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283 BELVEDERE ST - FINAL TERMITE TREATMENT OVAVER411 87) k7, azio evc as P.O. Box 50367 • Jacksonville Beach, FL 32240 (904) 242-BUGS MITE TREATM catTIF ICATION ?' street Address: ;ity: County: Q-Tc. . f . ,g --237 VAI_ ieneral Contractor/Builder: Area Treated: 1A-fE Yc cA c .k 'e 1.•Wej"EX fate: Time: lv - Flo - /g ocj lame of Appliiccatoar' Active Ingredient: iroduct Used:Active Ing %Concentration: Number of gallons used: lethod of termite treatment: 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. his form is proof of complete treatment for Certificate of Occupancy or Closing. THIS IS PROOF OF WARRANTY Warranty and Treatment Certifications Have Been Issued. Authoriz zDate: