HomeMy WebLinkAbout157676 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00352121. Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC
CHECK AMOUNT: $67.42
CARMEL, INDIANA 46032 PO BOX 9001588
r LOUISVILLE KY 40290 -1588 CHECK NUMBER: 157676
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5268304 67.12 OTHER EXPENSES
I
z.,
Q 0 Stericycle, Inc. PAGE: 1 of 2
P.O. Box 9001588
SgeIre¢y¢0e® Louisville, KY 40290 -1588 INVOICE DATE 03/01/2008
O INVOICE NUMBER 0005268304
CUSTOMER NUMBER 1016765
Experts in Infection Control and Healthcare Compliance Services
Billing Payment Information: PREVIOUS BALANCE $134.24
7► (877) 245 -5360, Option 1 TOTAL ADJUSTMENTS ($67.1 J
0101 CARMEL WASTE WATER UTILITY �;e;;� Schedule Pickup Information: TOTAL NEW CHARGES $67.12
JOHN DUFFY (877) 245 -5360, Option 2
760 3RD AVE SW
CARMEL, IN 46032 -7612 For Customer Service: TOTAL BALANCE DUE
fry (866) STERICALL BY 03/31/2008 $134.24
(866) 783 -7422
31111- U742'TBBIEZLL4011514 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
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.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT
PREVIOUS BALANCE $134.24
CURRENT ADJUSTMENTS ($67.12)
Payment Ref #155912 02/09/2008 ($67.12)
NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) $67.12
TOTAL BALANCE DUE BY 03/31/2008 $134.24
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
STERICYCLE, INC.
PAGE: 2 of
CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 0005268304 INVOICE DATE: 03/01/2008
MANIFEST/ QUANTITY/
DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1381
03/01/2008 1.00 Steri -Safe Economy- Monthly 0. 00 LB $67.120 EA $67.12
Site 001: SUB TOTAL $67.12
Site 001: TAX TOTAL $0.00
Site 001: TOTAL $67.12
TOTAL NEW CHARGES $67.12
L
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 3/10/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2008 5268304 $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
yam--
Date Officer
VOUCHER 085039 WARRANT ALLOWED
352121 IN SUM OF
STERICYCLE INC.
P.O. Box 9001588
�6isville, KY 40290 -1588
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5268304 01- 736H -08 $67.12
Voucher Total $67.12
Cost distribution ledger classification if
claim paid under vehicle highway fund