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Home My WebLink About239187 11/19/14 Coq. G�°1 \'� CITY OF CARMEL, INDIANA VENDOR: 368498 j, ® 3j ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $*'**"**160.00* s. i CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 239187 9M�iON�` EVANSVILLE IN 47716 CHECK DATE: 11/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 310021257 160.00 OTHER EXPENSES Aaftn Pent Control Action Pest Control,Inc. Service Inspection 23ol s.Green River Road PO Box 5759 Report/Invoice Evansville,N 47715 Evansville, IN 47716 Action 812-477-5646 317-209-1654 80"67-5530 ORDER#: 30063839 WORK DATE: 10/7/2014 - Time In: 10/7/2014 10:32 AM CATIOW', 10/7/2014 10:56 AM BILL TO 1, 31002125 1 310059412"'', Time Out: Carmel Utilities Water Treatment Building Customer Signature 3450 W 131ST ST 5484 E 126th St l , Paula Williams Carmel,IN 46033 Westfield,IN 46074-8267 kris anthis Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature (2� Brad Gray License#: Purchase n Amount U hase Order Terms- Service'Descri i Qua t None DUE UPON COMPLETION Quarterly Four-SeasonsI 1. 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 GENERAL COMMENTS/'INSTRUCTIONS treated exterior for crawling pests,spot treated interior for crawling pest,checked and replaced glueboards as needed.thank you have a nice day d Se e ity,,. espqns. CONDITIONS[OBSERVATIONs, Repoite r R 1 1I ftVReview d None Noted. �PRODUCTS APPLICATION,SUMMARY , Material Lot# EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty Phantom Termiticide-Insecticide 241-392 0.2500% Chlorfenapyr 1.0000 Gallons 1.5000 Ounces PEST ACTIVITY,.,,,. Areas,, #`Devilces, Pest TOWS, -None Noted. DEVICE INSPECTION SUMMARY'" 3 P, 7, AREA COMMENTS' None Noted. �DEVICE INSPECTION EXCEPTIONS,,',,�, None Noted. Printed:11/19/2014 Page: 1/2 Actfon Pest Control Action Pest Control,Inc. Service Inspection 2301&Green Rfllrer Road PO Box 5759 ' Emnsville,IN 47718 Evansville,IN 47716 Report/Invoice A812.477-8646 317-209-1654 pl�t�gtblp/' 800-467-$830 ORDER#: 30063839 WORK DATE: 10/7/2019 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# Phantom Termiticide-Insecticide 0.2500% 1.0000 Gallons 10:38:17 AM 241-392 1.5000 Ounces Printed:11/19/2014 Page: 2/2 Action Pest Control Action Pest Control,Inc. Service Inspection 2301 &Green River Road PO Box 5759 Evansville,lR 47718 Evansville, IN 47716 Report/Invoice ,e Ction 812-477-8846 317-209-1654 Phs GOnh+oll' 800.467-6630 ORDER#: 30063838 WORK DATE: 10/7/2014 _. __ ._-_ Time In: 10/7/2014 11:04 AM BILL TO 310021257 LOCATION 310021257 Time Out: 10/7/2014 11:51 AM �..� .., _.._ . _... . _ w_.2 �. _.� £. . ,..,,. w._.w. .. Carmel Utilities Carmel Utilities customer signature 3450 W 131ST ST 3450 W 131st St Paula Williams Westfield,IN 46074-8267 Westfield,IN 46074-8267 p.Williams Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature � Brad Gray License#: Purchase Order. Terms .;, 'Service Description ` ,Quantity Amount'• , None DUE UPON COMPLETION Quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 GENERAL COMMENTS/ INSTRUCTIONS < spot treated interior for crawling pest,checked and replaced insect monitors as needed.thank you have a nice day CONDITIONS/OBSERVATIONS Reported Severity Responslbill Reviewed _.. �!. w .. _ None Noted.. PRODUCTS APPLICATION SUMMARY,. . Material Lot# EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty Phantom Termiticide-Insecticide 241-392 0.2500% Chiorfenapyr 2.0000 Gallons 3.0000 Ounces PEST ACTIVITY , *Areas_ #-Devices Pest Totals None Noted DEVICE,INSPECTION SUMMARY AREA COMMENTS None Noted. DEVICE INSPECTION EXCEPTIONS: None Noted. Printed:11/19/2014 Page: 1/2 Acftn Pest Control Action Pest Control,Inc. Service Inspection A 2301 S.Green River Road PO Box 5759 Report/Invoice Evansville,IN 4771 6 Evansville,IN 47716 ,Action 812-477-55,96 317-209-1654 A PestGWhW' 800.467-5530 ORDER#: 30063838 WORK DATE: 10/7/2014 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# Phantom Termiticide-Insecticide 0.2500% 2.0000 Gallons 11:32:38 AM 241-392 3.0000 Ounces Printed:11/19/2014 Page- 2/2 INVOICE INVOICE INVOICE INVOICE INVOICE DATE NUMBER DESCRIPTION TOTAL BALANCE Service Location: 3450 W 131st St Westfield IN 46074 for account 310021257 s 10/10/14 30063838 Quarterly Four Seasons $80.00 $80.00 a Service Location: 5484 E 126th St Carmel IN 46033 for account 310059412 2 10/10/14 30063839 Quarterly Four Seasons $80.00 $80.00 a 10 N 10 ch _N M O Z C O O n m m m N Q ' M m 0 Current 30-60 Days 61-90 Days 90+ Days Total Due s N $160.00 $0.00 $0.00 $0.00 $160.00 0 a' MESSAGES ca Payment due upon receipt. Finance charges will apply to invoices over 30 days old. To pay online,go to actionpest.com and click Pay Your Bill. ACTION PEST CONTROL, INC 2301 S GREEN.RIVER RD N EVANSVILLE IN 47715 Phone 317-209-1654 f VOUCHER # 142257 WARRANT# ALLOWED 350787 IN SUM OF $ ACTION PEST CONTROL EVANSVILLE, IN 47716 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 310021257 01-6360-03 $80.00 310021257 01-6360-06 $80.00 1 I i Voucher Total $160.00 I 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 11/10/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/10/201, 310021257 $160.00 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 y Date Officer