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205349 01/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1 ONE CIVIC SQUARE STERICYCLE INC CARMEL, INDIANA 46032 PO BOX 6575 CHECK AMOUNT: $158.08 CAROL STREAM IL 60197 -6575 CHECK NUMBER: 205349 CHECK DATE: 1/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 4003071244 158.08 OTHER EXPENSES PAGE: 1 of 2 O D IN VOICE INVOICE DATE 01/01/2012 O 0 ©Q Sterkyde' INVOICE NUMBER 4003071244 o Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765 CARMEL WASTE WATER 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 GO PAPERLESS, ENROLL NOW at WWW.VUEBILL.COM /STERICYCLE 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 $158.08 CURRENT ADJUSTMENTS ($158.08) Thank You Payment #204643 12/23/2011 ($158.08) CURRENT INVOICE CHARGES TAXABLE CURRENT INVOICE CHARGES NON- TAXABLE Sleri -Safe 0110112012 $158.08 TAX TOTAL $0.00 CURRENT INVOICE CHARGES �nGtuili3S;S1$ri Safe £?S1 iA Com{�l ante ($ee:Next Page For Oetaits) $158.08: TOTAL ACCOUNT BALANCE DUE BY 01/3112012 $158.08 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 Ple ase disregard if payment has been sent. C f f 1 30 days 31 60 days 61 90 days 90+ days Total Account Past Due Past Due past pue Past Due Balance $158:0......... $0.00 $0.00 $0.00 $0.00 $158.08 PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE. TO ENSURE TIMELY POST €NG 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 4003071244 INVOICE DATE: 01101/2012 SERVICE SUMMARY DATE MANIFESTIORDER NUMBER TYPE Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361 01/01/2012 Steri -Safe Economy Monthly Economy Level Monthly Billing Includes: Medical Waste Services Medical Waste Training Manifest Archives 01/01/2012 Environmental Regulatory Fee VOUCHER 116516 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 4003071244 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 1/3/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/3/2012 4003071244 $158.08 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 Officer