HomeMy WebLinkAbout159079 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
Q� t. ONE CIVIC SQUARE STERICYCLE INC
CARMEL, INDIANA 46032 PO BOX 9001588 CHECK AMOUNT: $67.12
LOUISVILLE KY 40290 -1588 CHECK NUMBER: 159079
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 639482 67.12 CONT SVS -HAZ WASTE
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Stericycle, Inc. PAGE: 1 of 2
00 P.O. Box 9001588
Steiruc ycge Louisville, KY 40290 -1588 INVOICE DATE 04/01/2008
0 INVOICE NUMBER 0005329482
CUSTOMER NUMBER 1016765
Experts in Infection Control and Healthcare Compliance Services
Billing Payment Information: PREVIOUS BALANCE $134.24
(877) 245 -5360, Option 1 TOTAL ADJUSTMENTS ($134.24)
0101 CARMEL WASTE WATER UTILITY x Schedule Pickup Information: TOTAL NEW CHARGES $67.12
JOHN DUFFY
760 3RD AVE SW (877) 245 -5360, Option 2
CARMEL, IN 46032 -7612 r»t For Customer Service: TOTAL BALANCE DUE
1 (866) STERICALL BY 05/01/2008 $67.12
(866) 783 -7422
31111- U742*TC5192FE5011592 612610A
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
regulat governing the treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT
PREVIOUS BALANCE $134.24
CURRENT ADJUSTMENTS ($134.24)
Payment -Ref #156830 03/08/2008 ($67.12)
Payment-Ref #157676 03/31/2008 ($67.12)
NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) $67.12
TOTAL BALANCE DUE BY 05/01/2008 $67.12
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
STERICYCLE, INC. PAGE: 2, oL2
v
CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 0005329482 INVOICE DATE: 04/01/2008
MANIFEST/ QUANTITY/
DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL
Site 001: Cannel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
04/01/2008 1.00 Steri -Safe Economy Monthly 0.00 LB $67.120 EA $67.12
03/13/2008 MDID00590K 4.00 28 Gal Red Square Tub Disposal 0.00 LB $0.000 EA $0.00
Site 001: SUB TOTAL $67.12
Site 001: TAX TOTAL $0.00
Site 001: TOTAL $67.12
r
TOTAL NEW CHARGES $67.12
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 4/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/14/2008 539482 $67.12
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
1/ 111C,
Date Officer
VOUCHER 085260 WARRANT ALLOWED
•`J
352121 IN SUM OF
STERICYCLE INC.
P.O. Box 9001588
Louisville, KY 40290 -1588
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
539482 01- 736H -08 $67.12
c_
Voucher Total $67.12
F
,Cost distribution ledger classification if
claim paid under vehicle highway fund