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Home My WebLink About235735 08/13/14 y u!.£4Fb �/ ;� CITY OF CARMEL, INDIANA VENDOR: 368498 /«M M k.i ® \; ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $ 240.00 ,{� /a CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 235735 +.�yy,__„�r EVANSVILLE IN 47716 CHECK DATE: 08/13/14 [TON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30056881 80.00 OTHER EXPENSES 601 5023990 30056882 80.00 OTHER EXPENSES 601 5023990 30057240 80.00 OTHER EXPENSES INVOICE INVOICE INVOICE INVOICE INVOICE DATE NUMBER DESCRIPTION TOTAL BALANCE Service Location: 3450 W 131 st St Westfield IN 46074 for account 310021257 07/16/14 30056881 Quarterly Four Seasons $80.00 $80.00 a Service Location: 5484 E 126th St Carmel IN 46033 for account 310059412 07%16/14 30056882 Quarterly Four Seasons $80.00 $80.00 V214- Service Location: 4915 E 106th St Carmel IN 46033 for account 310059452 07/14/14 30057240 Quarterly Four Seasons $80.00 $80.00 v 0 N O In m l L O m V O N O • OO N W Current 30-60 Days 61-90 Days 90+ Days Total Due s N $240.00 $0.00 $0.00 $0.00 $240.00 0 MESSAGES Payment is due upon receipt. To pay online,go to actionpest.com and click Pay Your Bill. Finance charges will apply to invoices over 30 days old. ACTION PEST CONTROL, INC 2301 S GREEN RIVER RD N EVANSVILLE IN 47715 Phone 317-209-1654 ` Action pest Control Action Pest Control,Inc. Service Inspection 2301 S. Green River Road PO Box 5759 „' Evansville, IN 47778 Evansville,IN 47716 Report/Invoice Action 812-477-5546 317-209-1654 800-467-5630 ORDER#: 30056882 WORKDATE: 7/15/2014 Time In: 7/15/2014 1:49 PM BILL-TO ;310021257LOCATION. 310.059412" Time out: 7/15/2014 2:17 PM Carmel Utilities Water Treatment Building Customer signature 3450 W 131ST ST 5484 E 126th St Paula Williams Carmel,IN 46033 Westfield,IN 46074-8267 andy creasy Phone: 317-571-2648 Phone: 317-571-2648 Technician Sig nature al�Q t-4 Brad Gray License#: Purchase Order:,, Terms> . ;Service Description ,Quantity ;" Amount None DUE UPON COMPLETION Quarterly Four Seasons 1.00 8d.0.0 Subtotal 80.00 Tax 0.00 Total Due: 80.00 ,GENERAL COMMENTS/-.'INSTRUCTION'S' None Noted. CONDITIONS/'OBSERVATIONS Reported . 'Severity. Responsibility.. Reviewed None Noted.._._... PRODUCTS APPLICATION SUMMARY Material EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty Suspend Polyzone 432-1514 4.7500% Deltamethrin 0.5000 Gallons 0.1300 Fluid Ounces PEST ACTIVITY #Areas # Devices Pest Totals - None Noted. .:DEVICE INSPECTIONsUMMARY None Noted. AREA COMMENTS None Noted. DEVICE INSPECTION EXCEPTIONS None Noted. ,iNSP_EC: nhi1 M.TAT1.:: Printed:8/5/2014 Page: 1/2 Action Pest Control Action Pest Control,Inc. Service Inspection 2301 S. Green RlVer Road PO Box 57591-011 Report/Invoice Evansville,IN 47715 Evansville,IN 47716 Action812-477-5546 317-209-1654 800-447-5530 ORDER#: 30056882 WORK DATE: 7/15/2014 INSPECTION DETAIL None Noted. : PRODUCTS APPLIED' _ Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Suspend Polyzone 4.7500% 0.5000 Gallons Hand Sprayer 2:14:37 PM 432-1514 0.1300 Fluid Exterior Perimeter Ounces Target Pests: Crawling Insects Printed:8/5/2014 Page: 2/2 Action Pest Control Action Pest Control,Inc. Service Inspection 2301 S Green River Rodd PO Box 5759 Evansville,IN 47775 Evansville,IN 47716 Report/Invoice ,fiction 812.477-5546 317-209-1654 Ples>ft Dv,r't+al'" 800-467-5530 ORDER#: 30057240 WORK DATE: 7/11/2014 _ Time In: 7/11/2014 10:34 AM BILGTO 310021257 LOCATION 310059452 -: Time out: 7/11/201411:33 AM _... Carmel Utilities Carmel Utilities customer signature 3450 W 131ST ST 4915 E 106th St Paula Williams Carmel,IN 46033 Westfield,IN 46074-8267 tolan#2258 Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature Brad Gray License#: ;;Purchase Order Terms, Service Description Quantity Amount _ . None DUE UPON COMPLETION Quarter)yFour Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 GENERAL COMMENTS/:INSTRUCTIONS None Noted. CONDITIONS/'OBSERVATIONS Reported Severity. Responsibility; , Reviewed _... None Noted. . ,',PRODUCTS APPLICATION,St1MMARY - ' Material EPA# A.1. /o Active Ingredient Finished Qty Undiluted Qty Suspend Polyzone 432-1514 4.7500% Deltamethrin 1.0000 Gallons 0.2700 Fluid Ounces PEST ACTIVITY #Areas _ #Devices', Pest Totals None Noted.` DEVICEINSPE . INSPECTION SUMMARY ". • . _ "" . _ None Noted. AREA COMMENTS None Noted. DEVICE INSPECTION EXCEPTIONS None Noted. t O -impFirmi 1Nmr-Toil Printed:8/5/2014 Page: 1/2 Action Pest Control Action Pest Control,Inc. Service Inspection A 23011 S Green River Road PO Box 5759 Report/Invoice Evansville, W 47715 Evansville,IN 47716 ,Ction 812-477-5546 317-209-1654 Ch,IhW• 800-467-5580 ORDER#: 30057240 WORK DATE: 7/11/2014 INSPECTION DETAIL -- None Noted. PRODUGTSAPPLIED' Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Suspend Polyzone 4.7500% 1.0000 Gallons Hand Sprayer 11:11:21 AM 432-1514 0.2700 Fluid Exterior Perimeter Ounces Target Pests: Crawling Insects Printed:8/5/2014 Page: 2/2 Action Pest Control Action Pest Control,Inc. Service Inspection s 2301 S.Green RiverRoaid PO Box 5759 ' Report/Invoice Evansville,W 47715 Evansville,IN 47716 ,l Ction 81.1-477-5549; 317-209-1654 # 800„467„5530 ORDER#: 30056881 WORK DATE: 7/15/2014 _. Time In• 7/15/2014 3.01 PM BILL TO 310021257 LOCATION 310021257 Time out: 7/15/2014 4:18 PM : . Carmel Utilities Carmel Utilities Customer signature 3450 W 131ST ST 3450 W 131st St � �nA Paula Williams Westfield,IN 46074 Westfield,IN 46074-8267 paula williams Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature Brad Gray License#: Purcha"se Order Terms, " Service Description Quantity Amount s . _ None DUE UPON COMPLETION Quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 ,GENERAL COMMENTS/INSTRUCTIONS None Noted, .. ._.._._.._ ._. ._. .. .. _ _.. . . .�. CONDITIONS/;OBSERVATIONS Reported :_ Seventy None Noted. Responslb>Ihty` " Reviewed ,•, ._-_ ,. _ . PRODUCTS APPLICATION SUMMARY Material EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty Suspend Polyzone 432-1514 4.7500% Deltamethrin 1.0000 Gallons 0.2700 Fluid Ounces 'PEST ACTIVITY #.:Areas #Devices Pest Total's None Noted. r 'DEVICE,INSPECTIOU SUMMARY, None Noted. AREA COMMEroTS None Noted. "DEVICE INSPECTION EXCEPTIONS None Noted. ._. _. TN.r,PFPTTAN:nF7oT1 Printed:8/5/2014 Page: 1/2 Acltlon post Central Action Pest Control,Inc. Service Inspection 2301 S.Green RiVerRoad PO Box 5759 Report/Invoice AEvansville, IN 47715 Evansville,IN 47716 AW Action812.477.5546 317-209-1654 ffr"OtT Kil. 800-467-5630 ORDER#: 30056881 WORICDATE: 7/15/2014 INSPECTION DETAIL' None Noted. PRODUCTS-APPLIED�. Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Suspend Polyzone 4.7500% 1.0000 Gallons Hand Sprayer 3:19:45 PM 432-1514 0.2700 Fluid Exterior Perimeter Ounces Target Pests: Crawling Insects ----- Printed:8/5/2014" — — — — Page: 212 VOUCHER # 141379 WARRANT # ALLOWED 350787 IN SUM OF $ ACTION PEST CONTROL 2301 S GREEN RIVER RD EVANSVILLE, IN 47715 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code °� U �A✓ 3�0056882 01-6360-03 $80..0000 LIJ�Z�'4® It 06 ZWfLr<$1 Voucher TotalOOMb Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350787 ACTION PEST CONTROL Purchase Order No. 2301 S GREEN RIVER RD Terms EVANSVILLE, IN 47715 Due Date 8/5/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2014 30056882 $80.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer