HomeMy WebLinkAboutB2-1660 PEST RPT 4-22-04.PDFFuIbrig t es o nc.
P.O. Box 627
Newton, NC 28g 8`
828-465-1151�/�
DATE
ADDRESS
TIME
IN ❑ REGULAR [] INSIDE
-- -- - ❑ ONE-TIME
❑ OUTSIDE
OUT []'RESIDENTIAL
❑ COMMERCIAL
CITY, - - -
STATE, ------------- PRONE ----- ------ -
ZIP
Pest Control
❑ Inspection
�-� Termites
Pretreatment
Rodents
❑ Spraying
Renewal ❑
CHEMICALS USED AMOUNT
% EPA NUMBER
DESCRIPTION REMARKS
- AMOUNT
---
5 ,
a
1
PLEASE PAY FROM INVOICE 1
License No. r -- - --
TAX
598PW serviceivO
By -
TOTAL
SERVI Customer X
CE REPORT Signature
18188