The URL can be used to link to this page

Home My WebLink About181657 01/20/2010 ,y...., CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1 t ONE CIVIC SQUARE STERICYCLE INC CARMEL, INDIANA 46032 PO BOX 9001588 CHECK AMOUNT: $110.28 LOUISVILLE KY 40290 -1588 CHECK NUMBER: 181657 CHECK DATE: 1/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 4001378989 110.28 OTHER EXPENSES Page: 1 of 2 c VO I C INVOICE DATE 01101/2010 0 0 t Stericydde INVOICE NUMBER 4001378939 o Protecting People, Reducing Risk." CUSTOMER NUMBER 1016765 CARMEL WASTE WATER UTILITY JOHN DUFFY ri For billing, scheduling or customer service: 760 3RD AVE SW (866) 783 -7422 CARMEL, IN 46032 2584 o Hours: (Mon Fri) 7:00 AM 7:00 PM CST Cu stome rCa re ©Stericycle. com ACCOUNT SUMMARY DESCRIPTION DATE AMOUNT TOTAL PREVIOUS BALANCE $203.74 CURRENT ADJUSTMENTS ($203.74) Payment -Ref #179858 12/04/2009 ($93.46) Payment -Ref #180534 12/31/2009 ($110.28) CURRENT INVOICE CHARGES TAXABLE CURRENT INVOICE CHARGES NON TAXABLE Steri -Safe $110.28 TAX TOTAL $0.00 i CURRENT INVOICE CHARGES SUB TOTAL $110.28 TOTAL ACCOUNT BALANCE DUE BY 41/31/2010 $110.28 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 AZ, MO, NM, NY, PA, PR, and WI, this invoice also serves as a certification of destruction. Account History Current 1 30 days 31 60 days 61 90 days 90+ days Total Account Past Due Past Due Past Due Past Due Balance $110.28 $0,00 $0.00 $0.00 $0.00 $110.28 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. STERICYCLE, INC. (866) 783 -7422 Page: 2 of 2 CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 4001378939 INVOICE DATE: 01101!201'0 SERVICE SUMMARY DATE MANIFEST /ORDER NUMBER TYPE Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361 0110112010 Steri -Safe OSHA Economy MTH VOUCHER 097122 WARRANT ALLOWED 352121 IN SUM OF STERICYCLE INC. P.O. Box 9001588 Louisville, KY 40290 -1588 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4001378939 01- 736H -08 $110.28 Voucher Total $110.28 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 352121 STERICYCLE INC. Purchase Order No. P.O. Box 9001588 Terms Louisville, KY 40290 -1588 Due Date 1/13/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/13/2010 4001378939 $110.28 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 1 Date Officer