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HomeMy WebLinkAbout258339 05/10/16 0��p '. CITY OF CARMEL, INDIANA VENDOR: 368498 ;; ® ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $*******240.00* s. a CARMEL, INDIANA 46032 PO BOX 5769 CHECK NUMBER: 258339 4,,�TON�� EVANSVILLE IN 47716 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30093581 80.00 OTHER EXPENSES 601 5023990 30093582 80.00 OTHER EXPENSES 601 . 5023990 30093681 80.00 OTHER EXPENSES VOUCHER # 161327 WARRANT# ALLOWED 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 30093681 01-6360-03 $80.00 r "3582 01-630-63 5D.x ?0 93590 01-0w-010 go.00 Voucher Total Total 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 5/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/2/2016 30093681 $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 Action Pest Control, Inc. PO Box 5759 Service Slip / Invoice Evansville,.IN 47716 INUO[CE (I093681 317-209-1654 DATE� � 5/2/2016 ORDER � 30093681 �� Carmel Utilities Carmel Utilities Bill To: 3450 W 131 st St Work 4915 E 106th St Westfield,IN 46074-8267 Location: Carmel,IN 46033 4/29/2016 10:43 AM CRAWLING I-GRAY 6 a- � DUE UPON COMP 4/29/2016 JT 771 call(s�>an 41 5063=for access to this and tortt�c other ut�htae buald�rigsll to bye 8 �;7777777-7777777M 7_7 Y _ d 3 ; s . Y s 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 spot treated interior common areas with phantom for ant control. thank you for your business SUBTOTAL $80.00 TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 �� z'Z6'z Customer Signature Technician Signature Action Pest Control, Inc. Service Slip/ Invoice PO Box 5759 Evansville, IN 47716 1�IFOIOE 3093582 r 317-209-1654 t? TE 51212{316 "�, a. Carmel Utilities Water Treatment Building Bill To: 3450 W 131st St Work 5484 E 126th St Westfield,IN 46074-8267 Location: Carmel,IN 46033 4/29/2016 11:01 AM CRAWLING I-GRAY 5 DUE UPON COMP 4/29/2016 Jill bran 4i St}6Ifr€�dent and genera pest cc�taxt�l This is a lopked}bu�ldzng Iii�Y 83(lff ar access catlJerry Cloud T 15-390Qr den Rhodes 4ti0 9 NE corn o 126th and�aiei&ii,'Anytifrie ti ; 3 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 spot treated interior of building with phantom for ant control, thank you for your business SUBTOTAL $80.00 TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 Customer Signature Technician Signature 1 D��r e Action Pest Control, Inc. PO Box 5759 Service Slip/ Invoice Evansville, IN 47716 INl1O10E 300935$1 317-209-1654 ' dAT� s S/�I2016 ` dRDER3 300935$1-,: 3'..x. � " Carmel Utilities Carmel Utilities Bill To: 3450 W 131 st St Work 3450 W 131 st St Westfield,IN 46074-8267 Location: Westfield,IN 46074-8267 ®_ 4/28/2016 10:31 AM CRAWLING I-GRAY DUE UPON COMP 4/28/2016 JDTIf M F 8 430 „ 77, 3 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 spot treated interior of building with phantom for ant control. thank you for your business SUBTOTAL $80.00 TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 � ' tP6vr Customer Signature Technician Signature a� g 1 �Ff�� ACMm Peat Van i Action Pest Control,Inc. Service Inspection 2801 S.G'rwm IRhmr Road PO Box 5759 itOrt Re ,� nsuffle,t�4TTIB Evansville,IN 47716 p /Invoice fio' 8iS-477-s + 8 317-209-1654 ~00~ 800-467-5530 ORDER#: 30093681 WORK DATE: 4/29/2016 – : 771 Time In: 4/29/2016 10:43 AM BILI TO 310b21Z57<_.- . {} .._„ E� 4�s b,_.._ Time Out: 4/29/2016 11:01 AM Carmel Utilities Carmel Utilities Customer Signature 3450 W 131st St 4915 E 106th St �� Westfield,IN 46074-8267 Carmel,IN 46033 Tolan2258 Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature �� Brad Gray License#: err;-:- mom" ^ram• "''m-'�'•--r" ,� lPu �I�dSQdlGr � .,_.1rePt11S 3, $@iVIC4 ?@SCrlpttAi? �' EflStitl *' AR101111 None DUE UPON COMPLETION quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 ayGNERALCO�iMI�NTS j�IfSTROCTIONS �''r ; spot treated interior common areas with phantom for ant control. thank you for your business ICON NS EIBSERI/ATIONS RepQi'ltecs rN ( Seuertty Responsibility Re etnletl x None Noted. P4DUC7S APPLICATION SttMMARY ' ` 2 . Material Lot# -EPA#T m Tm A.I.% Active Ingredient Finished Qty Undiluted Qty Phantom Tenoiticide-Insecticide 241-392 0.2500% Chlorfenapyr 1.0000 Gallons 1.5000 Ounces pg— �lP1E:ST ACT 'IIITY None Noted. D 1tICE INSPECTION 9UMMARY a None Noted. r i-DEVICE INSPECTION EXCEPTIONS = a None Noted. Printed:5/2/2016 Page: 1/2 AotAW Pest Contra! Action Pest Control,Inc. Service Inspection 2301 S.Omen Mliver Ram PO Box 5759 Evonsuffle,W47716 Evansville,IN 47716 Report/Invoice > � 8th.477-54146 317-209-1654 ~VWW 8 ,67 5630 ORDER#: 30093681 WORK DATE: 4/29/2016 INSPECTION DETAIL t .__ .: a �; _.,,,. __ W _e_.a. ... .._ F None Noted. _ ' I I� .... A Material A.I.% Finished Qty Application Equipment _ Application RateKK Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Phantom Termiticide-Insecticide 0.2500% 1.0000 Gallons 10:51:11 AM 241-392 1.5000 Ounces Printed:5/2/2016 Page: 2/2 Awn Fey#Gontmi Action Pest Control,Inc. Service Inspection x';301 S.4tj"River Read PO Box 5759 p nw9ft IN 47716 Evansville,IN 47716 Report/Invoice -ACdon an-477.8646; 317-209-1654 # 800-467-5630 ORDER#: 30093582 WORK DATE: 4/29/2016 r 3Time In: 4/29/2016 11:01 AM 0,Q5 �2.�__ _ 33 Time Out: 4/29/2016 11:22 AM Carmel Utilities Water Treatment Building customer signature 3450 W 131st St 5484 E 126th St ` (�1 Westfield,IN 46074-8267 Carmel,IN 46033 Phone: 317-571-2648 Phone: 317-571-2648 Technician SignatureRayle Q� 0 6 1 Brad Gray License#: �IPrchase Qrdelr. Terms ,� �8entice Qescr[ptlon �� � � Quantity p 3��� Amoun �" None DUE UPON COMPLETION Quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 HIENERq:CONTS f'INSTRUCT4IVS � �. .....,M �. _...� ��..... _.._ �.� _.e ..__.. .,......' Hh _. spot treated interior of building with phantom for ant control, thank you for your business Gt#NDITIONS%QB ESES RVAT ©I NS� Repoefcl q 3W,ys er _,... �Ri; pans Is�ltty. �_,..,rrr .. .. None Noted. PI QD,0g7 SApP CATIQNSUMA'%, 'LTaw Material Lot# EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty Phantom Termiticide-Insecticide 241-392 0.2500% Chlorfenapyr 0.7500 Gallons 1.1250 Ounces PEST AC!IVITY �� #lresa #Devices , P sir Totals f None Noted. IE}INSPE+CIICIN SUMMARYd 3 Cpp W .vuwusw3�...� None Noted. QEVIGE IIYSPEC"fUN EXCEPTT ?NS, � .. 0 None Noted. Printed:5/2/2016 Page: 1/2 AG rt Feat Col n F W Action Pest Control,Inc. Service Inspection 2301&Orew River Rol ns PO Box 5759 p s Jwansitrft: Iditi67716 Evansville,IN 47716 Report/Invoice �cit 412.477-55540 317-209-1654 ~'0MW 800-467.553 ORDER#: 30093582 WORK DATE: 4/29/2016 IISPEcION'DE7"AIL None Noted. Materia Fhed Qty App"cauon`Equipment A "cation Rate. Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Phantom Termiticide-Insecticide 0.2500% 0.7500 Gallons 11:08:40 AM 241-392 1.1250 Ounces Printed:5/2/2016 Page: 2/2 Aoftn Peat Cont+[ Action Pest Control, Inc. Service Inspection t30!S.Orem River that PO Box 5759 p w Zvsinsivffh,W47715 Evansville,IN 47716 Report/Invoice �on 8t3-+77,-5a a 317-209-1654 Cw1w 800.467-5530 ORDER#: 30093581 WORK DATE: 4/28/2016 € , Time In: 4/28/2016 10:31 AM BTCC TO y .._.w 31x021257,, .. CICATIQN..,_._. 310057 Time Out: 4/28/2016 10:50 AM �.._..H � _.». Carmel Utilities Carmel Utilities customer Signature 3450 W 131st St 3450 W 131st St Westfield,IN 46074-8267 Westfield,IN 46074-8267 Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature sy/Y ' (2A Brad r Brad Gray License#: `Puichase=Drder�° T Serulce Descrr tlon None ���� Subtotal 80.00 Tax 0.00 Total Due: 80.00 GEIVERAI,COMMENTS('IN RUCTIONS .�.m - 'dee _ 3 x.r`af:,:..._�'-"'"- ....... ,w ..a a'a.._........... ... .......... ."..w.: .,.a�P.,....._.:.v,. spot treated interior of building with phantom for ant control. thank you for your business CONDITI{1NSrflBERVTIO Repoel %. 8erllty ."_ .iRepons�b�l�tyr_ .v.... ' R+ vieNone Noted, PRODUCTS APPIXCATION SUNI�IARX 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 PlE*ST ACTIVITY , 1 ,,, #Areas #Devices Pest Utah- None 3 n. None Noted. DICE INSPECUN SUMMARY ..., IF , None Noted. kk None Noted D Clic IIYSPEGTIQN©CGEPTIONS Printed:5/2/2016 Page: 1/2 Aotbn Post Confro/ Action Pest Control,Inc. Service Inspection 9301 S Green River Road PO Box 5759 Report/Invoice ,, Evansville,MW 47716 Evansville,IN 47716 �c 812-477.5646 317-209-1654 yC�V~ 80"67.5630 ORDER#: 30093581 WORK DATE: 4/28/2016 LNSPECTION None Noted. 'PROD APPLIED w F' =vex.....,.c�—.:.+-^:-+P.un. ......k�i.._.....a., .. ........h.Yu.......�..«........,wr,.z.....M...u........a .,.,.__,..a... 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 10:34:17 AM 241-392 1.5000 Ounces Printed:5/2/2016 Page: 2/2