HomeMy WebLinkAbout176452 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $93.46
CARMEL, INDIANA 46032 PO BOX 9001588
o� �o LOUISVILLE KY 40290 -1588 CHECK NUMBER: 176452
CHECK DATE: 8/19/2009
DEPART ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 40001028679 93.46 CONT SVS -HAZ WASTE
rj
S STERICYCLE, INC. Page: 1 of 2
P.O. BOX 9001588 INVOICE DATE 08101/2009
*040 Stericycle` LOUISVILLE, KY 40290 -1588 INVOICE NUMBER 4001028679
Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765
Billing Payment Information: INVOICE AMOUNT DUE BY
(877) 245 -5360, Option 1 $93.46
08/3112009
CARMEL WASTE WATER UTILITY Schedule Pickup Information: CURRENT $93.46
JOHN DUFFY (877) 245 -5360, Option 2 1 -30 DAYS $93.46
760 3RD AVE SW 31 -60 DAYS $0.00
CARMEL, IN 46032 2584 For Customer Service: 61 -90 DAYS $0.00
a (866) STERICALL OVER 90 DAYS $0.00
(866) 783 -7422
YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE
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 destruct
ACCOUNT SUMMARY
DESCRIPTION AMOUNT TOTAL
PREVIOUS BALANCE $93.46
CURRENT ADJUSTMENTS $0.00
NEW CHARGES TAXABLE $0.00
NEW CHARGES NON TAXABLE $93.46
Steri -Safe $93.46
SUBTOTAL $93.46
TAX TOTAL $0.00
INVOICE AMOUNT DUE BY 08/31/2009 $93.46
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
STERICYCLE, INC. Page: 2 of 2
CARMEL WASTE WATER UTILITY CUSTOMER M 1016765 INVOICE 4001028679 INVOICE DATE: 08/01/2009
SERVICE SUMMARY
DATE MANIFEST /ORDER NUMBER TYPE
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
08/01/2009 Steri -Safe
t
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER y,
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 �pp�
STERICYCLE INC. Purchase Order No. J
P.O. Box 9001588 Terms
Louisville, KY 40290 -1588 Due Date 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 4001028679 $93.46
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
91319
Date Officer
VOUCHER 096196 WARRANT ALLOWED
352121 IN SUM OF
STERICYCLE INC.
P.O. Box 9001588
Louisville, KY 40290 -1588
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4001028679 01- 736H -08 $93.46
Voucher Total $93.46
Cost distribution ledger classification if
claim paid under vehicle highway fund