317858 10/31/17 CITY OF CARMEL, INDIANA VENDOR: 368498
ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $ .....168.00`
Q CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 317858
EVANSVILLE IN 47716 CHECK DATE: 10/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30130670 84.00 OTHER EXPENSES
601 5023990 30130748 84.00 OTHER EXPENSES
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Action Pest Control, Inc.
PO Box 5759 Service Slip/ Invoice
Evansville, IN 47716 INVOICE.: 30130748
317-209-1654
MATE: 10/16(2017
ORDER: 30130748,
Carmel Utilities Carmel Utilities
Bill To: 3450 W 131 st St Work 4915 E 106th St
Westfield,IN 46074-8267 Location: Carmel,IN 46033
Work Date Time A .-
10/13/2017 10:54 AM CRAWLING I-GRAY
Purchase Order
.a ea-
DUE UPON COMP 10/13/2017
f callbrian 417-5063 for access to this and for the other utilities buildings//in by 8
1.00 QTR 4 SEASONS Quarterly Four Seasons $84.00
SPOT TREATED COMMON AREAS WITH PHANTOM FOR ANT AND SPIDER CONTROL. SUBTOTAL $84.00
THANK YOU FOR YOUR BUSINESS. BRAD
TAX $0.00
TOTAL $84.00
AMT.PAID $0.00
BALANCE $84.00 i
Customer Signature Technician Signature
1 i
Action Pest Control, Inc.
PO Box 5759 Service Slip/ Invoice
Evansville, IN 47716
INVOICE: 301306701
317-209-1654 I DATE: 10/1612017
ORDER: 30130670
Carmel Utilities Water Treatment Building
Bill To: 3450 W 131st St Work 5484 E 126th St
Westfield,IN 46074-8267 Location: Carmel,IN 46033
Work Date Time target
10/13/2017 11:22 AM CRAWLING I-GRAY
Purchase Order Terms Last Service Map
ea-
DUE UPON COMP 10/13/2017
VIM Brian 4-17- 0 3!/rodent and general pest co t':rol. This is a locked building.In by 830//For access call Jerry Claud 716-3909 or
T en lades 460-4717. NE corner of 126th and Hazeldell. Anytime
Quantity Servi
1.00 QTR 4 SEASONS Quarterly Four Seasons $84.00
TREATED 1 ST FLOOR COMMON AREAS WITH SUSPEND POLYZONE FOR ANT AND SUBTOTAL $84.00
SPIDER CONTROL.THANK YOU FOR YOUR BUSINESS. BRAD
TAX $0.00
TOTAL $84.00
AMT.PAID $0.00
BALANCE $84.00
8 If
Customer Signature Technician Signature
1
AGOw POW ftn&W Action Pest Control,Inc. Service Inspection
2201 S f3�+l"Rhrmr X"d PO Box 5759 p
„ &WAM r ,N 47716 Evansville,IN 47716 Report/Invoice
Aft 81*4TT4W$ 317-209-1654
$> 46T�r1f6 ORDER#: 30130748 WORK DATE: 10/13/2017
Time In: 10/13/2017 10:54 AM
20
' CX 1014 Time Out: 10/13/2017 11:12 AM
Carmel Utilities Carmel Utilities customer signature
3450 W 131st St 4915 E 106th St
Westfield,IN 46074-8267 Carmel, IN 46033
Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature DIALLO
Brad Gray
License#:
DUE UPON ��
:
None COMPLETION Quarterly Four Seasons 1.00 84.00
Subtotal 84.00
Tax 0.00
Total Due: 84.00
F
..;
SPOT TREATED COMMON AREAS WITH PHANTOM FOR ANT AND SPIDER CONTROL. THANK YOU FOR YOUR BUSINESS. BRAD
081tRs
Reported Severity Iltaspotclbilr RVtelred
None Noted.
3;
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
s
s
� i
3 '
None Noted.
r a 3o i3
to
None Noted.
None Noted.
iL►Y4 Z 130 0383AII30 r -
Printed:10/16/2017 Page: 1/2
Aa t n Pmt Ci &W Action Pest Control, Inc. Service Inspection
2301 S Crmw MWer Aowd PO Box 5759 p
&ll mwft IN 47713 Evansville,IN 47716 Report/Invoice
02-477-06" 317-209-1654
8137-33+�i ORDER#: 30130748 WORK DATE: 10/13/2017
AN ft' "Aii0i"i
None Noted
,d
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 10:54:41 AM
241-392 1.5000 Ounces
Printed:10/16/2017 Page: 2/2
AGOW Pad 0"&W Action Pest Control,Inc. Service Inspection
2801 S i RbwA" PO Box 5759 p
.. f*47716 Evansville, IN 47716 Report/Invoice
Sft-477644 317-209-1654
~Codror 806-467ae ORDER#: 30130670 WORK DATE: 10/13/2017
Time In: 10/13/2017 11:22 AM
` 01TON' 310*a Time Out: 10/13/2017 11:43 AM
Carmel Utilities Water Treatment Building customer signature
3450 W 131st St 5484 E 126th St
Westfield,IN 46074-8267 Carmel,IN 46033
JENKINS
Phone: 317-571-2648 Phone: 317-571-2648 Technician Signature
Brad Gray
License#:
3 � �
None DUE UPON COMPLETION Quarterly Four Seasons 1.00 84.00
Subtotal 84.00
Tax 0.00
Total Due: 84.00
.5'.nom.
TREATED IST FLOOR COMMON AREAS WITH SUSPEND POLYZONE FOR ANT AND SPIDER CONTROL.THANK YOU FOR YOUR BUSINESS. BRAD
None Noted.
e ,
Material Lot# EPA# A.I.% Active Ingredient Finished Qty Undiluted Qty
Suspend Polyzone 432-1514 4.7500% Deltamethrin 0.7500 Gallons 0.2000 Fluid Ounc
F
# #tevicieS P Totals
None Noted.
1 $UM"MARY
d
a
y
None Noted.
00*0'0001i
None Noted.
DR IVERED OCT 2 3 2017
Printed:10/16/2017 Page: 1/2
I CUM~Vm&W Action Pest Control, Inc. Service Inspection
Iection
2401&Orm�t Mkmw Ahad PO Box 5759 p
Air,N47715 Evansville,IN 47716 Report/Invoice
SIX-477-41M 317-209-1654
8Q0�4d7->7Q ORDER#: 30130670 WORK DATE: 10/13/2017
None Noted.
Material A.I.% Finished Qty Application Equipment Application Rate Time
EPA# Undiluted Qty Application Method Sq/Cu Ft lot#
Suspend Poyzone 4.7500% 0.7500 Gallons Hand Sprayer 11:22:43 AM
432-1514 0.2000 Fluid Exterior Perimeter
Ounces
Target Pests: Crawling Insects
Printed:10/16/2017 Page: 2/2