206451 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC
CARMEL, INDIANA 46032 PO Box 6575 CHECK AMOUNT: $190.16
CAROL STREAM IL 60197 -6575
CHECK NUMBER: 206451
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4003137060 190.16 OTHER EXPENSES
PAGE: 1 of 2
I NVO I C E INVOICE DATE 02/01 /2012
q SStc
INVOICE NUMBER 4003137060
Protecting People. Reducing Risk
CUSTOMER NUMBER 1016765
CARMEL WASTEWATER UTILITY For billing, scheduling or customer service:
JOHN DUFFY (866) 783 -7422
JO
JO 3RD FF SW Hours: (Mon Fri) 7:00 AM 6:00 PM CST
CARMEL IN 46032 -2584 CuslomeiCare@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 114 THE REMITTANCE PORTION OF THIS
INVOICE.
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $158.08
CURRENT ADJUSTMENTS ($158.08)
Thank You Payment #205349 01/17/2012 ($158.08)
CURRENT INVOICE CHARGES TAXABLE
CURRENT INVOICE CHARGES NON TAXABLE
Steri -Safe 02/0112012 $190.16
TAX TOTAL $0.00
CURRENfi INVOICE CHARGES 11 eludes St6 i 591e OSHA Coiilpllance (Sei Next A� q ><or.Detot $190 C6;i i
TOTAL ACCOUNT BALANCE DUE BY 03102/2012 $190.16
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 disregard if payme has be en sent.
T 1 30 days 31 60 days 61 90 days 90+ days Total Account
Currefit Past Due Past Due Past Due Past Due Balance
$190 $0.00 $0.00 $0.00 $0.00 $190.16
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.
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STERICYCLE, INC. (866) 783 -7422 PAGE: 2 of 2
CARMEL WASTE WATER UTILITY CUSTOMER 1016765 INVOICE M 4003137060 INVOICE DATE: 02/01/2012
SERVICE SUMMARY
DATE MANIFEST /ORDER NUMBER TYPE
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
01/11/2012 MDID008J09 Manifest Document
02/01/2012 Steri -Safe Economy Monthly
Economy Level Monthly Billing Includes:
Medical Waste Services Medical Waste Training Manifest Archives
02/01/2012 Environmental Regulatory Fee
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 2/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/2012 4003137060 $190.16
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
i
VOUCHER 116695 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
4003137060 01- 736H -08 $190.16
Voucher Total $190.16
Cost distribution ledger classification if
claim paid under vehicle highway fund