(VE,gA <br /> 4L d,�-t-t�- f'aEP215r i T � �x�N1PT7o <br /> s.,E T7�,e-r,✓�e,77niG �.Ou VSE/ <br /> too <br /> TOTALS � ry�S <br /> BALANCE DVT:: .� (, S c� (./ <br /> BILLING DATE: - <br /> EH 23 074 (Rev 3/22/91) <br /> VIP <br /> -- <br />