Report to Customer
B. APPLICATOR’S INFORMATION C. CUSTOMER’S SIGNATURE
I declare the information below is true and correct: I acknowledge receipt of the report below:
Signature: Signature:
Imam Sholikhin Imam Pak
Name Name
Sholikhin Jeremia
27-02-2019
License No. Date
15:37:18
Date 27-02-2019 15:37:18
Name of other Applicators:
F. RECOMMENDATIONS BY RENTOKIL INITIAL
Type Recommendations Priority
G. SERVICE VISIT NOTES
Product (s) Visit Notes
SERVICE REPORT - 12
INSPECTION VISIT - 12
Rentokil Indonesia Cikarang Central City Blok H11-H12, Jalan Cibarusah KM. 10, Cikarang Selatan, Bekasi, 17530
t +622129619127 f +622129619127 e witri.widyastuti@rentokil-initial.com w www.rentokil.co.id