237029 09/10/14 a-.4!e
Yo CITY OF CARMEL, INDIANA VENDOR: 00352121
s ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $********41.81*
�M`TON CARMEL, INDIANA 46032 Po BOX 6575 CHECK CAROL STREAM IL 60197-6575 CHECK DATE: 09 /0//1
44
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4005050380 41.81 OTHER CONT SERVICES
STERICYCLE,INC. (866)783-7422 PAGE:2 of 2
CARMEL CLAY PARKS AND RECR CUSTOMER M 2245380 INVOICE#: 4005050328 INVOICE DATE: 08/25/2014
DATE MANIFEST/ QUANTITY/ DESCRIPTION WEIGHT PRICE TOTAL
ORDER NUMBER CONTAINERS
Site 001: Carmel Clay Parks and Recr,1235 Central Park Dr E,Cannel,IN 46032-4421
08/15/2014 MDID00B9SW 1.00 17x2Ox22 Large Box Disposal 0.00 Ib $35.831 EA $35.83
08/15/2014 MDIDOOB9SW 1.00 Energy Charge 0.00 Ib $5.980 EA $5.98
Site 001:SUB TOTAL $41.81
Site 001:TAX TOTAL $0.00
Site 001: TOTAL $41.81
TOTAL CURRENT INVOICE CHARGES $41.81
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PAGE:1 of 2
INVOICE INVOICE DATE . 08/25/2014
4®® Steric /C0e® INVOICE NUMBER 4005050328
® Protecting People.ReducingnR,skn CUSTOMER NUMBER 2245380.
&Purchase Order Info or Reverse Page
For billin scheduling or customer service:
CARMEL CLAY PARKS AND RECR /? g,ACCOUNTS PAYABLE (866)783-7422
1411 E116TH ST Hours:(Mon-Fri)8:00 AM-5:00 PM
CARMEL IN 46032-3455 CustomerCare@Stericycle.com
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $41.81
CURRENT ADJUSTMENTS ($41.81)
Thank You-Payment#236034 08/15/2014 ($41.81)
CURRENT INVOICE CHARGES (See Reverse Page For Details) $41.81
TOTAL ACCOUNT BALANCE DUE BY 0912412014 $41.81
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.
Current 1-30 days 31-60 days 61-90 days 90+days Total Account
Past Due Past Due Past Due Past Due Balance
$41.81 $0.00 $0.00 $0.00 $0.00 $41.81
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.
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• INVOICE.NUMRER _ INVOICE DATE c STr11VIFR RFR
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
Purchase Order No.
00352121 Stericycle, Inc. Terms
P.O. Box 6575
Carol Stream, IL 60197-6575
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/25/14 4005050380 Regulated medical waste 8/15/14 $ 41.81
Total $ 41.81
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20—
Clerk-Treasurer
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Voucher No. Warrant No.
00352121 Stericycle, Inc. Allowed 20
P.O. Box 6575 I
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Carol Stream, IL 60197-6575
In Sum of$
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$ 41.81 {
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ON ACCOUNT OF APPROPRIATION FOR
I
109 -Monon Center
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PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1094 4005050380 4350900 $ 41.81 f 1 hereby certify that the attached invoice(s), or
bill(s)is (are)true and correct and that the
jmaterials or services itemized thereon for
which charge is made were ordered and
received except
i
i
4-Sep 2014
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Signature
$ 41.81 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund