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INSPECTOR TECH a m a' M a a M/ o 1/1�
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Services, LLC
888-568-6888
' Martin 772-287-8486 • St. Lucie 772429-7716
Indian River 772-567-7392 • Jupiter561-746-7364
Corporate Office `I
4001 Virginia Avenue, Suite A • Fort Pierce. Floc ida 34981 i t�AN
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FOR FAST, PROFESSIONAL SERVICE CALL :� l IIrip rniinr
CUSTOMER INFORMATION Acct. # 7 t SERVICE REQUESTED r
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DIRECTIONS
PAYMENT / CREDIT CARD INFORMATION AUTHORIZATION
SVC G��AMT CAR PE C ECK # / R, # / EXP,QATE AMT I CODE DATE TIME
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TOTAL DUE" TOTAL AUTH. DEFERRED DATE
CARDHOLDER,N E (If different from ab ve)
I AGREE TO PAY BOV TOTA�OUN ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079).
SIGNATURE: DATE:
VALUED CUSTOMER COMMENTS:
.SALES ECRi COMMENTS: d , t
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PEST CONTROL / FLEAS / OTS SHRUB / TURF `/ TREE'
MATERIAL Treated MATERIAL
TREATMENT SITES TREATED Name (%) & A t TREATMENT SITES (Y/N) Name (%) & Amount
Mulch/Flowerbeds F OAT — 0f 06% Turf
Woodpile/Garbage Area Shrub
Doors/Windows/Eaves Palm
Attic/Crawl Space Ornamental
Underneath Appliances Citrus / Fruit / Nut
Wall Voids/False Bottoms Mulch/Flowerbeds
Cracks/Crevices Other
r Cabinets/Closets
Other
ET PESTS me/Beg: css- Comp c TOT:
Endorsement hleon4ack wle recei t of and satisfaction for services rendered. I certify ttMbove to be true and an ac urate record of my operations. `
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CUSTOMERS SIGNATURE DATE W TECHNICIAN