172559 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
s,� ONE CIVIC SQUARE STERICYCLE INC CHECK AMOUNT: $93.46
?o CARMEL, INDIANA 46032 PO BOX 9001588
*<:o� LOUISVILLE KY 40290 -1588 CHECK NUMBER: 172559
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRI
651 5023990 4000824272 93.46 OTHER EXPENSES
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Page: 1 of 2
STERICYCLE, INC. INVOICE DATE 0510112009
P.O. BOX 9001588
Stericycle' LOUISVILLE, KY 40290 -1588 INVOICE NUMBER 4000824272
Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765
Billing Payment Information: INVOICE AMOUNT DUE BY
(877) 245 -5360, Option 1 $93.46
i
05/31/2009
CARMEL WASTE WATER UTILITY Schedule Pickup Information: CURRENT $93.46
JOHN DUFFY (877) 245 -5360, Option 2 1 -30 DAYS 50.00
760 3RD AVE SW 31 -60 DAYS $0.00
CARMEL, IN 46032 -2584 For Customer Service: 61 -90 DAYS $0.00
(866) STERICALL OVER 90 DAYS $0.00
(866) 783 -7422
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 W I, this
invoice also serves as a certification of destruction.
ACCOUNT SUMMARY
DESCRIPTION AMOUNT TOTAL
PREVIOUS BALANCE $93.46
CURRENT ADJUSTMENTS ($93.46)
Payment -Ref #171096 04/25/2009 ($93.46)
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 05/31/2009 $93.46
PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE
I STERICYCLE, INC. Page: 2 of 2
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CARMEL WASTE WATER UTILITY CUSTOMER M 1016765 INVOICE M 4000824272 INVOICE DATE: 05/0112009
SERVICE SUMMARY
DATE MANIFEST /ORDER NUMBER TYPE
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
05/01 /2009 Steri -Safe
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 9001588 Terms
Louisville, KY 40290 -1588 Due Date 5/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2009 4000824272 $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
4 a' 0
Date Officer
V 095633 WARRANT ALLOWED
J52121 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
4000824272 01- 736H -08 $93.46
Voucher Total $93.46
Cost distribution ledger classification if
claim paid under vehicle highway fund