HomeMy WebLinkAbout243335 03/18/15 i
�%'��p�"� CITY OF CARMEL, INDIANA VENDOR: 00352121
`\. CHECK AMOUNT: $********41.81*
.4 �, ONE CIVIC SQUARE STERICYCLE INC
s ?�; CARMEL, INDIANA 46032 PO BOX 6575 CHECK NUMBER: 243335
9M�iTON�` CAROL STREAM IL 60197-6575 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4005426153 41.81 OTHER CONT SERVICES
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STERICYCLE,INC. (866)783-7422 PAGE:2 of 2
CARMEL CLAY PARKS AND RECR CUSTOMER M 2245380 INVOICE M 4005426153 INVOICE DATE: 02/28/2015
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
02/27/2015 MDIDOOBT69 1.00 17x20x22 Large Box Disposal 0.00 Ib $35.831 EA $35.83
02/27/2015 MDIDOOBT69 1.00 Energy Charge 0.00 Ib $5.980 EA $5.98
Site 001:SUB TOTAL $41.81
Site 001:TAX TOTAL $0.00
FY
Site 001: TOTAL $41.81
2015TOTAL CURRENT INVOICE CHARGES $41.81
PAGE:1 of 2
® INVOICE INVOICE DATE +` 02/28/2015
®®® Sterlcycle` INVOICE NUMBER 4005426153
® ® Protecting People.Reducing Risk: - ' r CUSTOMER NUMBER` 2245380
Site&Purchase Order"Info on Reverse Page
CARMEL CLAY PARKS AND RECR MAR 0 5 2015 For billing,scheduling or customer service:
ACCOUNTS PAYABLE (866)783-7422
1411 E 116TH ST Hours:(Mon-Fri)8:00 AM-5:00 PM
CARMEL IN 46032-3455 CustomerCare@Stericycle.com C
C
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $41.81
CURRENT ADJUSTMENTS ($41.81)
Thank You-Payment#242404 02/21/2015 ($41.81)
CURRENT INVOICE CHARGES (See Reverse Page For Details) $41.81
TOTAL ACCOUNT BALANCE DUE BY 03/30/2015 $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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ACCOUNTS PAYABLE VOUCHER
II� 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.l
Payee
Purchase Order No.
00352121 Stericycle, Inc. ! Terms
P.O. Box 6575
Carol Stream, IL 60197-6575
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Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/28/15 4005426153 Regulated medical waste 2/27/15 j $ 41.81
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Totals 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
Carol Stream, IL 60197-6575
In Sum of$
$ 41.81
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ON ACCOUNT OF APPROPRIATION FOR 1
109 -Monon Center
PO#or I Board Members
Dept.# INVOICE NO. CCT#/TITL AMOUNT
1094 4005426153 4350900 $ 41.81 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
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March 12, 2015
Signature
$ 41.81 I Accounts Payable Coordinator
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Cost distribution ledger classification if i Title
j claim paid motor vehicle highway fund
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