HomeMy WebLinkAbout203630 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
e ONE CIVIC SQUARE STERICYCLE INC
s °a CARMEL, INDIANA 46032 PO BOX 6575 CHECK AMOUNT: $158.08
CAROL STREAM IL 60197 -6575 CHECK NUMBER: 203630
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4002934433 158.08 CONT SVS -HAZ WASTE
PAGE: 1 of 2
o INVOICE iiNVOICE DATE 11/01/2011
0000,099 Sterlcycle'
fNVOICE NUMBER 4002934433
0 Protecting People. Reducing Risk CUSTOMER NUMBER 1016765
CARMEL WASTEWATER UTILITY For billing, scheduling or customer service:
JOHN DUFFY (866) 783 -7422
760 3RD AVE SW Hours: (Mon Fri) 7:00 AM 6:00 PM CST
CARMEL IN 46032 -2584 CustomerCare @Stericycle.com
YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE
GO PAPERLESS, ENROLL NOW at WWW.VUEBILL.COMISTERICYCLE
PLEASE MAKE SURE THAT YOUR RECORDS HAVE BEEN UPDATED WITH THE CURRENT STERICYCLE REMIT TO ADDRESS AS NOTED IN THE REMITTANCE PORTION OF THIS
INVOICE.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $168.08
CURRENT ADJUSTMENTS $0.00
CURRENT INVOICE CHARGES TAXABLE
CURRENT INVOICE CHARGES NON TAXABLE
Steri -Safe 11/0112011 $158.08
TAX TOTAL $0.00
CURRENt INVOICE GNARGEB Includes StetrSafe OSHA C,orrijkii PW (See Next Pegg, For Details} $1 6
W
TOTAL ACCOUNT BALANCE DUE BY 1 210 11201 1 $316.16
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, PA, PR, and WI,
this invoice also serves as a certification of destruction.
Account History Please dis regard if payment has been sent.
Current 1 30 days 31 -60 days 61 90 days 90+ day Total Account
Past Due Past Due Past Due Past Due Balance
$458,08> $158.08 $0.00 $0.00 $0.00 $316.16
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 4002934433 INVOICE DATE: 11/01/2011
SERVICE SUMMARY
DATE MANIFESTIORDER NUMBER TYPE
Site 001: Cannel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
1 1101 /2 01 1 Steri -Safe Economy Monthly
Economy Level Monthly Billing Includes:
Medical Waste Services Medical Waste Training Manifest Archives
1 1101 /201 1 Environmental Regulatory Fee
VOUCHER 116156 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
4002934433 01- 736H -08 $158.08
Voucher Total $158.08
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 6575 Terms
Carol Stream, IL 60197 Due Date 11/2/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2011 4002934433 $158.08
i
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
Date icer