Laserfiche WebLink
:int by: GAMBRO 9498315035; 06/11 /2005 4:39AM; #686; Page 18,`24 <br /> ¢ cle, Inc. PAGE: 2 of 2 <br /> Steric <br /> y ---- .__ <br /> 0 13975 Polo Trail Dr, Suste 201 <br /> 400.0 S7rericycle- Lake Forest, IL 60045 INVOICE DATE 11/30/2004 <br /> � INVOICE NUMBER 0003057630 <br /> CUSTOMER NUMBER 6018100 1 <br /> Ex{aerts lA Inre�tlorf Caeelral and ieoalWoare CorrgalFAnca>Seirvltos <br /> PREVIOUS BALANCE $589.64 <br /> FOR CU8oTOMCK SERVICE TOTALADJUSTMENTS $0.00 <br /> GAMBRO HEALTH CARE 3TEFt1 CAL[ 'TOTAL NEW CHARGES $669.95 <br /> LAURA SIMPSON 8(iE3.7b3 7�2Z <br /> 15253 BAKE PARKWAY <br /> IRVINE,CA 92618-2502 FOR PICK-UP INFORMATION TOTAL AMOUNT DUE <br /> qpmW Wo-MED-WASTE 8Y 12/30/2004 $1,259.59 <br /> 31111 U742'1E611US63003348 atlnn <br /> iAAN1PE8T1 CIUANTITYI .�...�....a...... ,.�..,T.�,rMW•�._V... <br /> DATE ORDER NUM6ER CONTAINER$ D"CRIP'FM wElemT PRICE TOTA€. <br /> 1$11517004 M?FROD1X10 2.00 44 Gal Tub(fiio).CT 12 1 R1 111.80 LS S0,470 im $53,49 <br /> 11/182004 MDFROOIXOD 1,00 Record Reient)on Fee 0.00 LH $5.250 EA $5.25 <br /> 11118/2004 MC1C RWIXOI0 1,00 Wirhum Pick-up Feb 0.00 LII $1.920 EA $1.92 <br /> 1111ORD04 MDFR001XOD 2100 44 GalT*Si4),CT 12.7 lb 138.30 LD $0.470 LII $65,00 <br /> 11122(2004 MDFR(MXWI 1.0D RectxdRetention Fee 0.00 LD $5,250 FA $5.25 <br /> 91!2212904 MDFRD0IXWI 3,00 44 Gel'TkAX15i7),CT 12.71b 163.70 is $t),47() I's $76.94 <br /> 1172&2004 K)FR001M x.00 Record Retention Fee 0..00 LE $5.250 EA S,`..25 <br /> 11126/2004 MDFR901YJC 1.00 Minimum Pick-up Fee 0.00 LH $3.650 £A S3.6S <br /> 1112€312004 MDPR001Y,3C 1,00 47 GetTub(6io).CT 12.7 ib $34.20 LH $0.470 LB $63,07 <br /> 11129!22904 M0FR001Y()) .00 R610rdRetefftoFee 0.00 LIB $5.250 BA $5.2 <br /> 112$/2004 MDFR001YUT 1.00 MnOnurn Pickup Fee 0.00 LH $33.360 EA 533.36 <br /> 11O W2004 MDFRO0IYUT 1.00 44091TUb(8io),CT12.7lb 71,40 LD $0.470 LE $33.56 <br /> S/!®002.,SUB TOTA! 5664.95 <br /> Sita 002:TAX TOTAL <br /> SYM002: TOTAL <br /> TOUL AMOUNTOUE BY 1213W2004 <br /> 1 <br /> _ 4w <br /> 31111-u742.1E51IU3630O US Ies1+z11zt+:4.4 I 1M �! <br />