HomeMy WebLinkAbout208051 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
ONE CIVIC SQUARE STERICYCLE INC
CARMEL, INDIANA 46032 PO Box 6576 CHECK AMOUNT: $190.16
CAROL STREAM IL 60197 -6575 CHECK NUMBER: 208051
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4003269424 190.16 OTHER EXPENSES
PAGE: 1 of 2
O O INVOICE INVOICE DATE 04/01/2012
O 0P �f�e�uQ�y¢0e®
O O protecting People. Reducing Risk_ INVOICE NUMBER 4003269424
CUSTOMER NUMBER 1016765
CARMEL WASTEWATER 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 CuslomerCare @Stericycle.com
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $190.16
CURRENT ADJUSTMENTS ($190.16)
Thank You Payment #207229 03/23/2012 ($190.16)
CURRENT INVOICE CHARGES TAXABLE
CURRENT INVOICE CHARGES NON TAXABLE
Steri -Safe 04/01,2012 $190.16
TAX TOTAL $0.00
CURREtJT INVOICE CHAitGES Includes t _Safe OSHA Cor4ij l ance (See:.Next Page:For Details) $19EY 16
TOTAL ACCOUNT BALANCE DUE BY 05/0112012 $190.16
CERTIFICATION: The material listed on the manifests) (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 payment has been sent.
Current 1 30 days 31 -60 days 61 -90 days 90+ days Total Account
ji Past Due Past Due Past Due Pas, Balance
$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 1016766 INVOICE 4003269424 INVOICE DATE: 04101/2012
SERVICE SUMMARY
DATE MANIFEST /ORDER NUMBER TYPE
Site 001: Carmel Household Hazardous Wst, 901 N Range Line Rd, Carmel, IN 46032 -1361
04101/2012 Steri -Safe Economy Monthly
Economy Level Monthly Billing Includes:
Medical Waste Services Medical Waste Training Manifest Archives
04/01/2012 Environmental Regulatory Fee
VOUCHER 117084 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
4003269424 01- 736H -08 $190.16
Voucher Total $190.16
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 413/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/3/2012 4003269424 $190.16
I 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