HomeMy WebLinkAbout161095 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
I. ONE CIVIC SQUARE STERICYCLE INC
CARMEL, INDIANA 46032 PO BOX 9001588
CHECK AMOUNT: $79.20
LOUISVILLE KY 40290 -1588 CHECK NUMBER: 161095
CHECK DATE: 6125/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4000073417 79.20 736H.08DPENSES
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e O 0 O Stericycle, Inc. PAGE: 1 of 1
P.O. Box 9001588
OOD s2elrocycoe Louisville, KY 40290 -1588 INVOICE DATE 400
0 0 0 INVOICE NUMBER 4000073417
CUSTOMER NUMBER 1016765
Protecting People. Reducing Risk. INVOICE AMOUNT DUE
Billing &Payment Information: BY 07/01/2008 $79.20
(877) 245 -5360, Option 1
CURRENT $79.20
Schedule Pickup otot CARMEL WASTE WATER UTILITY p Information:
JOHN DUFFY k s 1 -30 DAYS $0.00
760 3RD AVE SW (877) 245 -5360, Option 2 31 -60 DAYS $0.00
r CARMEL, IN 46032 -7612 On For Customer Service: 61 -90 DAYS $0.00
(866) STERICALL OVER 90 DAYS $0.00
(866) 783 -7422 612610A
31111 -U742 *TD W 14G 13Q01 1317
CERTIFICATION: The material listed on the manifest #(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local
regulations go the treatment of suc waste. A copy of this certifica applicable man ifests, and the appr op r iate logs w ill r ema i n on file wi the company.
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
06/01/2008 1.00 Steri -Safe Economy Monthly 0.00 LB $79.200 EA $79.20
Site 001: SUB TOTAL $79.20
Site 001: TAX TOTAL $0.00
Site 001: TOTAL $79.20
INVOICE AMOUNT DUE BY 0710112008 $79.20
PLEASE DETACH AN RETUR BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER 4�
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.
r
Payee s
352121
STERICYCLE INC. Purchase Order No.
P.O. Box 9001588 Terms
Louisville, KY 40290 -1588 Due Date 6/16/2008
Invoice Invoice Description
Date, Number (or note attached invoice(s) or bill(s)) Amount
6/16/2008 4000073417 $79.20
r
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
Date Officer
VOUCHER 085686 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
4000073417 01- 736H -08 $79.20
i +7
Voucher Total $79.20
4
Cost distribution ledger classification if
claim paid under vehicle highway fund