231887 4 /23/2014 CITY OF CARMEL, INDIANA VENDOR: 00352121
® ij ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $**......39.82*
�._ CARMEL, INDIANA 46032 PO BOX 6575 CHECK NUMBER: 231887
?y�._-.,o;r CAROL STREAM IL 60197-6575 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4004768231 39.82 OTHER CONT SERVICES
STERICYCLE,INC. (866)783-7422 PAGE:2 of 2
CARMEL CLAY PARKS AND RECR CUSTOMER#: 2245380 INVOICE#: 4004768231 INVOICE DATE: 03131/2014
DATE MANIFEST/ QUANTITY/ DESCRIPTION WEIGHT PRICE TOTAL
ORDER NUMBER CONTAINERS
Site 001: Carmel Clay Parks and Recr, 1235 Central Park Dr E, Carmel,IN 46032-4421
03/28/2014 MDIDOOAV08 1.00 17x2Ox22 Large Box Disposal 0.00 Ib $34.125 EA $34.13
03/28/2014 MDIDOOAV08 1.00 Energy Charge 0.00 Ib $5.690 EA $5.69
Site 001:SUB TOTAL $39.82
Site 001:TAX TOTAL $0.00
Site 001: TOTAL $39.82
TOTAL CURRENT INVOICE CHARGES $39.82
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PAGE: 1 of 2
O O V®I C NVOICE DATE 03/31/2014
O® SteirD(Syde' NVOICE NUMBER 4004768231
O OProtecting People.Reducing Risk: USTOMER NUMBER 2245380
7AP
Site&Purchase Order Info on Reverse Page
CARMEL CLAY PARKS AND RECR f� For billing,scheduling or customer service:ACCOUNTS PAYABLE a (866)783-7422
1411 E 116TH ST 7 2 014 Hours:(Mon-Fri)8:00 AM-5:00 PM
CARMEL IN 46032-3455 CustomerCare@Stericycle.com
BY:
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $39.82
CURRENT ADJUSTMENTS ($39.82)
Thank You-Payment#230622 03/31/2014 ($39.82)
CURRENT INVOICE CHAFiG�:,
TOTAL ACCOUNT BALANCE DUE BY 04/30/2014 $39.82
CERTIFICATION:The material listed on the manifest(s)(infectious medical waste)has been treated in accordance with the requirements of federal,state and local regulations governing
the treatment of such waste.A copy of this certificate,applicable manifests,and the appropriate logs will remain on file with the company.For customers in WI,this invoice also serves as
a certificate of destruction.
Account History Please disregard if payment has been sent.
1-30 days 31-60 days 61-90 days 90+days Total Account
Curieitt, past Due Past Due Past Due Past Due Balance
$39.82 .< $0.00 $0.00 $0.00 $0.00 $39.82
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE.TO ENSURE TIMELY POSTING OF YOUR PAYMENT,PLEASE ALLOW 5 DAYS FOR MAILING.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
00352121 Stericycle, Inc. Purchase Order No.
P.O. Box 6575 Terms
Carol Stream, IL 60197-6575
Invoice Invoice
DateDescription
Number (or note attached invoice(s) or bill(s))
3/31/14 4004768231 Regulated medical waste 3/28/14 PO# Amount
$ 39.82
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance $ 39.82
with IC 5-11-10-1.6
20
Clerk-Treasurer
Voucher No. Warrant No.
00352121 Stericycle, Inc. Allowed 20
P.O. Box 6575
Carol Stream, IL 60197-6575
In Sum of$
$ 39.82
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 4004768231 4350900 $ 39.82 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
17-Apr 2014
Signature
$ 39.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund