317544 10/19/2017 a, �` CITY OF CARMEL, INDIANA VENDOR: 368498 ...,....
ONE CIVIC SQUARE ACTION PEST CONTROL, INC
CHECK AMOUNT: $ 84.00'
;�?Q CARMEL, INDIANA 46032 PO BOX 5759N a��ts CHECK NUMBER: 317544
,raN�. CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30130669 84.00 OTHER EXPENSES
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Action Pest Control, Inc.
PO Box 5759 Service Slip/ Invoice
_
Evansville, IN 47716 INVOICE: 30130669''
317-209-1654 ( DATE: 101=017'
O FtC3ElF'i: 3f1130669
Carmel Utilities Carmel Utilities
Bill To: 3450 W 131st St Work 3450 W 131st St
Westfield,IN 46074-8267 Location: Westfield,IN 46074-8267
Work Date Time Target
10/2/2017 10:54 AM CRAWLING [-GRAY
Purchase Order
DUE UPON COMP 10/2/2017
� a
Quantity Service
Description
1.00 QTR 4 SEASONS Quarterly Four Seasons $84.00
SPOT TREATED BREAK AREAS,OFFICES,AND COMMON AREAS WITH PHANTOM FOR SUBTOTAL $84.00
ANT CONTROL.THANK YOU FOR YOUR BUSINESS. BRAD TAX
$0.00
TOTAL $84.00
AMT.PAID $0.00
BALANCE $84.00
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Customer Signature Technician Signature
1
DELIVERED OCT 0 9 2411V ,
. 2l�
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AGUOD POO Oon&W Action Pest Control,Inc. Service Inspection
301&Ormw lltWw Mkwd PO Box 5759
W47716 Evansville,IN 47716 Report/Invoice
512.4"-sw 317-209-1654
~GWXW ORDER#: 30130669 WORK DATE: 10/2/2017
Time In: 10/2/2017 10:54 AM
� � 31 :� Time Out: 10/2/2017 11:35 AM
Carmel Utilities Carmel Utilities Customer Signature
3450 W 131st St 3450 W 131st St
Westfield,IN 46074-8267 Westfield,IN 46074-8267
POWELL
Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature
a lorry
Brad Gray
License#:
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*400
None DUE UPON COMPLETION
Quarterly Four Seasons 1.00 84..
00
Subtotal 84.00
Tax 0.00
Total Due: 84.00
SPOT TREATED BREAK AREAS,OFFICES,AND COMMON AREAS WITH PHANTOM FOR ANT CONTROL.THANK YOU FOR YOUR BUSINESS. BRAD
N8 epi �r� > lIlllll�
None Noted.
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
- ..
None Noted.
None Noted
None Noted.
Printed:10/3/2017 Page: 1/2
Aotbw POW Vo~ Action Pest Control, Inc. Service Inspection
2801 a fkw wr Xfwr Road PO Box 5759
RMUsMfift„N4TTf0 Evansville,IN 47716 Report/Invoice
�.�,� 812-M-0046 317-209-1654
ilr O 8 o-w-00;60 ORDER#: 30130669 WORK DATE: 10/2/2017
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None Noted
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 11:14:18 AM
241-392 1.5000 Ounces
Printed:10/3/2017 Page: 2/2