Invoice March Elgin.pdf

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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 and collection of service notifications document pest control services provided by Chicago Pests LLC to Elgin Mental Health Center, a state agency located in Elgin, Illinois. The invoice is dated April 2, 2026, and covers services rendered during March 2026. The vendor, Chicago Pests LLC, is based in Park Forest, Illinois, and holds Illinois pesticide license number 051-079571. All services were performed under purchase order number 23-416CMS-BOPM4-P-42408.

The invoice totals $696.00 for eight service visits conducted between March 4 and March 25, 2026, with no taxes or discounts applied. Services consisted of four "General Service" visits at $96.00 each and four "One Time Service" visits at $78.00 each. General Service visits involved inspection, glue board placement, and application of Talstar P (Bifenthrin 7.9%) via backpack sprayer. One Time Service visits included treatment with multiple pesticides including CY-KICK CS (Cyfluthrin 6%), Advion Ant Bait Gel (Indoxacarb 0.05%), Resolv Soft Bait Rodenticide (Bromadiolone 0.005%), and Advion Evolution Cockroach Gel (Indoxacarb 0.6%). All services were performed by technician Duane Peake under supervisor Keith Henley. The invoice amount of $696.00 remains due and unpaid, with payment terms requiring settlement at the time of service and a $25 finance charge assessed to any past-due invoices.

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Consolidated Invoice 750 S State

C. INVOICE NO. ACCOUNT NUMBER

272C 12488

INVOICE DATE

04/02/2026

LICENSE

051-079571

AMOUNT DUE

$696.00

Subtotals $696.00

Total Discounts

$0.00

Taxes $0.00

Invoice Total

$696.00

Amount Paid

$0.00

Amount Due

$696.00

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 35450 03/04/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 35565 03/04/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 35558 03/11/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 35665 03/11/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 35736 03/18/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 35756 03/18/2026 96.00 0.00 96.00

12488 Elgin Mental Health Center One Time Service

23-416CMS-BOPM4-P-42408 35737 03/25/2026 78.00 0.00 78.00

12488 Elgin Mental Health Center General Service

23-416CMS-BOPM4-P-42408 35850 03/25/2026 96.00 0.00 96.00

Additional Notes pro rated pro rated pro rated 1/2 hr pro rated 1/2 hr

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

4/2/26, 10:53 AM Invoice https://chicagopest.pestroutes.com/resources/routers/billing.php 1/2

Invoice Date 04/02/2026 Invoice # 272C

AMOUNT DUE

$696.00

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

4/2/26, 10:53 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 # 35565 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 03/04/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:10 pm Time Out 2:06 pm 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:

Check traps and spray the interior of the building

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 # 35565 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/04/2026 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 $870.00

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 # 35450 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 03/04/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 2:10 pm Time Out 2:41 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:

Ants in the ftp

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 # 35450 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/04/2026 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 $870.00

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 # 35665 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 03/11/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:26 pm Time Out 2:20 pm 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 kitchen and pharmacy and checked traps

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 # 35665 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/11/2026 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 $870.00

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 # 35558 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 03/11/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 2:21 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:

Treated warehouse and patient library ftp

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 # 35558 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/11/2026 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 $870.00

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 # 35756 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 03/18/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 10:54 am Time Out 11:48 am 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 and checked traps in kitchen and pharmacy

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 # 35756 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/18/2026 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 $870.00

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 # 35736 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 03/18/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 11:50 am Time Out 12:21 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:

G unit treated for mice.removed mouse from room e115 ftp h unit. Treated for mice m unit. Ants in room n7, n unit ftp building

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 # 35736 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/18/2026 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 $870.00

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 # 35850 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 03/25/2026 Service Description(s)

General Service Service Time 1:00 pm - 3:00 pm Time In 1:15 pm Time Out 1:47 pm 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:

FTP , Hartman unit rm. 946. Kilbourne try office both for insects sprayed

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 # 35850 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/25/2026 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 $870.00

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 # 35737 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 03/25/2026 Service Description(s)

One Time Service Service Time 8:00 am - 8:00 pm Time In 12:03 pm Time Out 1:11 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:

Sprayed 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 # 35737 Address 750 S State

Elgin, IL 60123 US Phone: (847) 894-0089 Service Date 03/25/2026 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 $870.00

Please pay from this invoice

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

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