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rent by: GAMBRO 9498315035; 06/11 !2005 4:40AM; #686; Page 21 /24 j
<br /> •
<br /> Steric Ole, (rlc.
<br /> Stericycle-, 13975 Polo Trail dr,:Suite 2131 '.
<br /> Lake Forest. ii. 60045 PAGE: 1
<br /> INVOICE DATE
<br /> 1 11"l In than Co,ftrotINVOICE NUMBER
<br /> ,na Heamtoob t , CUSTOMER NUMBER �
<br /> ivom
<br /> INVOICE AMOUNT bUE
<br /> GAMBRO WEALTH CARE POR CU B'l OMLR SI.RVJCL ; By()8/30/2004
<br /> LAURA SIMPSON 866-STERt�ALR � -_.�$ ,� w�
<br /> 115 COLUMBIA CURRENT
<br /> ALISO Vlejo, CA 92656-1458 808-783:7422. 1-30 DAYS $1,008.5,
<br /> FOlt PFCP-UP dNFRRMA-rjoN ! '31-60 DAYS $O.of
<br /> 804-MITI-WASTE ! 61.90 LAYS $0-0C
<br /> 8 •d33 9279 j, OVER 80 DAY$ $O.OG
<br /> -� WE4GHMA8TER CERT tFICg1"E: TMs is to Cet1i $0.LtQ
<br /> is an U9�tertldfcaale,,nq fY 94th,htftowing�Scr6 Ooh1 31111-U742'1AYOVY68P0 i
<br /> wtto is a sescognizvtl aflthOrity tlf imcCtvac rruadity VMS vM19hed:measctrad,or-
<br /> and
<br /> r count,si �3 7,7 t
<br /> C,Itfcrmfs Bfa mass and PrDfeasktnS Code, Y.as pr,scr' byChePtesr 7 'u_re
<br /> ®drrtinisterocl b tot, {Comm9ne by a W,rgtlmaater,whose signaEurg
<br /> Y l5ivtskm of 43trerrwnt Standards ant gecfiOn 12700)of Division 5 of the
<br /> the Cauforri Deperlma»t Of Food anti Agriculhxe.
<br /> t 5 at}
<br /> ENTER DATL"..
<br /> 8guia DCA ovsr The co terie!listed 0n the rnanira8t ONE)raguls go„�a niffg tfie Ireat»tent of such wean,.p ( )details below(infactious rrq
<br /> copy of the dieat v✓Ste)hat been Ina lad in atcef nce with tti,
<br /> stANJft3T/ tftfcate.appiimbla frwilifeats,and the -tulrements of fed,��f,state.®rxi local
<br /> OATE •ORDER Ntd&tSER QUANTITY/ Of�oP+'f,10 1099 will r,main On fNe
<br /> COWAit/L-Rs DESCRSPT w4h the company_
<br /> 3lre 002: 0e0;bm tfsslth
<br /> �
<br /> 3 Main , enYeoawErGarars,9756 3t,P•rt. r SaMPRICE
<br /> CA pl3
<br /> TOTAL
<br /> 204 4J9hetat ST®rfaylr,tt¢.; tf95WwffAw .C*enrmvfJtydefc�fAMaffaFR$009-29 rvanp� AJYpg
<br /> �
<br /> fwtyyStaafn
<br /> 07101/2004 "OFRO01H29 1.00 Am-rd Re10ntiO t Fee +�tgvuty yyrgfghnrgatN
<br /> 0Yd02rZp04 3.00 44 GI Tub(&6o),CT 17,7 Ib 0.00 L8
<br /> 8908782 $5.250 �
<br /> 07/02/2004 1.00 :"'- �.� 162,20 20 LB 55.25
<br /> !3909782 `..%. $0.470 LB
<br /> 01/08/20(X 1.00 Prod 819 Ctr 8h 0.oo Le S76,23
<br /> gy 823s.95
<br /> MDFR009HD1 hef+i H6f9rf�irf� $2
<br /> 07/og!2004 2.00 Recoil Retention F 0.00 La
<br /> MOPRo01N01 $23-000 EA47>r}$/20 3,o0 44 gal Tub(Sib),CT 12.7 db 0.00 LB S23.oo
<br /> 07 MaPR0o91,tvL SS-250 � $5.25
<br /> MDFR0o9HVE 1.00 Record Re lot iort Fee 189.20 J'a
<br /> $0.47() LB $88.92
<br /> 07 MC+FR001HVE 1.00 AAif9lmuPtt Pfck.up Fee 0.00 LB $5.2sa &A $5 07!12x2004 2,00 44 GalTub(9ib),CT 17.7 lb 0.00 LB $5.25
<br /> MI)FR009t8H $23.120 Ep
<br /> 07!12120CP4 1.00 Rer:ord Potention F 93-20 LB S23-12
<br /> 0719 MDFR00118H 3.o0 40.470 L8 $43.(40
<br /> MDFR001dOZ 44 Gal Tub(Sks),CT 12.7 db 0.00 LB $5.250 EA
<br /> t�7t'1$/2004 1,00 ROOW Refentkm Foe 40.470 LH 169.00 LB $5,2S
<br /> d37la12004 AA1:3FR001JFJ61 MDFR0o91CZ 1.00 44 Gal Titts(ft):C;12.7 lb 0.00 La
<br /> $5.250 FA $79,4-3
<br /> 07119/700q AADFR0o1J 1 O0 ReCordR3tentionFee 153.20 L-g $5.25
<br /> 07/1a/20Qq � 1.00 $o.a7C L8
<br /> M©F€too1JOJ Mlisn Pick-up Feb 0.00 LB $"72.00
<br /> 2.00 44 t3ai Tctb(B;oJ,CT 12.7)b 0.00 L2 $5.250 EA S5.25
<br /> $32,690 EA $32.89
<br /> IPLEASE DETACH AND RETURN
<br /> 72.40 LB $0.4-/O LB
<br /> Sf777L1M
<br /> PORTION WITH Y $34.03
<br /> OUR PAYMENT IN THE ENCLOSr')ENVELOPE
<br />
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