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HomeMy WebLinkAbout199692 07/20/2011 CITY OF CARMEE, INDIANA VENDOR: 00352121 Page 1 of 1 ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $130.13 CARMEL, INDIANA 46032 PO BOX 6575 9 *,iraw,t�g CAROL STREAM IL 60197 -6575 CHECK NUMBER: 199692 CHECK DATE: 712012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 651 5023990 4002664829 130.13 OTHER EXPENSES Page: 1 of 2 INVOICE INVOICE DATE 07/01/2011 Stericyli INVOICE NUMBER 4002664829 Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765 CARMEL WASTE WATER UTILITY JOHN DUFFY For billing, scheduling or customer service: 760 3RD AVE SW (866) 783 -7422 CARMEL, IN 46032 -2584 Hours: (Mon Fri) 7:00 AM 7:00 PM CST CustomerCare@Stericycle.com GO PAPERLESS, ENROLL NOW at WWW.VUEBILL.COM /STERICYCLE ACCOUNT SUMMARY DESCRIPTION DATE AMOUNT TOTAL_ PREVIOUS BALANCE $130.13 CURRENT ADJUSTMENTS ($130.13) Payment -Ref #198274 06/2412011 ($130.13) CURRENT INVOICE CHARGES TAXABLE CURRENT INVOICE CHARGES NON TAXABLE Steri -Safe $130.13 TAX TOTAL $0.00 CURRENT INVOICE CHARGES SUB TOTAL $130.13 TOTAL ACCOUNT BALANCE DUE BY 07/3112011 $130.13 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, MO, NM, NY, PA, PR, and WI, this invoice also serves as a certification of destruction. Account History Current 1 30 days 31 60 days 61 90 days 91 days Total Account Past Due Past Due Past Due Past Due Balance $130.13 $0.00 I $0.00 $0.00 $0.00 $130.13 PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE. TO ENSURE TIMELY POSTING OF YOUR PAYMENT PLEASE ALLOW 5 DAYS FOR MAILING. STERICYCLE, INC. (866) 783 -7422 Page: 2 of 2 CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE 4002664829 INVOICE DATE: 0710112011 SERVICE SUMMARY DATE MANIFESTIORDER NUMBER TYPE Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361 0 710 112 0 1 1 Sseri -Safe OSHA Economy MTH Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARIMEL 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 6575 Terms Carol Stream, IL 60197 Due Date 7/7/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/7/2011 4002664829 $130.13 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 /,y L tom- l^- -,/l�- Date Officer VOUCHER 115421 WARRANT ALLOWED 352121 IN SUM OF STERICYCLE INC. P.O. Box 6575 Carol Stream, IL 60197 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 4002664829 01- 736H -08 $130.13 Voucher Total $130.13 Cost distribution ledger classification if claim paid under vehicle highway fund