HomeMy WebLinkAboutINVOICEAPPT. DATE TIME _
INSPECTOR TECH
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UMM . � 0 ..... DATE TAKEN:
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�. Services, LLC
Martin 772-287-8486 • St. Lucie 772429-7716
Indian River 772-567-7392 • Palm Beach 561-746-7364 SCANNED
�v Corporate Office BY
4001 WginiaAvenue, Suite A • Fort Pierce, Florida 34981 St Lucie
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FOR FAST, PROFESSIONAL SERVICE CALL �? Y_ V `J
CUSTOMER INFORMATION Acct. # / SERVICE REQUESTED
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NAME � / t "
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ADDRESG1I FL SOURCE
STATE ZIP CODE/GRID
CONTRACTS:
HOME TEL N 7M L Ii► c// /% /
DIRECTIONS
PAYMENT / CREDIT CARD INFORMATION AUTHORIZATION
SVC. AMT CARD TYPE CHECK # / CARD # / EXP DATE AMT CODE DATE TIME
1.v /
2.
3:
4.
TOTAL DUE TOTAL AUTH. DEFERRED DATE
CARDHOLDER NAME (If different from above)
I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079).
SIGNATURE: DATE:
VALUED CUSTOMER COMMENTS:
SALES TECH COMMENTS: ( j 1/`41'4 ti' r
PEST CONTROL / FLEAS / OTS TERMITE / FUME
MATERIAL INSPECTED gyIdence Treated MATERIAL
TREATMENT SITES TREATED Name (%) & Amt SITES (Y/N) N) ame (%) & Amoun
Mulch/Flowerbeds Foundation U M1 rj
Woodpile/Garbage Area Crawl Space f9
Doors/Windows/Eaves Interior Walls
Attic/Crawl Space Door Frames 1�`� �✓
Underneath Appliances Window Frames
Wall Voids/False Bottoms Bath Traps
Cracks/Crevices Attic
Drawers/Cabinets/Closets Other
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ARGET ESTS Time/Beg:" Comp: �c TOT: a
Endorsem nt n es receipt of and satisfaction far s es re ered. ertify t to be true and an accurate record of my operations.
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CUSTOMERS SIGNATURE DATE WIPEO MCIAN