1505 Richardson Ln RES21-0187 - Termite Treatment Certificate orA"ER,s cs.2\ - 0 V1
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Svc BLASTERS
P.O. Box 50367 • Jacksonville Beach, FL 32240
(904) 242-BUGS
ZTE TREATME
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Street Address:
) 50 ' P (44.-06 0 0 /-11
City:
County:
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General Contractor/Builder: Area Treated:
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Date:
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2 11110111111
Name of Applicator: Active Ingredient:
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Product Use.:Active Ingr ent%Concentration: Number of gallons us : t
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Method , termite treatment:1I 1 '"?! t % I
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The building has received a complete treatment for he prevention of subterranean
termites.Treatment is in accordance with rules and laws established by the Florida
Department of Agriculture and Consumer Services.
I This form is proof of complete treatment for Certificate of Occupancy or Closing.
i THIS IS PROOF OF WARRANTY
Warranty and Treatment Certifications Have Been Issued.
Authorized Signature: Date:
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