312906 06/26/2017 CITY OF CARMEL, INDIANA VENDOR: 00352121
STERICYCLE INC CHECK AMOUNT: $********43.89*
ONE CIVIC SQUARE CHECK NUMBER: 312906
CARMEL, INDIANA 46032
Po aox x575
CAROL STREAM IL 60197-6575 CHECK DATE: 06/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4007144745 43.89 OTHER CONT SERVICES
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
6/12/17 4007144745 Regulated medical waste 5/31/17 41048 $ 43.89
Total $ 43.89
1 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
120
Clerk-Treasurer
PAGE:1 of 2
• • INVOICE INVOICE DATE 06/12/2017
StericyCle INVOICE NUMBER 4007144745
• i CUSTOMER NUMBER 2245380
' Site'&Purchase Order Info on Reverse Page
CARMEL CLAY PARKS AND RECR ^ For billing,scheduling or customer service:
ACCOUNTS PAYABLE �/ (866)783-7422
1411 E TH 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 $43.89
CURRENT ADJUSTMENTS (543.88)
Thank You-Payment#311359 05/22/2017 ($43.89)
CURRENT INVOICE CHARGES (See Reverse Page For Details) $43.89
TOTAL ACCOUNT BALANCE DUE BY 07/12/2017 $43.89
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 �36tOs 61-90 days 90+days Total Account
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 MAII ING.
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