1208 NE 99 ST TERMITE TREATMENT4035 S.W. 98th Avenue • Miami, Florida 33165
P.O. Box 650213 / Miami, Florida 332650213
Tels: (305) 552-0141 / 1-(800) 782-9284 / Fax: (305) 227-1797
Web Page: www.alflexexterminators.com • E-Mail: office@al-flex.com
Project Name:,&-
Lot: Block:
Partial Treatment Notice
Model:
Service order by: � i /i% At
Date: Time: .;3 499
Product Used. _ �/,7Jozll -JL
Number of Gallons applied: f /0
Areas Tested: / / Tamp:
Stage of Treatment: Horizontal / Interior
Property Address:
Permit #:
Applicator: 11100
No. 30723
17� 6r
FL
Chemical Used
(active ngred
Percent Concentration:
Linear feet Treated:
►L
This is not valid without a company seal
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1. The above noted structure has received the first of two or more required treatments for the prevention of native
subterranean termites.
2. Upon completion of this treatment and payment of any balance due under this contract, 'Al -Flex will provide
purchaser with written confirmation that the treatment is completed.
This form is for inspection or construction draw purposes only. The perimeter of the above structure must be
treated at final grade in accordance with pesticide label and Florida Statue. Treatment certification will be issued
upon completion of final treatment.
This form should not be accepted as proof of complete treatment for Certificate of Occupancy or Closing.
NOTICE TO BUILDER: It is the responsibility of the builder to notify AL -Flex Exterminators should treatment be
required for patios, driveways and entryways. AI -Flex Exterminators must be notified at final grade of structure
so final treatment can be completed and required paperwork for closing submitted.
THIS IS NOT A PROOF OF WARRANTY
082021
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