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• ® Stericycle, Inc. <br /> GE: 1 of 1 <br /> 0 75 Polo Trail Dr, Suite 201 OICE DATE 08/01/2004 <br /> - ® lerec c e " Forest, IL 60045 DICE NUMBER 0002877006 <br /> CUSTOMER NUMBS 6059477 <br /> Experts in Infection Control and Healthcare Compliance Services INVOICE AMOUN DUE <br /> BY 08/31/2004 $836.00 <br /> FOR CUSTOMER SERVICE <br /> MANTECA CARE&REHAB 866-STERI-CALL CURRENT $836.00 <br /> ® ACCOUNTS PAYABLE 866-783-7422 1-30 DAYS $836.00 <br /> n® <br /> 410 EASTWOOD AVE 31-60 DAYS $0.00 <br /> MANTECA,CA 95336-3167 FOR PICK-UP INFORMATION 61-90 DAYS $832.00 <br /> 800-MED-WASTE <br /> OVER 90 DAYS $0.00 <br /> 800-633-9278 <br /> 31111-U742'1 AR 14.15138000578 612610A <br /> -------red,or counted by a weighmaster,whose signature <br /> ®_ iith Section 12700)of Division 5 of the <br /> ornia Department of Food and Agriculture. <br /> FACILITY /y <br /> INVOICE# <br /> GUMONTH Ztx� <br /> ACCT# <br /> AMOUNT <br /> CE cordance with the requirements of federal,state,and local <br /> reg gs will remain on file with the company. <br /> DIS TOTAL WEIGHT PRICE TOTAL <br /> S>i <br /> APPROVAL GO <br /> Cc vty Weighmester <br /> 08 0.00 LB $11.000 EA $11.00 <br /> 08 0.00 LH $825.000 EA $825.00 <br /> $836.00 <br /> ... artvwz. r.rn_.-........ $0.00 <br /> Site 002. TOTAL $836.00 <br /> INVOICE AMOUNT DUE BY 08/31/2004 $8 3 6.00 <br /> PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br /> AMOUNT ENCLOSED INVOICE AMOUNT DUE BY 08/31/2004 <br /> $ $836.00 <br /> ® CUSTOMER NUMBER DATE INVOICE NUMBER <br /> -00 /� /� 6059477 08/01/2004 0002877006 <br /> ® StL't'I!C�/Clee _ Anne CHECK CARO USING FOR PAYMENT <br /> ® Stericycle, Inc. E SECURITY <br /> 13975 Polo Trail Dr, Suite 201 ❑MASTERCARD ❑DISCOVER []VISA [:I AM.EXP. CODE <br /> Lake Forest, IL 60045 CARD NUMBER EXP.DATE <br /> RETURN SERVICE REQUESTED SIGNATURE PRINTED NAME <br /> 0006059477 0002877006 0000083600 3 030009 <br /> ADDRESSEE: REMIT TO: <br /> 11111/1111 I111111111u1111111111111111111111111111111e11111111 '1111e1e11111111111111111111111111111111111111'111111'1111111 <br /> MANTECA CARE&REHAB STERICYCLE, INC. <br /> ACCOUNTS PAYABLE P.O. BOX 79145 <br /> 410 EASTWOOD AVE <br /> MANTECA,CA 95336-3167 PHOENIX, AZ 85062-9145 <br /> ILIL11111eelIL111111111eJJ11111111111111L111LII1e111J111111! <br /> 31111-U742'1AR14J5G8000578 1AR14NESN:1.1 qR MleOp� q�p1�YI� IB <br />