HomeMy WebLinkAboutTREATMENT INVOICE 10-19-1811/27/18 10:14AM GMT-05:00,'-R,964807498' —> 7724621578 Pg 2/
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FOR FAST, PROFESSIONAL SERVICE CALL
STOMER Il�&FOEBMATIO6�9 '.
Acct. #:
SERVICE REQUESTED'
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DIRECTIONS
PAYMENT / CRI bIT,CARD INFOftIIflATtOA! : ` - A U Y ti.o•R I Z A f E.O:N
SVO AMT CARD TYPE.:'.'.-
CHECK# /-CARD'# I EXPbATE. r�: AMT • CODE- DATE ` , TIME
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TOTAL DUE .
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CARDHOLDER NAME (if different from above}
TOTAI.AUTH. — DEFERRED DATE -
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t AGREE TO PAY.ABOVE TOTALAMOUNTACGORDING
TO BARD ISSUEj3.AGRli8M�NT iVisa/MaslerCard Customer
Inquiries Call i-800 92D•i079).
SIGNATURE:
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DATE: _. _ .....
VALUED CUSTOMER COMMENTS:
SALES TECH COMMENTS:
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PEST C0�ITROL / FI.E:l�S POTS
TER MITE FUME ' •
MATERIAL . INSPECTED Evidence Treated MA7 ERIAL
TREATMENT SITES TREATED Name:(°f°) A►ht
Muich/Fiowerbeds
SITES - (Y/N} (Y Ny Amount
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Foundation ti.;�
-` `tiYoodpfle/Garbage Area,
Doors/Windows/Eaves
awi Space
I. Y
Attic/Crawl Space
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Interior Walls:
Underneath Appliances
i Door Frames
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Wall Voids/False Bottoms
Ntinddw Frames "'.(
Cracks/Crevices
Bath Traps i' . 15
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Drawers/Cabinets/Closets
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Attic
Dlher. / .
Other
TARGET PESTS .
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Endorsement hereon acknowledges of aAd satisfaction far services rendered.: I
a
c rtify the
7receipt
abov bet . a as Cunt cord of myibperauons.
CUSTOMERS SIGNATURE
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DAATEPE®BJ�
11/27,/18 10:14AM GMT-05:00 '-g664807498' —> 7724621578
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Office Phone
STRUCTION TYPE FOUNDATION TYPE VENEER TYPE Unear Feet
an OmduR.fnn,+alh5c OBasemCN Opiom vinh Snekwall o. skirting ONone ❑Stucco ara'undsWclure
ulgor Supported Slab ❑Manuraeluted I Mobile Home ❑Sefld C-1. ❑open(Pie, only) Otbick .❑Other Square footage
,,- -., r1n,n..- ___ []Double orTriole Brlek wall []other [)Stone house&Sam" -
❑ Yes ❑ No DMICIng vial] within 25'?
❑ Yes ❑ No 1e of -Clearance in Crawl?
❑Yes ❑No Elecuilayavailable?
❑ Yes .O NO Install plumbing access?
*Yes ONO Debris:
' U heavy ❑ light
❑Yes 0 No Earth/wood contact
Key Symbols
ST Subterranean termites(evidence et)
UWT Urywoodtermites
PPB Powderpost beetles
WDF Wood -decaying fungi
MD" Moisture damage
ON Earth and wood in contact
PHD Possible hidden damage
(L) Before symbol indicates rive activity
Scale- ❑1ft_ ❑2ft. ❑3ff.
WindvrvFrames
(x) AgersymbotIndicates damage
ROACHES LOCATION
ANT$ LOCATION" ANTS
LOCATION
s
American
Mle fooled
Thief
Sgverrteh
Australian
Pavement
Spiders
C '=
p 9
Florida Woods
Carpenter
Bed eugs
M,lf1pados
German
Pharaoh
WIC&
OTHEiL
;1
.y
Asian
Crazy
fleas
-
Brain Sanded
Ghost
Mira
Oriental
Fire
Pals
inspections are of visible, accessible areas only and should not be considered a guarantee of the absence of hidden or inaccessible damage.
Technician Name & Number
Date of inspection
'Technician Signature'
Customer Signature
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