HomeMy WebLinkAbout171096 04/16/2009 a 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
LOUISVILLE KY 40290 -1588 CHECK NUMBER: 171096
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990. 4000755210 93.46 OTHER EXPENSES
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STERICYCLE, INC. Page: 1 of 2
P.O. BOX 9001588
INVOICE DATE 04/01/2009
0000 Stericycie` LOUISVILLE, KY 40290 -1588 INVOICE NUMBER 4000755210
O Protecting People. Reducing Risk: CUSTOMER NUMBER 1016765
Billing Payment Information: INVOICE AMOUNT DUE BY
(877) 245 -5360, Option 1 $93.46
05/01/2009
CARMEL WASTE WATER UTILITY Schedule Pickup Information: CURRENT $93.46
JOHN DUFFY (877) 245 -5360, Option 2 1 -30 DAYS $0.00
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 $172.66
CURRENT ADJUSTMENTS ($172.66)
Payment -Ref #169166 03/06/2009 ($79.20)
Payment -Ref #170118 03/31/2009 ($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 05/01/2009 $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 1016765 INVOICE 4000755210 INVOICE DATE: 04101/2009
SERVICE SUMMARY
DATE MANIFEST/ORDER NUMBER TYPE
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
04/01 /2009 Steri -Safe
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER 4
CITY OF CARMEL
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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 4/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/8/2009 4000755210 $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
Date Officer
VOUCHER 095436 WARRANT ALLOWED
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'52121 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
4000755210 01- 736H -08 $93.46
Voucher Total $93.46
Cost distribution ledger classification if
claim paid under vehicle highway fund
