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304463 10/31/16
9, ) . CITY OF CARMEL, INDIANA VENDOR: 368498 ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECKAMOUNT: $*******240.00* CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 304463 EVANSVILLE IN 47716 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30106618 80.00 OTHER EXPENSES 601 5023990 30106619 80.00 OTHER EXPENSES 601 5023990 30106706 80.00 OTHER EXPENSES VOUCHER # 163040 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 30106619 01-6360-03 80.00 3b1 bk.?oly 11 gD•CD 10�,S4 ri'� 3b1 d•�t�1g � •� 8b•�D ` Voucher Total j 4b•M'/- 00 Cost distribution ledger classification if claim paid under vehicle highway fund Action Pest Control, Inc. Service Slip/ Invoice PO Box 5759 Evansville, IN 47716 ItIvO[Cl= `, 3�1t36618 � 317-209-1654 Carmel Utilities Carmel Utilities Bill To: 3450 W 131 st St Work 3450 W 131st St Westfield,IN 46074-8267 Location: Westfield,IN 46074-8267 10/11/2016 9:57 AM CRAWLING I-GRAY - DUE UPON COMP 10/11/2016 JAJJII�#'U Y7J 46b� v 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 SPOT TREATED INTERIOR COMMON AREAS,OFFICES AND BREAKROOMS WITH SUBTOTAL $80.00 PHANTOM FOR ANT CONTROL.THANK YOU FOR YOUR BUSINESS TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 Customer Signature Technician Signature 1 �Ue Ac�iolrlr�+s#��►xrl Action Pest Control,Inc. Service Inspection 0�$. » ern Rrver Road PO Box 5759 Erani;Wfts,1'N49716 Evansville,IN 47716 Report/Invoice f > 8,12-47745-06 317-209-1654 d 8t�0-487-�8 ORDER #: 30106619 WORK DATE: 10/10/2016 Time In: 10/10/2016 10:51 AM BIL TQC ;310Q�127 a ; 'LfYGAIION iy 311DOS942 " Time Out: 10/10/2016 11:10 AM Carmel Utilities Water Treatment Building Customer Signature 3450 W 131st St 5484 E 126th St �K Westfield,IN 46074-8267 Carmel,IN 46033 Phone: 317-571-2648 Phone: 317-571-2648 BASSErr Technician Signature a 6 eA Brad Gray License#: 7,3F .. None DUE UPON COMPLETION Quarterly Four Seasons 1 00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 -GEN L CO�- �IME �,: ...,.<�„ N.W_ SPOT TREATED INTERIOR COMMON AREAS OF BUILDING WITH PHANTOM FOR SPIDER AND ANT CONTROL.THANK YOU FOR YOUR BUSINESS None Noted. ��ipRv�`�c�rs A�i��ICA�nl:ow Material Lot# EPA# A.I."/o Active Ingredient Finished Qty Undiluted Qty Phantom Termiticide Insecticide 241 392 0.2500% Chlorfenapyr 0.7500 Gallons 1.1250 Ounces l� AC�VTTYg,#� rea Pest T #als a � f MOM yrs 3 s w,aKe��...reas .,...a'#Z :li3's -_ None Noted. QIEVIC�SPE��� �������+: � iw�•��'� ��' �IY3P�,b a�t 1 � ��� y��s W }K LK� �'�Y Ise,I O3"3E ��f "F� AP [ None Noted. 2 R i�P qPt' �' A„�- .,<....�, None Noted. Printpd:1(1/11/7016 Dann! 1/7 A r!pt"stn Action Pest Control, Inc. Service Inspection 280Of diri " .River.Roac1 PO Box 5759 r ,w+ sWft W47715 Evansville,IN 47716 Report/Invoice Act114 ' 8'12-477-55 317-209-1654 ~04* soo-467-6530 ORDER#: 30106619 WORK DATE: 10/10/2016 None Noted. nished Qty Appliption Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Phantom Termiticide-Insecticide 0.2500% 0.7500 Gallons 11:06:53 AM 241-392 1.1250 Ounces Printarl:10111/7016 pane 1/7 AZerr. es#+Oeni7 ` Action Pest Control,Inc. Service Inspection 01<S.Glr lura� 8 iRtl�ad PO Box 5759 Report/Invoice Iv1l�i.trA1 �7ilSF Evansville,IN 47716 IFM 4112-47745411317-209-1654 8tN87=I�63#i ORDER#: 30106706 WORK DATE: 10/10/2016 3fOb� 57� . LtJCATION 3100 ' A Time Out 0Time In: /102016 2:09 PM $ TQ /10 2016 2:34 PM _ ...,_ Carmel Utilities Carmel Utilities Customer Signature 3450 W 131st St 4915 E 106th St G[ � Westfield,IN 46074-8267 Carmel,IN 46033 CLOUD Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature - Brad Gray License#: [' Pur haseOrder Terms �f ServlceDes�riptilan Quantity� Am�Xlnt£ .w.d. w_ «�„�.,_._« .. y s... ,. None DUE UPON COMPLETION Quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 - -- . TREATED INTERIOR COMMON AREAS WITH PHANTOM FOR SPIDER AND ANT CONTROL.THANK YOU FOR YOUR BUSINESS �w ` Cbfl"TO�OBSERVA7ICt� �`<:Repor�ed� Seuerltty � �Respon b l�ty����Yx�R+e einred��`�� 3�,�,� None Noted. Material Lot# EPA# A.I. /o Active Ingredient Finished Qty Undiluted Qty Phantom Termiticide-Insectic(de 241-392 0.2500% Chlortenapyr 0.7500 Gallons 1.1250 Ounces I IpE�fi'�AGTtv17•Y� # re�S� 3���'�'� "' a, a� � �,. ��' � "� � �a�"__r�� �` �Y��' None Noted. /�i, �� wxv ll) S3,`3„ L�1Yac�r I jr£y Vll\ UMMAR f3£� W 363 qRR -77,7 ,9........-.,..��..sai ,L«-,-....,[.^.d «<..,,...... x <.......w+ F �«:.:,_.a...dwduu..'.�.6'.. > 11,COMMEhiTS 7 None Notedd, KsT ©EvNSPECTIC?N EXCEPTIC16r 32 None Noted. Printed:In/1I17n1A Panwe 117 A�Pe1 ion I Action Pest Control,Inc. Service Inspection A23Of S. H Riverlt d PO Box 5759 �. , I +svllts,.W' F7? i$ Evansville, IN 47716 Report/Invoice 317-209-1654 gp0. 6agB ORDER#: 30106706 WORK DATE: 10/10/2016 None Noted. 5' - PRf)©UCTSig, Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Phantom Termiticide-Insecticide 0.2500% 0.7500 Gallons 2:17:06 PM 241-392 1.1250 Ounces Printeri:1n/11/7()16 Pam! 7/7 Ac »Pest Control: Action Pest Control,Inc. Service Inspection 0 .Girl RiirerRo PO Box 5759 Report/Invoice , i►+ stili6fl+s, Iff � fd Evansville, IN 47716 ACE 8' '® « 8' 317-209-1654 RM467-5630 30 ORDER#: 30106618 WORK DATE: 10/11/2016 •w �� Time In: 10/11/2016 9:57 AM BILL TO 31#It12127 ! IGATIQN n, ',.,.,310t12 �s7... n Time out: 10/11/2016 10:19 AM ......,»..x,,.�,.a,.�».:... ........r•.,.rr,,,,.,, ut 4.....,,..,..,,....,,na, ..,,.z.:.:sa.' i3.L3..s. ...ax:...., .A Carmel Utilities Carmel Utilities Customer Signature 3450 W 131st St 3450 W 131st St Westfield,IN 46074-8267 Westfield,IN 46074-8267 SY Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature Brad Gray License#: urclta5 Qr�er � f � 5r +�C � DeSGl�tioll "�3 " , ,,erms r5. � o ice � Quantity Amo �t = None DUE UPON COMPLETION Quarterly Four Seasons 1.00 80.00 Subtotal 80.00 Tax 0.00 Total Due: 80.00 SPOT TREATED INTERIOR COMMON AREAS,OFFICES AND BREAKROOMS WITH PHANTOM FOR ANT CONTROL.THANK YOU FOR YOUR BUSINESS CDNDT °�J��SERYATtt?NSx� �R�or�#+�d� ����.�eer�ty�' .�.¢,,,�� r��sp s blit` �� �Revirevi►ed;����� None Noted. �V �AR's � ,SU �MAIG� �" ., '' i r� r m r �., a x sn dir � 5 f jl a 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 P, ACTIVITY s #Area „ . ..�._w �evlcesM s � . r,,,. ,� None Noted. 3� £ "�'�' .._ff �uz.!vS.. ., �. �....�,...1.,»,.�•w ..«.�.. ,}gids ............. ...._,._,w...,...�...w.saa,,k�M;,.b, �. ..._...,»a� vx. .. None Noted. NICE I,NSIPE"" NEPTICi�S�i f T� .... .�,.,.� � Es�,� s,;E None Noted. Printed:10/17/7(116 Panty! 112 AFM ft#Conftf Action Pest Control,Inc. Service Inspection 130 S. i�iravii RftrJftM PO Box 5759 Report/Invoice mr1�r+t ulik W47718 Evansville,IN 47716 812=4717-8548 317-209-1654 D SM-46�: 530 ORDER#: 30106618 WORK DATE: 10/11/2016 1...............e,..,,,r»K `�` .�....r.....;..,.,..,r.....�.L.�sil�,¢�3' .... ........ .w,.n..�.. None Noted. y� u �IDp1ii Material A.I.% Finished Qty Application Equipment Application Rate Time W, EPA# Undiluted Qty Application Method Sq/Cu Ft Lot# Phantom Termiticide-Insecticide 0.2500% 1.0000 Gallons 10:07:06 AM 241-392 1.5000 Ounces Printarl:to/17/7ntfi Pana! 717 Action Pest Control, Inc. Service Slip / Invoice PO Box 5759 Evansville, IN 47716 INVDICE 30106819 317-209-1654 ' a DATE '` tOf13/20 F6' x ORDER r 30106819 �a Carmel Utilities Water Treatment Building Bill To: 3450 W 131 st St Work 5484 E 126th St Westfield,IN 46074-8267 Location: Carmel, IN 46033 _ a 10/10/2016 10:51 AM CRAWLING I-GRAY DUE UPON COMP 10/10/2016 JD��>>i��ri�1fi�U63Il�adent artd�g'�i�aral pest contxalT'h�s�s��d����d���ul�ing �n by 83Q//soar ad�es�call 7erey�+G,ioud'716 390 �ir� �en�`odes 464 4'��7 N)✓corner of��26th and'�azeldell Aa�t�e ,�,� �3�' � ���� �� y 4 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 SPOT TREATED INTERIOR COMMON AREAS OF BUILDING WITH PHANTOM FOR SPIDER SUBTOTAL $80.00 AND ANT CONTROL.THANK YOU FOR YOUR BUSINESS TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 a 6I' � Customer Signature Technician Signature 1 Action Pest Control, Inc. Service Slip / Invoice PO Box 5759 Evansville, IN 47716 INVaICE 301Q6p7p 317-209-1654 Carmel Utilities Carmel Utilities Bill To: 3450 W 131 st St Work 4915 E 106th St Westfield,IN 46074-8267 Location: Carmel,IN 46033 r 10/10/2016 2:09 PM CRAWLING I-GRAY DUE UPON COMP 10/10/2016 JDA/ call bran 41ff?,�5tt63 O�,JEFR�''GLOUD'A�T 31?'lid 3909�n�access to this and dor the�other utrhtres bu�t��i�gsll�n b & � ' 1.00 QTR 4 SEASONS Quarterly Four Seasons $80.00 TREATED INTERIOR COMMON AREAS WITH PHANTOM FOR SPIDER AND ANT SUBTOTAL $80.00 CONTROL.THANK YOU FOR YOUR BUSINESS TAX $0.00 TOTAL $80.00 AMT.PAID $0.00 BALANCE $80.00 Customer Signature Technician Signature 1 7 �-t'i