HomeMy WebLinkAbout155912 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC
CARMEL, INDIANA 46032 PO BOX 900158e CHECK AMOUNT: $67.12
LOUISVILLE KY 40290 -1588 CHECK NUMBER: 155912
CHECK DATE: 1/23/2008
I_:�PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5133220 67.12 CONT SVS -HAZ WASTE
I
Stericycle, Inc.
PAGE: 1 of 2
P.O. Box 9001588
000 $tericycle Louisville, KY 40290 -1588 INVOICE DATE 01/01/2008
INVOICE NUMBER 0005133220
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 k!t1 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
(866) STERICALL BY 01/31/2008 $67.12
(866) 783 -7422 612610A
31111- U742 *T9N13EETX011639
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
reg ulatio ns governing the trea of such w A copy o this certificate, applicable ma nifests, a nd the app lo will rem on file with the company.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT
PREVIOUS BALANCE $134.24
CURRENT ADJUSTMENTS ($134.24)
Payment -Ref #154182 12/0712007 ($67.12)
Payment -Ref #155049 12126/2007 ($67.12)
NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) $67.12
TOTAL BALANCE DUE BY 01/31/2008 $67.12
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STERICYCLE, INC. PAGE: 2 of 2
CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 0005133220 INVOICE DATE: 01/01/200£
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
01/01/2008 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
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER..
CITY OF CARMEL
e
An invoice or bill to be properly itemized must show, kind of service, where ra
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 1/9/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/2008 5133220 $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
Date Officer
VOUCHER 077089 WARRANT ALLOWED
352121 IN SUM OF
,r
'sTERICYCLE INC.
ti,,-P.O. Box 90015.88
Louisville, KY 40290 -1588
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5133220 01- 736H -08 $67.12
Voucher Total $67.12
`,Cost distribution ledger classification if
claim paid under vehicle highway fund