Elgin April Invoice 280C.pdf

2 MB Posted

Attached to
Release Competitive Sealed Bidding IL|23-416CMS-BOPM4-P-42408
Contract number
23-416CMS-BOPM4-P-42408
Issued by
Illinois

About this file

Written by GovTribe AI ·

This consolidated invoice from Chicago Pests LLC documents pest control services provided to Elgin Mental Health Center, a state facility located at 750 S State, Elgin, Illinois. The invoice, dated May 5, 2026, consolidates nine separate service visits performed during April 2026 under Purchase Order 23-416CMS-BOPM4-P-42408. Chicago Pests LLC, based in Park Forest, Illinois, holds Illinois pest control license 051-079571 and operated under supervisor Keith Henley with technician Duane Peake.

The services rendered include both general maintenance treatments and one-time specialized treatments across multiple dates from April 1 through April 29, 2026. General service visits, conducted bi-weekly, were charged at $96.00 per visit, while one-time service visits ranged from $78.00 to $117.00 depending on scope. Treatment areas included interior baseboards, kitchens, bathrooms, cabinets, and basement locations targeting mice, ants, roaches, and other pests using EPA-registered products including CY-KICK CS, TALSTAR P, ADVION gels, and RESOLV rodenticide. The consolidated invoice total amounts to $831.00 with no taxes applied and no discounts. Payment terms require remittance to Chicago Pests LLC at 270 Main Street, Park Forest, Illinois 60466, with a $25 finance charge applicable to past-due invoices.

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Consolidated Invoice 750 S State

C. INVOICE NO. ACCOUNT NUMBER

280C 12488

INVOICE DATE

05/05/2026

LICENSE

051-079571

AMOUNT DUE

$831.00

Chicago Pests LLC 270 Main St Park Forest, IL 60466

(844) 720-2847

Attn: Maureen Zamora Elgin Mental Health Center 750 S State Elgin, IL 60123

Elgin Mental Health Center (Acct #: 12488)

CUST ID CUSTOMER PO INVOICE # INVOICE DATE SUBTOTAL TAX INVOICE TOTAL

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 35945 04/01/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 36005 04/01/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 35946 04/08/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 36099 04/08/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 36209 04/15/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 36072 04/22/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 36337 04/22/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 36090 04/29/2026 117.00 0.00 117.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 36504 04/29/2026 96.00 0.00 96.00

5/5/26, 11:57 AM Invoice https://chicagopest.pestroutes.com/resources/routers/billing.php 1/2

Subtotals $831.00

Total Discounts

$0.00

Taxes $0.00

Invoice Total

$831.00

Amount Paid

$0.00

Amount Due

$831.00

Additional Notes pro rated 1/2 hr 1/2 hour pro rated 1/2 hour pro rated 3/4 of an hour pro rated

Payments are due at time of service. A finance charge of $25 will be added to all past due invoices.

National Emergency Poison Control: (800)222-1222

Invoice Date 05/05/2026 Invoice # 280C

AMOUNT DUE

$831.00

REMITTANCE

Account # 12488

LOGIN TO YOUR CUSTOMER PORTAL TO PAY YOUR BILL ONLINE.

For questions regarding this statement, please contact us at (844) 720-2847 or workorders@chicagopests.com. If you would like to setup or manage your payment online, please continue to https://chicagopest.FieldPortals.com.

PLEASE REMIT PAYMENT TO

Chicago Pests LLC 270 Main St Park Forest, IL 60466

5/5/26, 11:57 AM Invoice https://chicagopest.pestroutes.com/resources/routers/billing.php 2/2

Service Notification Chicago Pests LLC 270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36005 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/01/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:04 pm Time Out 2:00 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

INSPECTION

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 cc Concentrated Amount: 0 cc

Application Method: Not Specified

Target Issues:

Target Areas:

GLUE BOARD

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 each Concentrated Amount: 0 each

Application Method: Glue Boards

Target Issues:

Target Areas:

TALSTAR P 0.062 - FMC Professional Solutions [Bifenthrin 7.9%]

EPA REG. # 279-3206

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas:

Products Used

Equipment Summary Technician Comments:

Unit g for mice

Appointment Notes

General Service $96.00 Subtotal $96.00 Tax 8.500 % $0.00 Service Total: $96.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36005 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/01/2026 Service Description

General Service Service Time 1:00 pm - 3:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $96.00 Amount paid $0.00 Service Amount Due $96.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

051-079571 Amount Included ____________________

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 35945 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/01/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 2:03 pm Time Out 2:26 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

CY-KICK CS - BASF

[Cyfluthrin 6%]

EPA REG. # 499-304

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas: Interior Baseboards, Kitchen/Bathrooms

ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]

EPA REG. # 100-1498

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]

EPA REG. # 7173-297

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Station

Target Issues:

Target Areas: Basement, Cabinets, Kitchen/Bathrooms

ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]

EPA REG. # 100-1484

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

Products Used

Equipment Summary Technician Comments:

Treated kitchen and pharmacy

Appointment Notes

One Time Service $78.00 Subtotal $78.00 Tax 8.500 % $0.00 Service Total: $78.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 35945 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/01/2026 Service Description

One Time Service Service Time 8:00 am - 8:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $78.00 Amount paid $0.00 Service Amount Due $78.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36099 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/08/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 2:03 pm Time Out 2:51 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

INSPECTION

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 cc Concentrated Amount: 0 cc

Application Method: Not Specified

Target Issues:

Target Areas:

GLUE BOARD

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 each Concentrated Amount: 0 each

Application Method: Glue Boards

Target Issues:

Target Areas:

TALSTAR P 0.062 - FMC Professional Solutions [Bifenthrin 7.9%]

EPA REG. # 279-3206

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas:

Products Used

Equipment Summary Technician Comments:

Treated for mice in g unit and treated for ants in white unit

Appointment Notes

General Service $96.00 Subtotal $96.00 Tax 8.500 % $0.00 Service Total: $96.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36099 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/08/2026 Service Description

General Service Service Time 1:00 pm - 3:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $96.00 Amount paid $0.00 Service Amount Due $96.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 35946 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/08/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 1:32 pm Time Out 2:01 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior No

Service Information Location Instructions

CY-KICK CS - BASF

[Cyfluthrin 6%]

EPA REG. # 499-304

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas: Interior Baseboards, Kitchen/Bathrooms

ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]

EPA REG. # 100-1498

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]

EPA REG. # 7173-297

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Station

Target Issues:

Target Areas: Basement, Cabinets, Kitchen/Bathrooms

ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]

EPA REG. # 100-1484

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

Products Used

Equipment Summary Technician Comments:

Appointment Notes

One Time Service $78.00 Subtotal $78.00 Tax 8.500 % $0.00 Service Total: $78.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 35946 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/08/2026 Service Description

One Time Service Service Time 8:00 am - 8:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $78.00 Amount paid $0.00 Service Amount Due $78.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36209 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/15/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:01 pm Time Out 1:35 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior No

Service Information Location Instructions

INSPECTION

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 cc Concentrated Amount: 0 cc

Application Method: Not Specified

Target Issues:

Target Areas:

GLUE BOARD

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 each Concentrated Amount: 0 each

Application Method: Glue Boards

Target Issues:

Target Areas:

TALSTAR P 0.062 - FMC Professional Solutions [Bifenthrin 7.9%]

EPA REG. # 279-3206

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas:

Products Used

Equipment Summary Technician Comments:

Appointment Notes

General Service $96.00 Subtotal $96.00 Tax 8.500 % $0.00 Service Total: $96.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36209 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/15/2026 Service Description

General Service Service Time 1:00 pm - 3:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $96.00 Amount paid $0.00 Service Amount Due $96.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36073 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/15/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 1:36 pm Time Out 2:02 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

CY-KICK CS - BASF

[Cyfluthrin 6%]

EPA REG. # 499-304

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas: Interior Baseboards, Kitchen/Bathrooms

ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]

EPA REG. # 100-1498

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]

EPA REG. # 7173-297

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Station

Target Issues:

Target Areas: Basement, Cabinets, Kitchen/Bathrooms

ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]

EPA REG. # 100-1484

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

Products Used

Equipment Summary Technician Comments:

Appointment Notes

One Time Service $0.00 Subtotal $0.00 Tax 8.500 % $0.00 Service Total: $0.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36073 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/15/2026 Service Description

One Time Service Service Time 8:00 am - 8:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $0.00 Amount paid $0.00 Service Amount Due $0.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36337 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/22/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:34 pm Time Out 2:21 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior No

Service Information Location Instructions

INSPECTION

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 cc Concentrated Amount: 0 cc

Application Method: Not Specified

Target Issues:

Target Areas:

GLUE BOARD

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 each Concentrated Amount: 0 each

Application Method: Glue Boards

Target Issues:

Target Areas:

TALSTAR P 0.062 - FMC Professional Solutions [Bifenthrin 7.9%]

EPA REG. # 279-3206

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas:

Products Used

Equipment Summary Technician Comments:

Sprayed for roaches in rru, sprayed for flying ants c102 building hinton, treated for lab specimen rm 220. Building rehab

Appointment Notes

General Service $96.00 Subtotal $96.00 Tax 8.500 % $0.00 Service Total: $96.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36337 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/22/2026 Service Description

General Service Service Time 1:00 pm - 3:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $96.00 Amount paid $0.00 Service Amount Due $96.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36072 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/22/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 2:22 pm Time Out 2:58 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

CY-KICK CS - BASF

[Cyfluthrin 6%]

EPA REG. # 499-304

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas: Interior Baseboards, Kitchen/Bathrooms

ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]

EPA REG. # 100-1498

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]

EPA REG. # 7173-297

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Station

Target Issues:

Target Areas: Basement, Cabinets, Kitchen/Bathrooms

ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]

EPA REG. # 100-1484

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

Products Used

Equipment Summary Technician Comments:

Pharmacy and kitchen treated for mice and roaches put down soft bait

Appointment Notes

One Time Service $78.00 Subtotal $78.00 Tax 8.500 % $0.00 Service Total: $78.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36072 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/22/2026 Service Description

One Time Service Service Time 8:00 am - 8:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $78.00 Amount paid $0.00 Service Amount Due $78.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36504 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/29/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:50 pm Time Out 2:47 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

INSPECTION

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 cc Concentrated Amount: 0 cc

Application Method: Not Specified

Target Issues:

Target Areas:

GLUE BOARD

EPA REG. # N/A

EPA Lot #

Diluted Amount: 0.000 each Concentrated Amount: 0 each

Application Method: Glue Boards

Target Issues:

Target Areas:

TALSTAR P 0.062 - FMC Professional Solutions [Bifenthrin 7.9%]

EPA REG. # 279-3206

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas:

Products Used

Equipment Summary Technician Comments:

Hartman unit/staff breakroom, ants. FTP program building kitchen mice, I unit 106 room for mice and ants on East day room along the wall. F unit and h unit patient cabinets area.

Appointment Notes

General Service $96.00 Subtotal $96.00 Tax 8.500 % $0.00 Service Total: $96.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36504 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/29/2026 Service Description

General Service Service Time 1:00 pm - 3:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $96.00 Amount paid $0.00 Service Amount Due $96.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

270 Main St Park Forest, IL 60466 United States 051-079571

Customer Service

(844) 720-2847 https://Www.Chicagopests.com workorders@chicagopests.com

Customer Elgin Mental Health Center Ronald Thomas

CustomerID 12488 Account # 12488 Invoice # 36090 Address 750 S State

Elgin, IL 60123 United States

County Kane Phone: (847) 742-1040

Customer Information Tech Duane Peake License # Supervisor Keith Henley License(s) # 052-084431 Date 04/29/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 1:00 pm Time Out 1:48 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes

Service Information Location Instructions

CY-KICK CS - BASF

[Cyfluthrin 6%]

EPA REG. # 499-304

EPA Lot #

Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000%

Application Method: B&G

Target Issues:

Target Areas: Interior Baseboards, Kitchen/Bathrooms

ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]

EPA REG. # 100-1498

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]

EPA REG. # 7173-297

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units

Application Method: Bait Station

Target Issues:

Target Areas: Basement, Cabinets, Kitchen/Bathrooms

ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]

EPA REG. # 100-1484

EPA Lot #

Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%

Application Method: Bait Gun Application Rate: 1

Target Issues:

Target Areas: Cabinets, Kitchen/Bathrooms

Products Used

Equipment Summary Technician Comments:

Treated kitchen and pharmacy for mice and roa

Appointment Notes

One Time Service $117.00 Subtotal $117.00 Tax 8.500 % $0.00 Service Total: $117.00

PO Number: 23-416CMS-

BOPM4-P-42408

Invoice Items

Chicago Pests LLC is committed to the safety of our customers and our environment. All materials used by Chicago Pests LLC have been registered by the Environmental Protection Agency. Please avoid unnecessary contact with materials and comply with all instructions and recommendations from our technicians. Thanks for your patronage! National Emergency Poison Control: (800)222-1222

Customer Signature:Tech Signature:

Customer Elgin Mental Health Center Maureen Zamora

CustomerID 12488 Account # 12488 Invoice # 36090 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 04/29/2026 Service Description

One Time Service Service Time 8:00 am - 8:00 pm

BILLING INFORMATION

Please pay online or remit payment to:

270 Main St Park Forest, IL 60466

ACCOUNT STATEMENT:

Service Total $117.00 Amount paid $0.00 Service Amount Due $117.00

Current Account Balance $831.00

Please pay from this invoice

(844) 720-2847 https://Www.Chicagopests.com

File details come from the government source that posted it. Updated .