1507 Richardson Ln RES21-0188 - Termite Treatment Certificate vE X 21 -o
, .,...
� R's
,,
:fir.,
4 �-
8UG ILRSTERS
P.O. Box 50367 • Jacksonville
Beach, FL 32240
(904) 242-BUGS
Street Addres
Z
TE TREATME
N
7
CERTIFICAT14IV
Us/
/I'( or(,, cm 10
County:
f A.fitrIlse AP6/I) / ) I)
General Contractor/Builder:
Area Treated:
t(4 (I <s► ' 1/0 ,—C 1)f, 1 P,,'4'k/
Date:
, 9' :i'll/ 111.11.111
I1. Name of Applicator: Active Ingredient:
1—4'. -tl, i — . /...),
.[, 1 ,rt )0 td /4 i Vil
\; Product Used:A tive Ingredient%Concentration: Number of galloons'used:
I /017 ' jeK /, (1111 � 7�` (1 >` I� I44f
Method of tetmite treatment: •
( -,
1--1j,\ , 1 ( h6' 1 _
The building has received a complete treatme t for the prevention of subterranean
termites.Treatment is in accordance with rules aCondslaws uwsr estSerablished by the Florida
Department of Agriculture and
This form is proof of complete treatment for Certificate of Occupancy or Closing.
THIS IS PROOF OF WARRANTY
tWWarranty and Treatment Certifications Have Been Issued.
Authorized Signature:
Date:
1.