NCS000584_PestHerb License Public Grounds_20200723

NORTH CAROLINA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES
032 STEVE7ROXLER, COMMISSIONER �O�O
APPLICATION FOR LICENSE/CERTIFICATE RENEWAL
FILE NUMBER 7571 public Operators - County & Municipal 12/3112020
EXPIRATION DATE
LICENSEE: 032 7571 USE SPACE BELOW TO MAKE ANY NECESSARY
CORRECTIONS OR UPDATES
HAMILTON, BRIAN A.
CITY OF LEXINGTON - PUBLIC GROUNDS
28 WEST CENTER STREET
LEXINGTON NC 27292
PHONE: [phone]
EMAIL:
COUNTY: DAVIDSON
INSTRUCTIONS: Please examine this form carefully, and, if there are any changes to
be made, print them in the corresponding blanks on the right-hand side. Sign at the
bottom, enclose any required fee, and mail to:
NCDA & CS Questions? Please contact us at: [phone]
Structural Pest Control and Pesticides Div.
1090 Mail Service Center No application is accepted unless signed by the licensee and
Raleigh, NC 27699-1090 accompanied by full payment. Make payable to NCDA.
Subclassification: L E
"RETURN THIS ENTIRE FORM. DO NOT DETACH*
Prior Lic. Expired: 12/31/2019
Original Issue: 04/24/2014
Lic Type: 032
FN u m: 7571
Form Printed on: 09/04/2019
FOR OFFICIAL USE ONLY.
Certification Expires: 06/30/2024
**DO NOT DETACH'•
SIGNATURE and FEE REQUIRED
X ��Gr
APPLICANT'S SIGNATURE
Credits for Recertification must be earned prior to
06/30/2024.
For training opportunities, contact your local
Cooperative Extension or visit our website
www.ncagr.gov/spr-ap/pesticides
On reverse side, please list Name, Address, and
Phone Number of individivals who currently apply
pesticides under your supervision.
CHECK YOUR CREDI T STA TUS ONLINE A T
WWW.NCAGR. GOV/SPCAP/PESTICIDES
Sort by Last Name:
HAM
This is your Only notice
There is no fee for this renewal
032 7571

NORTH CAROLINA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES
032 STEVE TROXLER, COMMISSIONER
APPLICATION FOR LICENSE/CERTIFICATE RENEWAL 2020
FILE NUMBER 6735 Public Operators - County & Municipal 12/31/2020
EXPIRATION DATE
LICENSEE: 032 6735 USE SPACE BELOW TO MAKE ANY NECESSARY
CORRECTIONS OR UPDATES
HAYES, KENNETH J.
CITY OF LEXINGTON - PUBLIC GROUNDS
28 WEST CENTER STREET
LEXINGTON NC 27292
PHONE: [phone]
EMAIL:
COUNTY: DAVIDSON
INSTRUCTIONS: Please examine this form carefully, and, if there are any changes to
be made, print them in the corresponding blanks on the right-hand side. Sign at the
bottom, enclose any required fee, and mail to:
NCDA & CS Questions? Please contact us at: [phone]
Structural Pest Control and Pesticides Div.
1090 Mail Service Center No application is accepted unless signed by the licensee and
Raleigh, NC 27699-1090 accompanied by full payment. Make payable to NCDA.
Subclassification: H L E
"RETURN THIS ENTIRE FORM. DO NOT DETACH"
Prior Lic. Expired: 12/31/2019
Original Issue: 05/07/2010
Llc Type: 032
FNum: 6735
Form Printed on: 09/04/2019
FOR OFFICIAL USE ONLY.
Certification Expires: 06/30/2020
* DO NOT DETACH**
SIGNATURE and FEP REQUIRED
X : Z'Y�L
APPLICANT'S SIGNATURE
Credits for Recertification must be earned prior to
06/3012020.
For training opportunities, contact your local
Cooperative Extension or visit our website
www.ncagr.gov/speap/pesficides
On reverse side, please list Name, Address, and
Phone Number of individivals who currently apply
pesticides under your supervision.
CHECK YOUR CREDIT STATUS ONLINE AT
WWW. NCAGR. GOV/SPCAP/PESTICIDES
Sort by Last Name:
HAY
This is your Only notice
There is no fee for this renewal
032 6735

NORTH CAROLINA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES
0 �� STEVE TROXLER, COMMISSIONER
APPLICATION FOR LICENSE/CERTIFICATE RENEWAL 2020
FILE NUMBER 8061 Public Operators - County & Municipal 12/31/2020
EXPIRATION DATE
LICENSEE: 032 8061 USE SPACE BELOW TO MAKE ANY NECESSARY
CORRECTIONS OR UPDATES
SHEEHAN, COLT M.
CITY OF LEXINGTON - PUBLIC GROUNDS
28 WEST CENTER STREET
LEXINGTON NC 27292
PHONE: [phone]
EMAIL:
COUNTY: DAVIDSON
INSTRUCTIONS: Please examine this form carefully, and, if there are any changes to
be made, print them in the corresponding blanks on the right-hand side. Sign at the
bottom, enclose any required fee, and mail to:
NCDA & CS Questions? Please contact us at: [phone]
Structural Pest Control and Pesticides Div.
1090 Mail Service Center No application is accepted unless signed by the licensee and
Raleigh, NC 27699-1090 accompanied by full payment. Make payable to NCDA.
Subclassification: H L E
"RETURN THIS ENTIRE FORM. DO NOT DETACH"
Prior Lic. Expired: 12131/2019
Original Issue: 05/26/2016
Llc Type: 032
FNum: 8061
Form Printed on: 12/03/2019
FOR OFFICIAL USE ONLY.
Certification Expires: 06/30/2021
"*DO NOT DETACH"*
SIGNATURE and FEE REQUIRED
X.
APPLICANT'S SIGNATURE
Credits for Recertification must be earned prior to
06/3012021.
For training opportunities, contact your local
Cooperative Extension or visit our website
www.ncagr.gov/spcap/pesticides
On reverse side, please list Name, Address, and
Phone Number of individivals who currently apply
pesticides under your supervision.
CHECK YOUR CREDIT STATUS ONLINE AT
WWW.NCAGR. GOV/SPCAP/PESTICIDES
Sort by Last Name
SHE
This is your Only notice
There is no fee for this renewal
032 8061

NORTH CAROLINA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES
032 SIEVE TROXLER, COMMISSIONER 2020
APPLICATION FOR LICENSE/CERTIFICATE RENEWAL
FILE NUMBER 2557 Public Operators - County & Municipal 12/31/2020
EXPIRATION DATE
LICENSEE: 032 2557
BLACK, THOMAS H.
CITY OF LEXINGTON - PUBLIC GROUNDS
28 WEST CENTER STREET
LEXINGTON NC 27292
PHONE: [phone]
EMAIL:
COUNTY: DAVIDSON
INSTRUCTIONS: Please examine this form carefully, and, if there are any changes to
be made, print them in the corresponding blanks on the right-hand side. Sign at the
bottom, enclose any required fee, and mail to:
USE SPACE BELOW TO MAKE ANY NECESSARY
CORRECTIONS OR UPDATES
NCDA & CS Questions? Please contact us at: [phone]
Structural Pest Control and Pesticides Div.
1090 Mail Service Center No application is accepted unless signed by the licensee and
Raleigh, NC 27699-1090 accompanied by full payment. Make payable to NCDA.
Subclassification: L
"RETURN THIS ENTIRE FORM. DO NOT DETACH"
Prior Lic. Expired: 12/31/2019
Original Issue: 12/31 /1992
Llc Type: 032
FN um: 2557
Form Printed on: 09/04/2019
FOR OFFICIAL USE ONLY.
Certification Expires: 06/30/2022
"DO NOT DETACH
SIGNATURE and F E REQUIRED
X � + �j .`6
APPLICANT'S SIGNATURE
Credits for Recertification must be earned prior to
06/30/2022.
For training opportunities, contact your local
Cooperative Extension or visit our website
www.neagr.gov/spcap/pesticides
On reverse side, please list Name, Address, and
Phone Number of individivals who currently apply
pesticides under your supervision.
CHECK YOUR CREDIT STATUS ONLINE AT
WWW. NCAGR. GOV/SPCAP/PEST1 CIDES
Sort by Last Name:
BLA
This is your Only notice
There is no fee for this renewal