HomeMy WebLinkAbout166397 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC
CHECK AMOUNT: $79.20
CARMEL, INDIANA 46032 Po eox 9001588
LOUISVILLE KY 40290 -1588 CHECK NUMBER: 166397
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4000415610 79.20 CONT SVS -HAZ WASTE
STERICYCLE, INC. Page: 1 of 2
P.O. BOX 9001588 INVOICE DATE 11/01/2008
$tef ICyCle LOUISVILLE KY 40290 -1588 INVOICE NUMBER 4000415610
Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765
Billing Payment Information: INVOICE AMOUNT DUE BY
(877) 245 -5360, Option 1
12/01/2008 $79.20
CARMEL WASTE WATER UTILITY Schedule Pickup Information: CURRENT $79.20
JOHN DUFFY (877) 245 -5360, Option 2 1 -30 DAYS $0.00
760 3RD AVE SW 31 -60 DAYS $0.00
CARMEL, IN 46032 2584 For Customer Service: 61 -90 DAYS $0.00
(866) STERICALL OVER 90 DAYS $0.00
(866) 783 -7422
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, OH, MO, NM, NY, PA, PR, and W I,
this invoice also serves as a certification of destruction.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $79.20
CURRENT ADJUSTMENTS ($79.20)
Payment -Ref #164947 10/24/2008 ($79.20)
NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) $79.20
INVOICE AMOUNT DUE BY 12/01/2008 $79.20
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
STERICYCLE, INC. Page: 2 of 2
T'
CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 4000415610 INVOICE DATE: 11/01/2008
MANIFEST/ QUANTITY/
DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
11/01/2008 1.00 Steri -Safe Economy Monthly 0.00 LB $79.200 EA $79.20
Site 001: SUB TOTAL $79.20
Site 001: TAX TOTAL $0.06
Site 001: TOTAL $79.20
INVOICE AMOUNT DUE BY 1210112008 $79.20
i 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 11/18/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/18/20M 4000415610 $79.20
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
11 /l°���� w...�—
Date Officer
VOUCHER 086688 WARRANT ALLOWED
352121 IN SUM OF
STERICYCLE INC.
P.O. Box 9001588
Louisville, KY 40290 -1588
J
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4000415610 01- 736H -08 $79.20
Voucher Total $79.20
Cost distribution ledger classification if
claim paid under vehicle highway fund