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331743 10/30/18
4 '�c�gMf j ` .' CITY OF CARMEL, INDIANA VENDOR: 368498 ® ONE CIVIC SQUARE ACTION PEST CONTROL,INC CHECK AMOUNT: $*******516.00* ,�, CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 331743 °j��roii'�°' EVANSVILLE IN 47716 CHECK DATE: 10/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30148360 86.00 OTHER EXPENSES 601 5023990 30148361 86.00 OTHER EXPENSES 601 5023990 30148435 86.00 OTHER EXPENSES 601 5023990 30155289 86.00 OTHER EXPENSES 601 5023990 30155290 86.00 OTHER EXPENSES 601 5023990 30155352 86.00 OTHER EXPENSES VOUCHER NO. 183091 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 368498 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER ACTION PEST CONTROL CITY OF CARMEL PO Box 5759 An invoice or bill to be properly itemized must show: kind of service,where performed, Evansville, IN 47716 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 516.00 368498 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR ACTION PEST CONTROL Terms Carmel Water Utilitv PO Box 5759 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Evansville, IN 47716 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 30148360 01-6360-03 $86.00 and received except 10/23/2018 30148360 $86.00 30148361 01-6360-03 $86.00 10/23/2018 30148361 $86.00 30148435 01-6360-03 $86.00 10/23/2018 30148435 $86.00 30155289 01-6360-06 $86.00 10/23/2018 30155289 $86.00 30155290 01-6360-03 $86.00 10/23/2018 30155290 $86.00 30155352 01-6360-03 $86.00 10/23/2018 30155352 $86.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer Action Pest Control Service Inspection Po Box 5759 Report/Invoice Evansville, IN 47716 Am:- 317-209-1654 INVOICE #: 30148360 ton � f WORK DATE: 7/27/18 x- Time In: 7/27/18 11:08 AM BxI.,TO 30�2��rJ� ..;_._.., LOCATION 310© ���.N ' Time Out: 7/27/1811:33 AM pi _ u_.,. _,.. _ _.....N Carmel Utilities Carmel Utilities Customer Signature 3450 W 131st St 3450 W 131st St (� Q Carmel,IN 46074-8267 Carmel,IN 46074-8267 ERRIN PIERCY Phone: 317-733-2855 Phone: 317-733-2855 Technician Signature 6 Brad Gray License#: IN-216898 PurcieaseClrtlel�fz`E rms4-1 XSer_vlce Description r Quanitity Amouit�t_= None DUE UPON COMPLEf Quarterly Four Seasons 1.00 _ 86.00 , Subtotal 86.00 Tax 0.00 Total Due: 86.00 w,= TREATED OFFICES FOR ANT AND SPIDER CONTROL, TREATED COMMON AREAS FOR ANT CONTROL. TREATED BREAK AREA FOR ANT AND CRICKET CONTROL. THANK YOU BRAD CON TR©NSI ERYATI4 IS. ._... R o�� ed ..SSe rlty _ . x..M ReSpons�b�i� revueet �-' None Noted. PRODUCTS APPL CATION SUM ARY ..,o.LbP».....,... 1.7 ✓,�.,r y.kSf&� 1;e ek... t uu ,.�z.3,A.,'3�2d �. r�3� S .�H�.tri al.,.,,,, i .w...> > :.. ... F Material Lot# EPA# A.I.% A.I.Conc. Active i ? . Qt �•�� � a Ingredient Finished Qty Undiluted Qty Temprid FX 432-1544 31.5000% 0.0750 Imidacloprid,b-Cyfluthrin 1.7500 Gallons 0.5300 Fluid Ounc Target Pests: Crawling Insects �P�ST A fi—li M ' � #Argas j #Deurces Pest Totals ., None Noted. v s,..•«3 z.<...,_u ...x,�£ ia.......,e...b��......_..___w.,l�.,.z .i...z..eui.s.�..�i ARA C©MMEIVTS M .x 3 ".....l ....�.:.,�".b,.,......�._..._,: r.�7�..wW..W__.__,m.�.:a„� .,.....__.._..,_:..,..:.o,�,. ...�...,..`ac., ...�...,_.wa2 ___x'� .«.. .._._ ....�...,,,..,.iutz ,,._ _ _,w. ,�az.,�`.,.'.:,•...,..�...,.,..ak.. ,4,. k _�-.. None Noted. (S 4R Printed:10/22/18 Page: 1/2 a Action Pest control Service Inspection PO Box 5759 Re ortInvoice Evansville, IN 47716 P 317-209-1654 INVOICE #: 30148360 WORK DATE: 7/27/18 DEYICEINSPECTION EXCEPTICiNS ` ,,.r. Z77- None Noted. INSPECTION DETAIL' x None Noted. .PRIy�UCTSApPIY � Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Temprid FX 31.5000% 1.7500 Gallons Hand Sprayer 11:24:24 AM 432-1544 0.5300 Fluid Spot Ounces Target Pests: Crawling Insects Printed:10/22/18 Page: 2/2 Action Box 5759 Service POService Inspection f f Evansville, IN 47716 Report/Invoice 317-209-1654 ct`ion INVOICE #: 30155289 , 'S '<d iiiii1'Of WORK DATE: 10/17/18 Time In: 10/17/1811:41 AM BI#C TO � � 31002157 _ LOCATION ! ..s310021257 Time Out: 10/17/18 11:55 AM Carmel Utilities Carmel Utilities Customer Signature 3450 W 131st St 3450 W 131st St Carmel,IN 46074-8267 Carmel,IN 46074-8267 Phone: 317-733-2855 Phone: 317-733-2855 Technician Signature Kourtney Moore License#: Purchase Order Te ms SernCe Descry tion " ._ , �._. . ..p ww...:�Quantity Amount' None DUE UPON COMPLET Quarterly Four Seasons 1.00 86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 GENERAL`COMMENTS%INSTRtlCTIONS ; _None Noted p CONDITIONS j 06SERVATIONS' ; �.� Reported Sev�r>Ity �Responsibihiy? Renewed �PROpfJCTS APPLICATION SUMMARY 1 None Noted. 15 PES'll 1CTIVITY . #Areais .s #Devices f Pest Totals DEVICE INSPECTION,SUMMARY , hx,..�....,.:....- .u..._,.. ,�r�. �.....:M...,.._,..�.,.,.._..�..s .....,,.�.,....;,a s,....._._:�...:._:,.A,..�_..-€�r�..,.,,...M�:. u,.�..��.:�, e.._...>.....,.. ,.,.....�✓ ,�.r,,,..',.... .:m: n,ir � � rAREA COMMENTS, y }a o.n.u........�..., sxa........._....<..:�.�..a...., #.A..,........: �..,,,,.�� ,"m xo..�.x., .. ..,. .- .� ��,..-...n::' .,..,,....�a,� ..� ....M�,_,.,. „ .. a a wn:e_, s�. ..n....a ...e ...,r..,MW" None Noted DEVI,C��INSPECTION EXCEPTIONS �. _......a .......1,. ,. ,: ...,.,...,�... ......,' .,t .tle�..ut None Noted. Printed:10/22/18 Page: 1/2 Action Pest Control Service Inspection PO Box 5759 p Evansville, IN 47716 Report/Invoice tort 317-209-1654 INVOICE #: 30155289 06 / "trot WORK DATE: 10/17/18 INSPECTION DETAIL None Noted. 7 77 ¢PROLIUCTS APPLIED - '. j,j None Noted. Printed:10/22/18 Page: 2/2 Action Pest Control Service Inspection PO Box 5759 p Evansville, IN 47716 Report/Invoice C 317-209-1654 r/�� INVOICE #: 30148435 WORK DATE: 7/27/18 Time In: 7/27/18 10:06 AM . _.., 31002125 ( L�CATION W 810059452 Time out: 7/27/18 10:24 AM -. ti... _ �...v ,._��... Carmel Utilities Carmel Utilities Customer Signature W 131st Car 4915E 106th Carmel,IN 4600 74-8267 Carmel,IN 4600 33 FORMAN Phone: 317-733-2855 Phone: 317-571-2648 Technician Signature a Brad Gray License#: IN-216898 Purchase Order Te ms Sem ce Descri tion m I _ ET —_. u Amount'- � .� w Kp �__ 1" . _. �.�� Q ant�ty . _ None DUE UPON COMPLET Quarterly Four Seasons 1.00 86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 GENERAL COMMEhkTS/ INSTRUCTIONS TREATED COMMON AREAS FOR ANT CONTROL. TREATED RESTROOMS FOR ANT CONTROL. THANK YOU BRAD r < CONDITIONS/OBSERVATIONS' Rep'arteil Serrerltya;' esponslb�hty Rllewed NoneNoted. L_M_ a,.........�...,�......�.....e�,.. ,.,.�..s.w..��xi�e..�,...�s,..��,...:.�.� ,,..w_ PRpDUCI'S'APPLICATION SUMMARY a µ' v Ma na d Qty Temprid FX 432-1544 31.5000% 0.0750 Imidacloprid,b-CyFluthrin 1.2500 Gallons 0.3800 Fluid Ounc Target Pests: Crawling Insects PEST ACfIVM { ' #Areas #Devices Pest Totals None Noted _.yJ DE1%ICE INSPECTION SUMMARY �� �'�' p�ARER COMMENTS � "rI � 3 .�..._,.0 �_.............,.-....._,.-.�..3_,�_a.... .. w .....,..w,.._.,»......��..�.,. _..,�..,..,�u;. ..�. ..�....,.....,�_ua...,_...,..ti ..�.,. ,�._....._ c.._.�_..,.,wm.,,�,.�a.>...... a.us...�..ro,_...�.�_,,..w.n„�... .� ...,G t.....�.�,..�..n.t��«_1 None Noted n 1 w Printed:10/22/18 Page: 1/2 Action Pest Control Service Inspection PO Box 5759 Re ort I !, Evansville, IN 47716 p / nVO1Ce '10317-209-1654 INVOICE #: 30148435 WORK DATE: 7/27/18 m DEUCE INSPECTION EXCEPTIONS None Noted. INSPECTION DETdIL None Noted. PRODUCTS APPLIED __ r Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Temprid FX 31.5000% 1.2500 Gallons Hand Sprayer 10:17:28 AM 432-1544 0.3800 Fluid Spot Ounces Target Pests: Crawling Insects Printed:10/22/18 Page: 2/2 AL Action Pest Control Service Inspection PO Box 5759 Evansville, IN 47716 Report/Invoice On 317-209-1654 INVOICE #: 30148361 > Sa�`'VO/ftl'O/ WORK DATE: 7/27/18 Time In: 7/27/18 10:28 AM 310021257 , LOCATION"`.. ...,,, 310059412„_° Time Out: 7/27/18 10:49 AM Carmel Utilities Water Treatment Building Customer Signature 3450 W 131st St 5484E 126th St Carmel,IN 46074-8267 Carmel,IN 46033 BASSETT Phone: 317-733-2855 Phone: 317-571-2648 Technician Signature Brad Gray License#: IN-216898 Purchase Order Perms =�_8ervic�Descr►ption Quanttty Amount .. �. <. .� None DUE UPON COMPLET Quarterly Four Seasons _ _.-.. _ 1.00 mm ry-"�� X86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 G N RAL COMMEI4T / INSTRl1CTION_S _ _ _ .s w.�.._._ TREATED COMMON AREAS FOR ANT AND CRAWLING PEST CONTROL, TREATED RESTROOM FOR ANT CONTROL. THANK YOU BRAD LCONQITIONS J OBSERVATIONS n t Reported._v._ y ,Severity Responsib�llliy W Reviewed P None Noted. ,.'-r _"'--sem .....�---„-•..,-.__ .� 777 1PRODUCTS'APPLICATION SUMMARY _ Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qtp Tempdd FX 432-1544 31.5000% 0.0750 Imidacloprid,b CyFluthrin 1.0000 Gallons 0.3000 Fluid Ounc Target Pests: Crawling Insects PES7'�ACTIVITY #Areas #Devices r Pest Totals None Noted. None Noted. AREA COMMENTS,, W Printed:10/22/18 Page: 1/2 Action Pest control Service Inspection PO Box 5759 Report/Invoice Evansville, IN 47716 317-209-1654 INVOICE #: 30148361 A�tan 0est C ntr&' WORK DATE: 7/27/18 DEVICE INSPECTION EXCEPTIONS �i..u,-.• y..� ..r,....,..���. �.����wfl....c.,..,,tea_.,.�µ..as�,.ano,.,,.,.. ... .�_.ww_,., ..,.,em_.q.n.. ..�.,_ .M«.....�ss�cs..E ...,_._,.�.. �,o..,...e, 3.A.M ... .... ,.,...a*+�.e.,,_..i..___. ,.x.�,iw.h.,.i.�_ None Noted. INSPECTION DiTAIL ,77 None Noted. Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Temprid FX 31.5000% 1.0000 Gallons Hand Sprayer 10:32:02 AM 432-1544 0.3000 Fluid Spot Ounces Target Pests: Crawling Insects Printed:10/22/18 Page: 2/2 Action Pest Control Service Inspection PO Box 5759 p Evansville, IN 47716 Report/Invoice A /t�b 317-209-1654 INVOICE #: 30155352 I WORK DATE: 10/17/18 • �, Time In: 10/17/18 11:08 AM L 1.-T0 w 310021 57'x^xyx LOCATION 310Q59452 Time out: 10/17/18 11:20 AM Carmel Utilities Carmel-Utilities Customer Signature 3450 W 131st St 4915 E 106th St Carmel,IN 46074-8267 Carmel, IN 46033 Phone: 317-733-2855 Phone: 317-571-2648 Technician Signature Kourtney Moore License#: Purchase�Ortler,,��'Terms �` �� � Service Desc��pt_ion` �, Quarlt�ty � Amou>ot None DUE UPON COMPLET Quarterly Four Seasons_._-..� � 1.00 ���� .�..,�.,�...�._,�..�,.86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 GENERALµCOMMENTS/'INSTRUCTIONS .._ _. None Noted ., CONDITIONS J OBSERVATIONS Reported Severity: Responsibd�y Revrewed ' None Noted. PRODUCTS APS�C ATION 5UMIWfARY' � ''-` None Noted �- �.,,9�._.��� �� � s #Devices None Noted. a t DEVIG£FINSPECtZON SUMMARY f s vu, ;s.�,.,�..u_ucs,...�: wC....a,...maw.. ...v.'Y�..�.MA.a+wt�.T..�.ea,.,,.._.. ,�,<.......-..,..., ...,,...>.,.>,..H.«a..L_.r....w.. ,, c,...x,.... ..e...,.....i-...: 3...,,.•3�.sa.. ..,u�i.3w.,.�.�..-..,,...����x.e...,.,,.,�,.t... k 3 3 ARE14 COMMENTS 3 , ..�....,.....,....,. ..a ...._.«K.,....,., ,.. S .. d r None Noted. _ n.. �,._. .. ..w _. z �_..a.� �.__,. � DEYIGE INSPECTiION EXCEPTIONS None Noted. Printed:10/22/18 Page: 1/2 Action Pest control Service Inspection PO Box Report/Invoice Evansvillele,, IN 47716 AF aCt1Q%,�'I/ 317-209-1654 INVOICE #: 30155352 ft��t1 , WORK DATE: 10/17/18 INSPECTION DETAIL � � 3; +: � F q None Noted. PRODUCTS APPLIED µ �. . ��W , _..._ ._ �.. , .... .... _.... �w.. , ..... . None Noted. '"_'�,` Printed:10/22/18 Page: 2/2 Action Pest Control Service Inspection PO Box 5759 Report/Invoice Evansville, IN 47716 - 317-209-1654 INVOICE #: 30155290 WORK DATE: 10/17/18 BILL TOk 310021257 1 40CATION 3100'59412 Time In: 10/17/18 12:14 PM Time Out: 10/17/18 12:28 PM Carmel Utilities Water Treatment Building Customer Signature 3450 W 131st St 5484 E 126th St Carmel,IN 46074-8267 Carmel,IN 46033 Phone: 317-733-2855 Phone: 317-571-2648 Technician Signature Kourtney Moore License#: tne AmountDUE UPON COMPLEf Quarterly Four Seasons _ 1.00 86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 GENERAL COM ' E MENTS%INSTRUCTIONS . x � �..�a _.._._ �. _. . None Noted. - m.• '_ ,._.__ R"," CONDITIONS/QBSERVATIONS Reported Seventy Respons�btllty eyheWed None Noted. �PROD APL ATION SUMMARY � _ � ,,3 , v None Noted. PEST ACTIVITY #Areas D ces Pest Totals ; ' ` None NotedW M '" DEVICE INSPECTION SUMMARY trAREA GOMMENTSu x e„x None Noted. DEVICE INSPECTION EXCEPTIONS '� None Noted. Printed:10/22/18 Page: 1/2 Action Pest Control Service Inspection PO Box 5759 p Evansville, IN 47716 Report/Invoice 317-209-1654 INVOICE #: 30155290 P.6 WORK DATE: 10/17/18 INSPECTION QE 'AIL , M Ttil ,..E, "ML _iL'''E�. 1 None Noted. PROQUCTS APPLIEQ ��.u 3 rv`� NoneNoted. Printed:10/22/18 Page: 212