HomeMy WebLinkAboutWORK ORDER - BID - 7016 PRAIRIE DOG FUMIGATION (6)PW-3-2011 01 a 20P FROM: RRR PEST PROS 3039339105 TM 97091622T1 P. 2
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EXHIBIT W
WORK_QROM FORM
A 44 PE�*T PRID,S NVOME
P. p. Box 20235 Boulder Colo. 8o3
0
e , N° 13364
Boulder 303-494.2947 • Denver 303-6339105 • Ft. Collins 970-2u-2847 • Greeley 970-352-2897
SERVICE ADDRESS:
itazalaui,-Colina :iariposa
Fort Collins, Co.
BILLING ADDRESS:
City OF Ft. Collins
Accounting Deolrtmant
P.O, Flox 530
Fort Collins, Co. 30522-0530
XTREATEDAREAS
✓INSPECTED
Chemicals Used
EPA#
%
Units
Method of Application
Attic
Badrooms
•%a 'rJ
O t3
•tyaw
Bathroom
Kitchen
Living Room
Halls
Entries
Garage
Outside
Grawt Space
offices,
Boller Rooms
Basement
Laundry ;..
Uglily Room
WaldngStatlons
1 TARGETED
PESTS
Prep Area
Dish Room
0Ants 0Crickets Cl Homers ❑ Solders
❑Bedbugs ❑Ealwlgs ❑Mica ❑Termites
O Boxalders ❑ Ehdeaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches ❑Fleas poiherBrairi3 DogD
Serving Area
Dining Room
Trash Area
SlorageRoom
Closets
Mop Closot
ear
Patio
Warehouse
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
RODENT CONTROL:
IMestetlon Found ❑ Yes ❑ No
❑ Rats ❑ Mice
Infestation Location
Infestation Found ❑Yss ❑No
......
Treatment Used
INSECT CONTROL: ❑ Monthly
❑ Ouartedy ❑ Commercial O Residential ❑ Specials ❑ Every Other Month
SANITATION & CONDITION REPORT: Your next service will be:
-S- S:oc`ill Nele3
7`lv^11 (o:3e 58 tiueS
7-7-11 rc.3e 7 7 Z Hofe-9
6'.wo _ a : o cis 2s Helen
charge VPeid:chock#
❑Cash ❑Vua/MC GUARANTEE:
Date Tine Due
Time In
� AM
Today's Service
$
❑ PM
Previous Balance
$
Other Charges
$
Time Out
0AM
Total Amount Due
$ .57�
OPM
Commercial applicators are licensed
by the Colorado Department of Agriculture
WARNING
Keep children and pets away from bait placements.
Do not ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
die anywhere and may leave a odor
Customer's Signature
Any account placed in collections will be responsible for any adational collection and or attorney fees.
A444 PEST PROS o�dooc��
P. p. Box 20235 Boulder Colo. 8o3o8 N° 13355
,
Boulder 303-494-2847 • Denver 3o3-a33.9205 • Ft. C011ln$ 970-M-2847 • Greeley 97o-352-2847
SERVICE ADDRESS:
:-ossil Creek fyctlancl-r, rvoir
Fort Collins, Co.
BILLING ADDRESS:
City of Vt. Collins
Accounting nopartiaent
P.O. Cox 530
Fort Collins, Co. 80522-0530
x TREATEDAREAS ✓ INSPECTED
Chemicals Used
EPA#
%
Units
Method of A Ilcetlon
Attic
Bedrooms
7.
Ob
Orr
Bathroom
Kltchan
Uving Room
Halls
Entries
Garage
Outside
Crawl Space
3111
Boger Rooms
Basement
Laundry
U61gy Room
Walling Stations
TARGETED
PESTS
Prep Area
Dish Roam
[IAnts O Crickets ❑ Hornets O SpIders
El Bedbugs ❑ Earwigs ❑ Mice ❑ Termites
❑ Boxelders ❑ Elmleaf Beetles ❑ Rats ❑ Wasps
❑Cockroaches ❑Floas bother L2rairio F)o,is
Serving Area
Dining Room
11 h Area
Stor a Room
Closets
Mop Crloset
Bar
Patio
Warehouse
e. j 9
INTEGRATED PEST MANAGEMENT REPORT
INSECT CONTROL:
Infestation Found ❑ Yes ❑ No
Infestation Location
INSECT CONTROL: ❑ Monthly
SANITATION & CONDITION REPORT:
RODENT CONTROL:
❑ Rats ❑ Mlce
Infestation Found ❑ Yes ONo
Treatment Used
❑ Quarterly ❑Commercial ❑ Residential ❑ Specials ❑ Every Other Month
Your next service will be:
o eS
Charge Peid:check8
❑Cash ❑Visa/MC GUARANTEE:
Data
Time Due
Time In
'CAM
Today's Service
$
t, a�
❑ PM
Previous Balance
$
Other Charges
Total Amount Due
$
Time Out
t
PRAM
7 D
$ _
Oo
O PM
Commercial applicators are licensed
by the Colorado Department of Agriculture
Technician's
WARNING
Keep children and pets away from bait placements.
Do not Ingest. Stay away from treated areas
until dry. Vacate for two to four hours.
Wash all countertops before preparing food.
When baiting for rats or mice they may
die anywhere and may leave a odor
Customer's signature
— 1, % l/ Any account Placed in collections will be responsible for arty additional collection and or altomay fees.