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HomeMy WebLinkAbout193945 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1 ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $130.13 s CARMEL, INDIANA 46032 PO BOX 9001588 LOUISVILLE KY 40290 -1588 CHECK NUMBER: 193945 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 4002249632 130.13 OTHER EXPENSES Page: 1 of 2 INVOICE INVOICE DATE 01/01/2011 Stericycle INVOICE NUMBER 4002249632 Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765 CARMEL WASTE WATER UTILITY JOHN DUFFY For billing, scheduling or customer service: 760 3RD AVE SW (866) 783 -7422 CARMEL, IN 46032 -2584 Hours: (Mon Fri) 7:00 AM 7:00 PM CST CustomerCare @Stedcycle.com ACCOUNT SUMMARY DESCRIPTION DATE AMOUNT TOTAL PREVIOUS BALANCE $260.26 CURRENT ADJUSTMENTS ($260.26) Payment -Ref 9192256 12/11/2010 ($130.13) Payment -Ref #192925 12/27/2010 ($130.13) CURRENT INVOICE CHARGES TAXABLE CURRENT INVOICE CHARGES NON TAXABLE Steri -Safe $130.13 TAX TOTAL $0.00 CURRENT INVOICE CHARGES SUB TOTAL $130.13 TOTAL ACCOUNT BALANCE DUE BY 01/31/2011 $130.13 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 $130.13 $0.00 $0.00 $0.00 $0.00 $130.13 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. oil onsomilimm. STERICYCLE, INC. (866) 783 -7422 Page: 2 of 2 CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 4002249632 INVOICE DATE: 01/01/2011 SERVICE SUMMARY DATE MANIFEST /ORDER NUMBER TYPE Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361 01/01/2011 Steh -Safe OSHA Economy MTH VOUCHER 106903 WARRANT ALLOWED 352121 IN SUM OF STERICYCLE INC. P.Q. Box 9001588 Louisville, KY 40290 -1588 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4002249632 01- 736H -08 $130.13 Voucher Total $130.13 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 1/11/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/11/2011 4002249632 $130.13 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 Date Officer