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. tericycle, Inc. <br />s r C y l a, .0. Box 9001589 <br />Louisville, KY 40290-1589 <br />Experts in Infection Control and Healthcare Compliance Services <br />�_� FOR CUSTOMER SERVICE <br />0101 SUTTER GOULD MED FOUNDTN 866-STERI-CALL <br />GLORIA GARCIA, JIM MARQ UEZ 783-7422 <br />600 COFFEE ROAD <br />MODESTO, CA 95355-4276 FOR PICK-UP INFORMATIO <br />800 -MED -WASTE <br />PAGE: 1 of 2 <br />633-9278 612610A <br />31111-0742`1 XU 1 BTRYA000096 <br />WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature <br />is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE <br />CERTIFICATION: The material listed on the manifest #:(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local <br />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. <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT <br />PREVIOUS BALANCE <br />CURRENT ADJUSTMENTS <br />NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) <br />TOTAL BALANCE DUE BY 11130/2006 <br />00 <br />INVOICE DATE 10/31/2006 <br />00 <br />INVOICE NUMBER 0003791788 <br />0 <br />CUSTOMER NUMBER 6070300 <br />CHECK CARD USING FOR PAYMENT <br />PREVIOUS BALANCE $26.25 <br />TOTAL ADJUSTMENTS $0.00 <br />EXP. DATE <br />TOTAL NEW CHARGES $153.02 <br />N <br />TOTAL BALANCE DUE <br />BY 11/30/2006 $179.27 <br />633-9278 612610A <br />31111-0742`1 XU 1 BTRYA000096 <br />WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature <br />is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE <br />CERTIFICATION: The material listed on the manifest #:(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local <br />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. <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT <br />PREVIOUS BALANCE <br />CURRENT ADJUSTMENTS <br />NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) <br />TOTAL BALANCE DUE BY 11130/2006 <br />00 <br />TOTAL BALANCE DUE BY 11/30/2006 <br />$179.27 <br />00 <br />Stericycle <br />0 <br />Stericycle, Inc. <br />CHECK CARD USING FOR PAYMENT <br />P.O. Box 9001589 <br />Louisville, KY 40290-1589 <br />NOV 19 2006 <br />02, <br />$26.25 <br />$153.02 <br />$179.27 <br />PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />r7 If account information has changed please check <br />L -i box and fill out back portion of coupon <br />AMOUNT ENCLOSED <br />TOTAL BALANCE DUE BY 11/30/2006 <br />$179.27 <br />CUSTOMER NUMBER <br />6070300 <br />INVOICE DATE <br />10/31/2006 <br />INVOICE NUMBER <br />0003791788 <br />V15A' RraN <br />EE�R6S <br />❑ <br />MASTERCARD DISCOVER VISA AMERICAN EXP. <br />CHECK CARD USING FOR PAYMENT <br />SECURRY <br />CODE <br />CARD NUMBER <br />EXP. DATE <br />SIGNATURE <br />PRINTED NAME <br />0006070300 0003791788 0000015302 3 030007 <br />ADDRESSEE: <br />�IIlnm�m�mmml0n'm'n�mlmm�mm�mmll��lu�m{In�lmmm�lmmmmlmm�0 <br />SUTTER GOULD MED FOUNDTN <br />GLORIA GARCIA, JIM MARQUEZ <br />600 COFFEE ROAD <br />MODESTO, CA 95355-4276 <br />'ImOlnml�lam101nfO�lml{emlmElim6min'IIn'I�IInIInI'mlmll' <br />31111-U742`1XU18TRYA000096 1XUIBVOAP:1.1 <br />REMIT TO: <br />Om�mml��umn0ml�mlmm��mnmmm'�mAmOm�n�mlmlmmlmm�m�mlmulmlml <br />STERICYCLE, INC. <br />P.O. BOX 9001589 <br />LOUISVILLE, KY 40290-1589 <br />