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334497 01/18/19 {of C�qM `/ CITY OF CARMEL, INDIANA VENDOR: 368498 4 2.•: ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $*******258.00* :9� ��� CARMEL, INDIANA 46032 Po Box 5759 CHECK NUMBER: 334497 M,iroN�. EVANSVILLE IN 47716 CHECK(DATE: 01/18/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 30163247 86.00 OTHER EXPENSES 601 5023990 30163248 86.00 OTHER EXPENSES 601 5023990 30163305 86.00 OTHER EXPENSES VOUCHER NO. 183798 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 368498 IN SUM OF$ 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 ---- -- - --- ------ 258.00 368498 Purchase-Order No. - - -ON ACCOUNT OF APPROPRATION FOR ACTION PEST CONTROL Terms Carmel Water Utility PO Box 5759 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Evansville, IN 47716 or bill(s)is(are)true and correct and that PO# ACCT# 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 30163247 01-6360-06 $86.00 and received except 1/10/2019 30163247 $86.00 30163248 01-6360-03 $86.00 . 1/10/2019 30163248 $86.00 30163305 01-6360-03 $86.00 . 1/10/2019 30163305 $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 Invoice # 30163248 Action Pest Control h PO Box 5759 litv�o� e1f2019 `� . Evansville, IN 47716 Da#e G r 317-209-1654 WatlnesiaY ME Batt=To' �Q12157 r F ti Carmel Utilities F Water Treatment Building �L+oCa#,an 310Q59�12 ��,� 3450 W 131 st St 5484 E 126th St Carmel, IN 46074-8267 Carmel, IN 46033y ti Service Description Quantity I Price Quarterly Four Seasons 1.00 86.00 SUBTOTAL $86.00 TAX $0.00 AIVIT TOTAL AID �86.00 CUSTOMER SIGNATURE TECHNICIAN SIGNATURE AMOUNT DUE $86.00 Invoice # 30163305 Action Pest Control Invoice 1/10/2019-n,1, PO Box 5759 Date Evansville, IN 47716 Y 317-209-1654WetlnesdayaE x_ Tuna 09 43 AM :Al% Bill To` �310021257 : Carmel Utilities Carmel Utilities 3450 W 131 st St 4915E 106th St Cocat�on S10f)59452 Carmel, IN 46074-8267 Carmel, IN 46033 E Service Description Quantity Price Quarterly Four Seasons 1.00 86.00 SUBTOTAL 86.00 TAX $0.00 AMT PAID $0.00 p L �J �� �✓�' TOTAL $86.00 CUSTOMER SIGNATURE TECHNICIAN SIGNATURE AMOUNT DUE $86.00 Pa.Ym,ent Receipt.. Please Return with Pa ment Rernittan Invoice # 30163247 Action Pest Control �� tnvo�C5 /712019 PO Box 5759 Dated Evansville, IN 47716 P Friday 317-209-1654 # o t I FM, g BIII « 310f}212 Mkkt Carmel Utilities Carmel Utilities 3450 W 131 st St 3450 W 131 st St t-ocation 310021257 Carmel, IN 46074-8267 Carmel, IN 46074-8267 I � Service Description Quantity Price Quarterly Four Seasons 1.00 86.00 SUBTOTAL 86.00 TAX $0.00 AMT PAID .00 TOTAL $8686.00 CUSTOMER SIGNATURE TECHNICIAN SIGNATURE AMOUNT DUE $86.00 Payment Receipt. Please Return with Payment Remittance Action Pest Control PO Box 5759 Service Inspection Evansville,IN 47716 Report/Invoice 317-209-1654 � 10 INVOICE #: 30163305 WORK DATE: 1/9/19 �< a Time In: 1/9/19 9:13 AM L TO 3�10021257� LsQCATION" 310059452 " Time out: 1/9/19 10:32 AM Customer Signature Carmel Utilities Carmel Utilities 3450 W 131st St 4915 E 106th St I1 Carmel,IN 46074-8267 Carmel,IN 46033 Carmel Utilities Phone: 317-733 2855 Phone: 317-571-2648 Technician Signature Chuck Weir License#: Purchase Order Term= Service;De_scrlptaan Quantl 7 1 Un None DUE UPON COMPLET Quarterly Four Seasons 1.00 86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 GENERAL COMMENTS/,INSTRUCTIONS I treated the interior of the building with a liquid. I also placed baited snap traps in the breakroom. Have a great day. -Chuck Tis the season for ice and snow.Contact me for a great deal on ice melt.$15.99 for a 501b bucket of premium calcium chloride ice melt delivered to your door[or$29.99 for 2 buckets] My number is 463 201 2351 or call my branch at 317 209 1654 and please mention my name CaNDITIONS J OBSERVATIONS Reported FoSe�rerlty Responsibility M Reviewed None Noted. LEA- Material RODUCTS APPl�GATION SUI► IARY , mimp ',. tt 3w� Lot# EPA#.� A.I.% A.I.Conc. Active Ingredient Finishetl Qty Undiluted Qty Alpine WSG Water Soluble Granule 499-561 40.0000% 0.1000 Dinotefuran 0.0940 Gallons 0.9400 Grams Insecticide Areas Applied: Interior Target Pests: Crawling Insects Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qty Provoke Mouse Attractant N/A 0.0000% 1.0000 N/A 6.0000 Grams 6.0000 Ounces Areas Applied: Breakroom Target Pests: Mouse �P TACTIVITY fi �� #Ares � ���#D v ces fi'� Pest Totals z��� None Noted. Printed:1/10/19 Page: 1/2 on Pest POIBox 5759ontrol Service Inspection Evansville, IN 47716 Report/Invoice 317-209-1654 INVOICE #: 30163305 f�Ct[orf t]�Q WORK DATE: 1/9/19 DEI/ICE INSPECTION SUMMARY I E ..... ba3k+....... - _ ............ .,,{n4u.......P, ......e...e. ..,..�aw.,..._.b .J.?4,,,,. .....sx.,,�.F ,... ..i„.A.. ..........5._c.., .,..NAY_ ui....H........,,..% °AREA COMMENTS s. � 7-z� None Noted. ,DEVICE INSPECTION EXCEPTxONS � � '� f None Noted. None Noted. ODU APPLIED � � a R Material A.I. /o Finished Qty Application Equipment µ Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Provoke Mouse Attractant 0.0000% 6.0000 Grams 9:51:09 AM N/A 6.0000 Ounces Placement Target Pests: Mouse Areas Applied: Breakroom Alpine WSG Water Soluble Granule 40.0000% 0.0940 Gallons Hand Sprayer 10:32:18 AM Insecticide 499-561 0.9400 Grams Crack&Crevice Target Pests: Crawling Insects Areas Applied: Interior Printed:,1/10/19 Page: 2/2 on Pest POIBox 5759ontroi Service Inspection Evansville, IN 47716 Report/Invoice 6bo 317-209-1654 INVOICE #: 30163248 VV71{�h° WORK DATE: 1/9/19 rime In: 1/9/19 10:14 AM BILL T 21267� a j U CATION 310059412 _ Time Out: 1/9/19 10:31 AM Carmel Utilities Water Treatment Building Customer Signature Carmel, l,IN 4t 0 5484E 126t4 0 Carmel,IN 46074-8267 Carmel,IN 46033 Water Treatment Building Phone: 317-733-2855 Phone: 317-571-2648 Technicians, gnature Chuck Weir License#: Puir he ase Ore Terms 5ervlce Descrlptlon quantity Amount _n _ _None DUE UPON COMPLET Quarterly Four Seasons 1.00 86.00 .'A Subtotal 86.00 Tax 0.00 Total Due: 86.00 i GENERAL COMMENTS 3i.'3NSTRUCTIONS 7',T�- I treated the interior of the building with a liquid for crawling insects. Have a great day. -Chuck Tis the season for ice and snow.Contact me for a great deal on ice melt.$15.99 for a 501b bucket of premium calcium chloride ice melt delivered to your door[or$29.99 for 2 buckets] My number is 463 201 2351 or call my branch at 317 209 1654 and please mention my name CtNDTIONS/OBSER1/ATIONS_ Reported Serretlty Responsibility Re�Yiewed None Noted, PRODUCTS AP Lp CATION SUMM�IRY �` F ,` Material # EPA# A.I.% A.I.Conc. Active In redient Finished Qty Undiluted Qty Alpine WSG Water Soluble Granule 499-561 40.0000% 0.1000 Dinotefuran 0.0940 Gallons 0.9400 Grams Insecticide Areas Applied: Interior Target Pests: Crawling Insects P TS A ITY #Ares =� '� #pevices P tTotals ' None Noted. E1/ CE INSPECTZdN SUMMARY Printed:1/10/19 Page: 1/2 on Pest POIBox 5759ontrol Service Inspection Evansville, IN 47716 Report/Invoice �C^twl�O��,—f 317-209-1654 INVOICE #: 301�63248 V{/!/iliJ WORK DATE: 1/9/19 None Noted � w ��QEtIIGE INSPECTION EXCEPXI't7NS � ��' ,s ''� �' � � � None Noted. INSPECTION DEtAII. None Noted. _ -- PRODUCTS APPLIEDa 77 . .._w_ A.I. % ...,._ . Material Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Alpine WSG Water Soluble Granule 40.0000% 0.0940 Gallons Hand Sprayer 1 Insecticide 0:30:20 AM 499-561 0.9400 Grams Crack&Crevice Target Pests: Crawling Insects Areas Applied: Interior Printed:1/10/19 Page: 2/2 Action Pest Control Service Inspection PO Box 5759 r Evansville,IN 47716 Report/Invoice AF 317-209-1654 INVOICE #: 30163247 WORK DATE: 1/4/19 m Time in: 1/4/19 12:51 PM 1 L TOw F_311002125r7 s L{ IATIOfV 3 310021'1;57 y Time out: 1/4/19 1:15 PM Customer Signature Carmel Utilities Carmel Utilities 3450 W 131st St 3450 W 131st St A I� Carmel,IN 46074-8267 Carmel,IN 46074-8267 Carmel Utilities Phone: 317-733-2855 Phone: 317-733-2855 Technician Signature Chuck Weir License#: Furchase'Order I`erms; Servrce,Descrt{ �o,N Quan#ity4 mm^`Amou_n_t_ None DUE UPON COMPLET Quarterly Four Seasons 1.00 86.00 Subtotal 86.00 Tax 0.00 Total Due: 86.00 ' a.,, I treated the interior of the building with a liquid. Have a great day. -Chuck Tis the season for ice and snow.Contact me for a great deal on ice melt,$15.99 for a 501b bucket of premium calcium chloride ice melt delivered to your door[or$29.99 for 2 buckets].My number is 463-201-2351 or call my branch at 317-209-1654 and please mention my name. NDITI S/ BSERYATIONSy' x Reporated €r, Serityy }gym Resposbil t� .,.x Reviewed None Noted. Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Flnlshed Qty Undiluted Qty Alpine WSG Water Soluble Granule 499-561 40.0000% 0.1000 Dinotefuran 0.0780 Gallons 0.7800 Grams Insecticide Areas Applied: Interior Target Pests: Crawling Insects }.. IPE T ACTIYITYsH #Areas „µ"_a.� #Devices Pest Totails .. �33N., y _ ., . 3 None Noted. DIICE INSP� ON SUMMARY ;�5.,..,u ,„ r,,,,.+�s...,:,.Y.:as'.., uw.,�s.m r ..<�.�.a.�.:.,T,....w.._..:.:W: u Printed:1/7/19 Page: 1/2 I a Action Pest Control Service Inspection PO Box 5759 Repo t/Invoice Evansville,IN 47716 A���0 317-209-1654 INVOICE #: 30163247 WORK DATE: 1/4/19 g. None Noted. DEVICE INSPEC-TrON EXCEPTIONS None Noted. None Noted. I z^ W n� Pax U PRO©UCTS�AP IED _ fU Material A.I.% Finished Qty Application Equipment Application Rate Time EPA# Undiluted Qty Application Method Sq/Cu/L Ft Lot# Alpine WSG Water Soluble Granule 40.0000% 0.0780 Gallons Hand Sprayer 1:13:13 PM Insecticide 499-561 0.7800 Grams Crack&Crevice Target Pests: Crawling Insects Areas Applied: Interior Printed:1/7/19 Page: 2/2