251259 11/04/15 `%'����F. CITY OF CARMEL, INDIANA VENDOR: 00352121
`�` �1. CHECK AMOUNT: $********43.89*
ONE CIVIC SQUARE STERICYCLE INC
s =a; CARMEL, INDIANA 46032 PO Box 6575 CHECK NUMBER: 251259
,,,,ETON�` CAROL STREAM IL 60197-6575 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4005880738 43.89 OTHER CONT SERVICES
f
STERICYCLE,INC. (860)783-7422 PAGE:2 of 2
CARMEL CLAY PARKS AND RiCR CUSTOMER#: 2245380 INVOICE#: 4005880738 INVOICE DATE: 10119/2015
DATE MANIFEST/ QUANTITY! DESCRIPTION WEIGHT PRICE TOTAL
ORDER NUMBER CONTAINERS
Site 001: Carmel Clay Parks and Recr,1236 Central Park Dr E,Carmel,IN 46032-4421
10/09/2015 MDID00CF6C 1.00 17x20x22 Large Box Disposal 0.00 Ib %$37.623 EA $37.62
10/09/2015 MDID00CF6C 1.00 Energy Charge 0.00 Ib $6.270 EA $6.27
Site 001:SUB TOTAL $43.89
Site 001:TAX TOTAL $0.00
Site 001: TOTAL $43.89
TOTAL CURRENT INVOICE CHARGES $43.89
PAGE:1 of 2
INVOICE INVOICE DATE;° „ 10/19/2015
IIII0 Stericycle' INVOICE NUMBER f' '' 4005880738
CUSTOMER NUMBER, 2245380`
Srfe.&Purchase Oider.lnfo on Reverse Page `
CARMEL CLAY PARKS AND RECR For bitting,scheduling or customer service:
(866)783-7422
ACCOUNTS PAYABLE OCT 23 2015 ff
1411E 116TH ST Hours:(Mon-Fr)8:00 AM-5:00 PM
ri
CARMEL IN 46032-3455 CustomerCare@Stecycle.com
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL C
0
PREVIOUS BALANCE $125.41
CURRENT ADJUSTMENTS ($125.41)
s
Thank You-Payment#249909 09/28/2015 ($81.52)
Thank You-Payment#250425 10/10/2015 ($43.89)
CURRENT INVOICE CHARGES (See Reverse Page For Details) $43.89
TOTAL ACCOUNT BALANCE DUE BY 11/18/2015 $43.89 C
CERTIFICATION:The material listed on the rmnifest(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
$43.89 $0.00 $0.00 $0.00 $0.00 $43.89
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
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
10/19/15 4005880738 Regulated medical waste 10/9/15 $ 43.89
Total $ 43.89
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
Clerk-Treasurer
Voucher No. Warrant No.
00352121 Stericycle, Inc. Allowed 20
P.O. Box 6575
Carol Stream, IL 60197-6575 i
" In Sum of$
$ 43.89
i
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center j
PO#or INVOICE NO. ACCT#/TITLE AMOUNT { Board Members
Dept#
1094 4005880738 4350900 $ 43.89 ; 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
I which charge is made were ordered and
I received except
1
October 26, 2015
Signature
$. 43.89 i Accounts Payable Coordinator
Cost distribution ledger classification if Title
claimaid motor vehicle highway fund
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