220360 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00352121 Page 1 of 1
` ONE CIVIC SQUARE STERICYCLE INC
` CARMEL, INDIANA 46032 PO Box 6576 CHECK AMOUNT: $37.92
`? CAROL STREAM IL 60197-6575
CHECK NUMBER: 220360
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 4004116442 37 . 92 OTHER CONT SERVICES
I
PAGE: 1 of 2
COP I N V®ICE INVOICE DATE 04/30/2013
Re�°u�yde' INVOICE NUMBER 4004116442
Protecting People.Reducing Risk: CUSTOMER NUMBER 2245380
Site Information on Reverse Page
CARMEL CLAY PARKS AND RECR � � LT�T�f /1 For billing,scheduling or customer service:
ACCOUNTS PAYABLE '' o (866)783-7422
1411 E 116TH ST MAY 0 6 2013
Hours:(Mon-Fri)7:0��0 AM Y6:00 PM CST
CARMEL IN 46032-3455 CustomerCare Steric cle.com
B-Y-. - _
ACCOUNT SUMMARY
DESCRIPTION DATE AMOUNT TOTAL
PREVIOUS BALANCE $37.92
CURRENT ADJUSTMENTS ($37.92)
Thank You-Payment#219498 04/27/2013 ($37.92)
CURRENT.INVOICE CHARGES:: $eeReveisePa e_Fti�Qelails $37:92;,
TOTAL ACCOUNT BALANCE DUE BY 05/3012013 $37.92
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CERTIFICATION:The material listed on the ndnifest(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.Foi 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.
1-30 days 31-60 days 1 61-90 days 90+days Total Account
Current' i' Past Due Past Due Past Due Past Due Balance
--��-$37:92: : $0.00 ------ 0.00---� $0.00 $0.00 -—----- $37.92_
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.
STERICYCLE,INC. (866)783-7422 PAGE:2 of 2
CARMEL CLAY PARKS AND RECR CUSTOMER#: 2245380 INVOICE#: 4004116442 INVOICE DATE: 04/30/2013
DATE MANIFEST/ QUANTITY/ DESCRIPTION WEIGHT PRICE TOTAL
ORDER NUMBER CONTAINERS
Site 001: Carmel Clay Parks and Recr, 1235 Central Park Dr E, Carmel,IN 46032-4421
04/26/2013 MDID009VH2 1.00 17x20x22 Large Box Disposal 0.00 lb $32.500 EA $32.50
04/26/2013 MDID009VH2 1.00 Energy Charge 0.00 lb $5.420 EA $5.42
Site 001:SUB TOTAL $37.92
Site 001:TAX TOTAL $0.00
Site 001: TOTAL $37.92
TOTAL CURRENT INVOICE CHARGES $37.92
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Purchacer Date
Approval- Dai6
ACCOUNTS PAYABLE_ VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
00352121 Stericycle, Inc. Terms
P.O. Box 6575
Carol Stream, IL 60197-6575
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/30/13 4004116442 Regulated medical waste $ 37.92
Total Is 37.92
1 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
120
Clerk-Treasurer
Voucher No, Warrant No.
00352121 Stericycle, Inc. Allowed 20
P.O. Box 6575
Carol Stream, IL 60197-6575
In Sum of$
$ 37.92
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 40041 16442 4350900 $ 37.92 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
16-May 2013
Signature
$ 37.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund