Invoice 232C Elgin October.pdf
PDF 1 MB Posted
- Contract number
- 23-416CMS-BOPM4-P-42408
- Issued by
- Illinois
About this file
Invoice Summary
This consolidated invoice from Chicago Pests LLC, a pest control service provider based in Park Forest, Illinois, is issued to the Elgin Mental Health Center, a state facility located in Elgin, Illinois. The invoice (No. 232C) is dated October 31, 2025, and covers pest control services provided throughout October 2025 under Purchase Order No. 23-416CMS-BOPM4-P-42408.
The invoice totals $1,300.00 and itemizes ten separate service visits conducted by technician Duane Peake between October 1 and October 29, 2025. Services include five "One Time Service" visits at $165.00 each and five "General Service" visits at $95.00 each. The One Time Services involved comprehensive interior treatments using products including CY-KICK CS (Cyfluthrin 6%), Advion Ant Bait Gel, Advion Evolution Cockroach Gel, Glue Boards, and Resolv Soft Bait Rodenticide. General Services focused on maintenance spraying and glue board replacement in kitchen and pharmacy areas. All services were performed at the facility's main location (750 S State, Elgin, IL 60123) with no sales tax applied. Payment is due upon receipt, with the invoice noting that a $25 finance charge will be assessed on all past due accounts. The account balance as of the invoice date is $1,300.00, with no payment received to date.
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Text version
Consolidated Invoice 750 S State
C. INVOICE NO. ACCOUNT NUMBER
232C 12488
INVOICE DATE
10/31/2025
LICENSE
051-079571
AMOUNT DUE
$1,300.00
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 33271 10/01/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33330 10/01/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 33333 10/08/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33458 10/08/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 33381 10/15/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33517 10/15/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 33618 10/22/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33644 10/22/2025 95.00 0.00 95.00
12488 Elgin Mental Health Center One Time Service
23-416CMS-BOPM4-P-42408 33475 10/29/2025 165.00 0.00 165.00
12488 Elgin Mental Health Center General Service
23-416CMS-BOPM4-P-42408 33801 10/29/2025 95.00 0.00 95.00
10/31/25, 3:32 PM Invoice https://chicagopest.pestroutes.com/resources/routers/billing.php 1/2
Subtotals $1,300.00
Total Discounts
$0.00
Taxes $0.00
Invoice Total
$1,300.00
Amount Paid
$0.00
Amount Due
$1,300.00
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
Invoice Date 10/31/2025 Invoice # 232C
AMOUNT DUE
$1,300.00
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
10/31/25, 3:32 PM 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 # 33271 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 10/01/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 1:30 pm Time Out 2:30 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: 5.000 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: 5.000 units Concentrated Amount: 0 units Active Ingredient: 0.6%
Application Method: Bait Gun Application Rate: 1
Target Issues:
Target Areas: Cabinets, Kitchen/Bathrooms
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 all the add on as needed during time of service.
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 # 33271 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/01/2025 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 $1,300.00
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 # 33330 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 10/01/2025 Service Description(s)
General Service Service Time 12:00 pm - 1:15 pm Time In 12:19 pm Time Out 1:25 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:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 5.000 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 as need spot treated and replaced glue boards.
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 # 33330 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/01/2025 Service Description
General Service Service Time 12:00 pm - 1:15 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 $1,300.00
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 # 33333 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 10/08/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 11:00 am Time Out 12:03 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: 1.000 gals Concentrated Amount: 1 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: 3.000 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: 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
Equipment Summary Technician Comments:
treated the FTP building and the public aid building as well
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 # 33333 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/08/2025 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 $1,300.00
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 # 33458 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 10/08/2025 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: 3.000 gals Concentrated Amount: 3 flozs Dilution Rate: 0.7813000%
Application Method: B&G
Target Issues:
Target Areas:
GLUE BOARD
EPA REG. # N/A
EPA Lot #
Diluted Amount: 5.000 each Concentrated Amount: 0 each
Application Method: Glue Boards
Target Issues:
Target Areas:
Products Used
Equipment Summary Technician Comments:
treated the kitchen and pharmacy usually service areas spot treated and changed the glue boards in all areas.
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 # 33458 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/08/2025 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 $1,300.00
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 # 33381 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 10/15/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 12:25 pm Time Out 1:27 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:
FTP, program building kitchen and hallway. Room 6. Sprayed day room for ants in L unit
Appointment Notes
One Time Service $0.00 Hourly Rate $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 # 33381 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/15/2025 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 $1,300.00
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 # 33381 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 10/15/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 12:25 pm Time Out 1:27 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:
FTP, program building kitchen and hallway. Room 6. Sprayed day room for ants in L unit
Appointment Notes
One Time Service $0.00 Hourly Rate $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 # 33381 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/15/2025 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 $1,300.00
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 # 33517 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 10/15/2025 Service Description(s)
General Service Service Time 12:00 pm - 1:00 pm Time In 11:19 am Time Out 12:24 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:
Products Used
Equipment Summary Technician Comments:
Sprayed kitchen and pharmacy. Removed dead mouse carcass from bakery
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 # 33517 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/15/2025 Service Description
General Service Service Time 12:00 pm - 1:00 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 $1,300.00
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 # 33644 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 10/22/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 11:08 am Time Out 12:07 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:
Products Used
Equipment Summary Technician Comments:
Sprayed baseboards of interior of kitchen 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 Signature:Tech Signature:
Customer Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 33644 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/22/2025 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 $1,300.00
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 # 33475 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 10/29/2025 Service Description(s)
One Time Service Service Time 8:00 am - 8:00 pm Time In 1:40 pm Time Out 2:42 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:
Hartman unit 946 mice. L unit, treated also for mice. FTP n unit treated for ants. Public aid rm 1114, 1118 for mice. Dix unit for mice
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 # 33475 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/29/2025 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 $1,300.00
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 # 33801 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 10/29/2025 Service Description(s)
General Service Service Time 9:30 am - 12:00 pm Time In 12:30 pm Time Out 1:35 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:
Products Used
Equipment Summary Technician Comments:
Treated entire interior of kitchen 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 Signature:Tech Signature:
Customer Elgin Mental Health Center Maureen Zamora
CustomerID 12488 Account # 12488 Invoice # 33801 Address 750 S State
Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 10/29/2025 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 $1,300.00
Please pay from this invoice
(844) 720-2847 https://Www.Chicagopests.com
File details come from the government source that posted it. Updated .