Source
State Archives of Florida, Series S908
Description
Blank survey for inspection of homes for mosquito breeding conditions.
CITY of ____________
MOSQUITO INSPECTION CARD
Name of Tenant Address
Name of Owner Address
Date of Inspection Inspector
WEEK ENDING
VIOLATIONS
Buckets (Use Check Marks)\
Cistern
Depressions
Eave Troughs
Fountains
Pools
Rain Barrels
Tin Can, Bottles, Etc.
Troughs
Tubs
Urns
Is house tightly screened
General cleanliness of premises
Is there any sickness in house at this time
Signature of Tenant
for each 1
inspection 2
3
4