Loading...
HomeMy WebLinkAboutTERMITE TREATMENT BILL - AGREEMENTAPPT.DATE TIM - - - - M Z � INSPECTOR TECii �!< �� � 2 Mio � � � � � � DATE TAKEN: BY: : ;;;;ME NNIIIIIIIIIII M MMMM Services, LLC RECEIVED MRiver 7 • SC Lucie 772-429-7716 ©2-567-739 Iottian River 772-56T-7392 •Palm Beach 561-746.7364 J U L 2 2 2019 Corporate Office l Mrgh faAvenue, Suite A • Fart Plerce, Florida 34981 ST. Lucie County, Permitting FOR FAST, PROFESSIONAL SERVICE CALL CUSTOMER INFORMATION Acct. # �? zZ FJ' SERVICE REQUESTED !� /-7 �G✓ NAME/ d-FC� % L / ADDY& C FL 3%Z S,DORGE .. r STATE 21P CODEIG_ RID I �® CONTRACTS: HOME TEL0 WORKTEL5,,/� I L L u { cie C DIRECTIONS PAYMENT IRD INFORMATION AUTHORIZATION AMT CODE DATE TIME SVC AMT�/'j CARD P CHECK N I CARD N / EXP DATE 1 t- � � ✓� L/%S, �l +�_' 2�,3�T_Zi3 7—L�'e1 3- 4- TOTAL DUE' / ✓ L/ TOTALAUTH. DEFERRED DATE CARDHOLDER NAME (If different from above) I AGREE TO PAY ABOVE TOTALAMOUNT ACCORDING TO CARD ISSUER AGREEMENT (Visa/MasterCard Customer Inquiries Call 1-800-920-1079). SIGNATURE: DATE: VALUED CUSTOMER COMMENTS: SALES TECH COMMENTS' % Cr/ G✓d� Gcp - r 7 PEST CONTROL / FLEAS / OTS TERMITE / FUME MATERIAL INSPECTED Evidence Treated MATERIAL TREATMENT SITES TREATED Name (%) & Arm SITES (Y/---Name (%) & Amount Mulch/Rowerbeds Foundation err r~G Woodpile/Garbage Area Crawl Space DoorsAA/indows/Eaves Interior Walls AttUnderneat/Crawlh Space Underneath Appliances _ Door Frames Window Fmmes Wall Voids/False Bottoms Bath Traps Cracks/Crevices / Attic . Drawers/Cabinets/Closets Other Other TARG S e r Time/6eg� Co �/ T0. Endors e h on awled s ceipt at and satisfaction for services rendered. I certity a ove to tr e d an a ura a record of operations. CUSTOMERS SIGNATURE DATE WIPEOUT t/ Wipeout Services, LLc Corporate Office Address 4001 Virginia iAvenue, Suite A Fort Pierce, FL 34981 772-429-7716 Customer Name: Michael Beck Covered area: Shed only Street 4712 Regina Drive City Fort Pierce FL Subterranean Termite Preconstruction Treatment Agreement Effective/Treatmentdate: 3/25/2019 Bill to (If Different): Name Street P.O. Box 3939 City Fort Pierce State FL Zip Code 34982 Phone # 609-892-6855 Zip Code 34948 Phone # -Note: This agreement Covers only the covered area specified above andcannot be transferred toanotheraddress or -area. Treatment: This Agreement pertains only to Subterranean Termite control for the covered area specified above and described on the attached graph which is part of this Agreement. This Agreement does not apply to Drywood Termites or other wood destroying organisims. The type of treatment today is: [X ] Preventive (no observed evidence) [ ] Presumptive/Existing.(affected wood and/or live termites) Coverage: For a period of one year, beginning on above Date of Treatment, Wipeout Services, uc agrees to provide the necessary service and treatment for the control of Subterranean Termites for the covered area pretreated for the sum of $ 150.00 payable on completion by cash, check, or credit card accepted by Wipeout. In addition, Wipeout Services,,, warrants that while this Agreement is in effect, we will perform any further retreatment it finds necessary, at no additional cost. Wipeout Services,,c liability is for retreatment only. Wipeout Services,uc assumes no responsibility, financial or otherwise, for the correction,repair, or replacement of any part or portion of the structure showing signs of damage caused by insects/organisms before or after treatment. Renewal: Renewal is applicable annually for up to 5 years of coverage. Renewal month February , Amount $ 65.00 The Customer is not obligated to renew the agreement. Either of the parties may terminate this Agreement at anytime. This agreement will terminate at the end of one year if not renewed by the customer, or upon conclusion of the Renewal Period if not renewed. Agreements not renewed by the month and day of the effective dare on any renewal year become null and void. By signing this agreement, the customer agrees that Wipeout Services,uc may establish contact for renewal notification. Transferrable: In the event of a transfer of ownership of the covered area, this agreement is not enforceable or transferable unless and until (a) Wipeout Services,uc re -inspects the covered -area, (b) the transferee executes an agreement in -the form at use at that time by Wipeout Services," and (c) the transferee pays any applicable transfer fee and renewal fee. In no event shall any such transfer extend the original renewal period. This agreement covers the area shown on the attached graph as it exists on the date of treatment. After Wipeout Services,uctreats the area, any structural modification or alteration to the building or to the treated soil around the foundation must be reported to Wipeout within 30 days. Wipeout's obligation to retreat under this agreement is terminated unless Wipeout is notified of the modification and, if required by Wipeout additional treatment is performed at customer's expense. Wipeouts failure to discover such modifications during reinspection does not relieve the customer of its obligations. Chemical Sensitivity: At the customer's request, Wipeout Services,u,cwill provide copies of the product lables and Safety Data Sheets for the products used in treating the covered area. If any member of the household is or may be sensitive to chemicals or chemical odors, they should consult with their physician before products are applied in, on, around, or under the area. Notice to Customer: 1. You are entitled to a copy of this agreement atthe time you sign it. 2. Do not sign this agreement before you thoroughly read it or if it contains any blank spaces. 3. An inspection/treatment notice is located on the breaker box or other . Notice to Buyer: On a home solicitation sale the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of transaction, without penalty or obligation. To cancel this transaction, mail or deliver written notice to Wipeout Services,ttc, 4001 Vjrgiro Ave., Suite A, Fort Pierce, FL 34981. Summary of Charges Customer's I Price $ 150.00 Wipeout Representative Date Tax S N/A Total Due $ 150.00