133 Belvedere St termite treatment 8'�C BLAST
P.O. Box 50367 - Jacksonville Beach, FL 32240
. (904) 242-BUGS
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TIFICAT10
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Street Address:
City: �"..z��
County:
—7Z-AA, 77C ��
General Contractor/Builder:
Area Treated:
Time:
Date:
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Name of Applicator:
Active Ingredient:
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Product used:Active Ingredien��nth: Number of allons used:
Method of termite treatment:
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The building has received a complete treatment for the prevention of subterranean
termites.Treatment is in accordance with rules and laws established by the Florida
Department of Agriculture and Consumer Services.
atment for Certificate of occupancy or Closing.
This form is proof of complete tre
THIS IS PROOF OF WARRANTY
Warranty and Treatment Certifications Have Been Issued.
Date:
Authorized.Signature. Q