HomeMy WebLinkAboutPretreatAPPT. DATE ` . a TIME
INSPECTOR TECH . a
..... � � . � . � DATE TAKEN: BY:
Services, LLC
Martin 772-287-8486 • St. Lucie 772429-7716 FRECE DIndian River 772-567-7392 • Palm Beach 561-746-7364
Co�o>�ce 2U4001 Virginia Avenue, Suite A • Fbrt Pierce. Florida 34981FOR FAST, PROFESSIONAL SERVICE CALL • ucie County, Permitting
CUSTOMER INFORMATION Acct. # 1 C1� 1 I SERVICE REGIUESTED[ � G a - 7SOQ q "
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NAME
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DIRECTIONS
PAYMENT / CREDIT CARD INFORMATION A U T H O R I ZAT I N
SVC AMT CARD TYPE CHECK # / CARD # / EXP DATE AMT CODE DATEE TIME
2.
3.
4.
TOTAL DUE l ' `1 TOTALAUTH. DEFERRED DATE
CARDHOLDER NAME (If different from above)
1 AGREE TO PAY ABOVE TOTALAMOUNT ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079).
SIGNATURE: DATE:
VALUED CUSTOMER COMMENTS:
ALES TECH COMMEN S: e ' �e L e " i ,)-e- I u }, 4 'Vo} o OF
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PEST CONTROL / FLEAS / OTS TERMITE / FUME
MATERIAL INSPECTED Evidence Treated MATERIAL
TREATMENT SITES TREATED Name (%) & Amt SITES/N) N� t
Mulch/Flowerbeds Foundation qUa LT.
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Woodpile/Garbage Area Crawl Space 6 "�7
Doors/Windows/Eaves Interior Walls
Attic/Crawl Space Door Frames
Underneath Appliances Window Frames
Wall Voids/False Bottoms Bath Traps —
Cracks/Crevices Attic
Drawers/Cabinets/Closets Other
Other TARGET PESTS Time/Beg: S� Comp:
Endorsement hereon acknowledges receipt of and satisf vion for services nd ed. I certify the bove to be true and an acc to recor _of my op rations.
CUSTOMERS.SIGNATURE DATE P TECHMCIAN