Invoice 219C Elgin September.pdf
PDF 1 MB Posted
- Contract number
- 23-416CMS-BOPM4-P-42408
- Issued by
- Illinois
About this file
The document is a series of pest control service invoices from Chicago Pests LLC for services provided to Elgin Mental Health Center in Elgin, Illinois during September 2025. The invoices detail multiple service visits throughout the month, with Chicago Pests LLC serving as the pest control provider for the mental health facility located at 750 S State in Elgin, IL.
The services consisted of both one-time and general pest control treatments, with each visit involving targeted applications of various pest control products such as CY-KICK CS (a cyfluthrin-based spray), ADVION ant and cockroach gels, RESOLV rodent baits, and glue boards. The services were performed at different locations within the facility, including the kitchen, pharmacy, public aid office, and other interior spaces. The invoices show a consistent pricing structure with one-time services priced at $165.00 and general services at $95.00, totaling $1,040.00 for the month. Each service was performed under the same purchase order number (23-416CMS-BOPM4-P-42408) and carried no additional taxes, with a current account balance of $2,175.00.
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Text version
Consolidated Invoice 750 S State
C. INVOICE NO. ACCOUNT NUMBER
219C 12488
INVOICE DATE
09/29/2025
LICENSE
051-079571
AMOUNT DUE
$1,040.00
Subtotals $1,040.00
Total Discounts
$0.00
Taxes $0.00
Invoice Total
$1,040.00
Amount Paid
$0.00
Amount Due
$1,040.00
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 32833 09/03/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33022 09/03/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 32902 09/10/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33023 09/10/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 32921 09/17/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33111 09/17/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 32670 09/24/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33324 09/24/2025 95.00 0.00 95.00
Additional Notes
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
10/2/25, 11:12 AM Invoice https://chicagopest.pestroutes.com/resources/routers/billing.php 1/2
Invoice Date 09/29/2025 Invoice # 219C
AMOUNT DUE
$1,040.00
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
10/2/25, 11:12 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 # 32833 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 09/03/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 12:00 pm Time Out 1:00 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: 2.000 gals Concentrated Amount: 2 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas: Interior Baseboards, Kitchen/Bathrooms
RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]
EPA REG. # 7173-297
EPA Lot #
Diluted Amount: 2.000 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: 3.000 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
CY-KICK CS - BASF [Cyfluthrin 6%]
EPA REG. # 499-304
EPA Lot # Target Areas: Interior Baseboards, Kitchen/Bathrooms
Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000% Target Issues:
Application Method:
B&G
ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]
EPA REG. # 100-1498
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Gun
Application Rate: 1
RESOLV SOFT BAIT RODENTICIDE -
Lipatech [Bromadiolone .005%]
EPA REG. # 7173-297
EPA Lot # Target Areas: Basement, Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Station
ADVION EVOLUTION COCKROACH
GEL - Syngenta [Indoxacarb 0.6%]
EPA REG. # 100-1484
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6% Target Issues:
Application Method: Bait Gun
Application Rate: 1
Unit: DHS Public aid office-
CY-KICK CS - BASF [Cyfluthrin 6%]
EPA REG. # 499-304
EPA Lot # Target Areas: Interior Baseboards, Kitchen/Bathrooms
Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000% Target Issues:
Application Method:
B&G
ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]
EPA REG. # 100-1498
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Gun
Application Rate: 1
RESOLV SOFT BAIT RODENTICIDE -
Lipatech [Bromadiolone .005%]
EPA REG. # 7173-297
EPA Lot # Target Areas: Basement, Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Station
ADVION EVOLUTION COCKROACH
GEL - Syngenta [Indoxacarb 0.6%]
EPA REG. # 100-1484
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6% Target Issues:
Application Method: Bait Gun
Application Rate: 1
Unit: FTP Building Hartman Unit-
Units Treated
Equipment Summary Technician Comments:
Kilbourn building payroll time keeping Goldman building n19 n21.
Appointment Notes
One Time Service $165.00 Subtotal $165.00 Tax 8.500 % $0.00 Service Total: $165.00
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 Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 32833 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/03/2025 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 $165.00 Amount paid $0.00 Service Amount Due $165.00
Current Account Balance $2,175.00
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 # 33022 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 09/03/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 11:00 am Time Out 12:00 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes
Service Information Location Instructions
Bifen I/T - Control Solutions Inc [Bifenthrin 7.9%]
EPA REG. # 53883-118
EPA Lot #
Diluted Amount: 2.000 flozs Concentrated Amount: 0.016 flozs Dilution Rate: 0.7900000%
Application Method: B&G Application Rate: 1 floz to 127 floz
Target Issues:
Target Areas:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 4.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
Treated kitchen and storage and pharmacy
Appointment Notes
General Service $95.00 Subtotal $95.00 Tax 8.500 % $0.00 Service Total: $95.00
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 Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 33022 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/03/2025 Service Description
General Service Service Time 9:30 am - 12:00 pm
BILLING INFORMATION
Please pay online or remit payment to:
270 Main St Park Forest, IL 60466
ACCOUNT STATEMENT:
Service Total $95.00 Amount paid $0.00 Service Amount Due $95.00
Current Account Balance $2,175.00
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 # 32902 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 09/10/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 11:00 am Time Out 12:00 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: 2.000 gals Concentrated Amount: 2 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: 10.000 units Concentrated Amount: 0 units
Application Method: Bait Gun Application Rate: 1
Target Issues:
Target Areas: Cabinets, Kitchen/Bathrooms
ADVION EVOLUTION COCKROACH GEL - Syngenta [Indoxacarb 0.6%]
EPA REG. # 100-1484
EPA Lot #
Diluted Amount: 4.000 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
CY-KICK CS - BASF [Cyfluthrin 6%]
EPA REG. # 499-304
EPA Lot # Target Areas: Interior Baseboards, Kitchen/Bathrooms
Diluted Amount: 0.000 gals Concentrated Amount: 0 flozs Dilution Rate: 0.7813000% Target Issues:
Application Method:
B&G
ADVION ANT BAIT GEL - Syngenta [Indoxacarb 0.05%]
EPA REG. # 100-1498
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Gun
Application Rate: 1
RESOLV SOFT BAIT RODENTICIDE -
Lipatech [Bromadiolone .005%]
EPA REG. # 7173-297
EPA Lot # Target Areas: Basement, Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Target Issues:
Application Method: Bait Station
ADVION EVOLUTION COCKROACH
GEL - Syngenta [Indoxacarb 0.6%]
EPA REG. # 100-1484
EPA Lot # Target Areas: Cabinets, Kitchen/Bathrooms
Diluted Amount: 0.000 units Concentrated Amount: 0 units Active Ingredient: 0.6% Target Issues:
Application Method: Bait Gun
Application Rate: 1
Unit: Kilbourn building-timekeeping
Units Treated
Equipment Summary Technician Comments:
treated the add on building as needed.
Appointment Notes
One Time Service $165.00 Subtotal $165.00 Tax 8.500 % $0.00 Service Total: $165.00
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 Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 32902 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/10/2025 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 $165.00 Amount paid $0.00 Service Amount Due $165.00
Current Account Balance $2,175.00
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 # 33023 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 09/10/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 10:00 am Time Out 11:00 am 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: 2.000 gals Concentrated Amount: 2 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 3.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
treated kitchen and pharmacy for roaches and preventive measure of the location
Appointment Notes
General Service $95.00 Subtotal $95.00 Tax 8.500 % $0.00 Service Total: $95.00
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 Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 33023 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/10/2025 Service Description
General Service Service Time 9:30 am - 12:00 pm
BILLING INFORMATION
Please pay online or remit payment to:
270 Main St Park Forest, IL 60466
ACCOUNT STATEMENT:
Service Total $95.00 Amount paid $0.00 Service Amount Due $95.00
Current Account Balance $2,175.00
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 # 32921 Address 750 S State
Elgin, IL 60123 United States
County Kane Phone: (847) 742-1040
Customer Information Tech Diego Salazar License # Supervisor Keith Henley License(s) # 052-084431 Date 09/17/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 11:17 am Time Out 12:01 pm Wind 0 mph Temperature 0.00 ℉ Serviced Interior Yes
Service Information Location Instructions
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 10.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
Public aid building:
-mice droppings on desk. They do not want poison to be placed throughout building. Glue boards were placed where activity was seen. No entry points were found in office. However, based on my inspection, I believed that mice are coming from radiator pipes.
-Goldman building-jenks unit:
Insects were inside lights in ceiling. Unable to treat. I did recommend that light panels be removed and cleaned.
Appointment Notes
One Time Service $165.00 Subtotal $165.00 Tax 8.500 % $0.00 Service Total: $165.00
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 # 32921 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/17/2025 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 $165.00 Amount paid $0.00 Service Amount Due $165.00
Current Account Balance $2,175.00
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 # 33111 Address 750 S State
Elgin, IL 60123 United States
County Kane Phone: (847) 742-1040
Customer Information Tech Diego Salazar License # Supervisor Keith Henley License(s) # 052-084431 Date 09/17/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 10:22 am Time Out 11:14 am 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: 10.000 flozs Concentrated Amount: 0.078 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas:
FIRST STRIKE SOFT BAIT - Liphatech, Inc.
[First Strike Soft Bait]
EPA REG. # 7173-258
EPA Lot # 7173-258
Diluted Amount: 8.000 bag Concentrated Amount: 0 bag
Application Method: Hand Placed
Target Issues: Mice / Rats Target Areas:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 2.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
-Kitchen was spot treated and all snap traps were reset. A couple of dead mice were removed.
-Pharmacy was spot treated and bait stations were refilled with bait. Glue boards were replaced as needed. Activity had picked up. I did notice that they took down a wall and so now there is a gap between the kitchen and pharmacy. Entry points were spotted. They will fix it soon.
Appointment Notes
General Service $95.00 Subtotal $95.00 Tax 8.500 % $0.00 Service Total: $95.00
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 # 33111 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/17/2025 Service Description
General Service Service Time 9:30 am - 12:00 pm
BILLING INFORMATION
Please pay online or remit payment to:
270 Main St Park Forest, IL 60466
ACCOUNT STATEMENT:
Service Total $95.00 Amount paid $0.00 Service Amount Due $95.00
Current Account Balance $2,175.00
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 # 32670 Address 750 S State
Elgin, IL 60123 United States
County Kane Phone: (847) 742-1040
Customer Information Tech Keith Henley License(s) # 052-084431 Supervisor Keith Henley License(s) # 052-084431 Date 09/24/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 11:30 am Time Out 12:33 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: 3.000 gals Concentrated Amount: 3 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas: Interior Baseboards, Kitchen/Bathrooms
RESOLV SOFT BAIT RODENTICIDE - Lipatech [Bromadiolone .005%]
EPA REG. # 7173-297
EPA Lot #
Diluted Amount: 3.000 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: 10.000 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 FTP I unit kitchen, Goldman building Hinton room 125.
Treated all rooms as needed.
Please allow 7-14 days after treatment to start noticing results.
Do not mop for 24-48 hours after service.
We're honored that you've chosen us as your preferred pest control provider. Thank you for your business!
Appointment Notes
One Time Service $165.00 Subtotal $165.00 Tax 8.500 % $0.00 Service Total: $165.00
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
Tech Signature:
Customer Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 32670 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/24/2025 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 $165.00 Amount paid $0.00 Service Amount Due $165.00
Current Account Balance $2,175.00
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 # 33324 Address 750 S State
Elgin, IL 60123 United States
County Kane Phone: (847) 742-1040
Customer Information Tech Keith Henley License(s) # 052-084431 Supervisor Keith Henley License(s) # 052-084431 Date 09/24/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 10:30 am Time Out 11:30 am 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: 2.000 gals Concentrated Amount: 2 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 4.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Archer IGR - Syngenta [Pyriproxyfen 1.3%]
EPA REG. # 100-1111
EPA Lot # 100-1111
Diluted Amount: 2.000 gals Concentrated Amount: 1.997 flozs Dilution Rate: 0.7800000%
Application Method: B&G Application Rate: 1Fl oz/gallon
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
Treated the kitchen and pharmacy area spot treated for road activity. Please allow seven days for treatment to take most effectiveness replace glue boys as needed.
Appointment Notes
General Service $95.00 Subtotal $95.00 Tax 8.500 % $0.00 Service Total: $95.00
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
Tech Signature:
Customer Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 33324 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 09/24/2025 Service Description
General Service Service Time 9:30 am - 12:00 pm
BILLING INFORMATION
Please pay online or remit payment to:
270 Main St Park Forest, IL 60466
ACCOUNT STATEMENT:
Service Total $95.00 Amount paid $0.00 Service Amount Due $95.00
Current Account Balance $2,175.00
Please pay from this invoice
(844) 720-2847 https://Www.Chicagopests.com
File details come from the government source that posted it. Updated .