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18:20 _TUN 07, 2005 TEL NO: 8181 #66173 PAGE: 212 Stericycle, Inc. 9 PAGE 2 of 9 13975 Polo Trail Dr, Suite 201 ? b Lake Forest, IL 60045 INVOICE DATE INVOICE NUMBER x_031635.1 CUSTOMER NUMBER 610121)3 Experts in Infection Cantral and Healthcare Compliance Services PREVIOUS BALANCE ' ;1,_3J 4•; FOR CUSTOMER SERVICE TOTAL ADJUSTMENTS 5 c6 61 GAMBRO HEALTH CARE 555-STERI-GALL TOTAL NEW CHARGES 857 LAURA SIMPSON 566-783-7422 I 15253 BAKE PARKWAY IRVINE,CA 92618-2502 FOR PICK-UP INFORMATION TOTAL AMOUNT DUE Boo-MED-WASTE BY 0313012005 51,34,1.15 800-533-9278 31111-0742'1 G U 0L I G86003166 MANIFEST/ QUANTITY,' DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL 02/141)2005 MDFR0027RA _.o0 44 Gal Tub(Bio),CT 12.7 1b 100.30 LE $0.4?0 La $47.13 02/1712005 MDFRJ02890 1.00 Record Retention Fee 0.00 LB $5.250 EA ;.5.25 02117/2C,05 MDFR002890 1.00 Minimum Pick-up Fee 0.00 LB ;.15.810 EA $16.81 0211712065 MDFR002890 1.00 1 '.., h 1)n,}f43 F rot 7.S�) LB $,-^10 LE ,1)5.32 6211712005 MDFR002890 1.0i" 44 Gal Tub{Bio),CT 12.7 Ib 95.'so LB $6.4-10 LE $44.75 02/21;2065 MDFR0028KQ 1.00 Record Retention Fee 0.00 LE $5.250 EA $ .2S 02/21/2665 MDFR0028KQ 1.Oc Minimum Pick-up Fee 0.00 LE ,.17.240 EA k,17.24 62121!2005 MDFR0028KQ 3.00 44 Gal Tub(Bio),CT 12.7 lb 105.70 LE $0,470 LE $49.68 02124f2005 MDFR00292VV 1.00 Record Retention Fee 0.00 LE $5.250 EA 02/2412005 MDFR01J292W 1.00 Minimum Pick-up Fee 0.0n LB -,19.310 EA 519.31 6212412665 MDFR00292W _. 44 Gal Tub;'Sio),CT 12.7 1b 101.30 LE $0.470 LE $47.51 02/282005 MDFR0029EI 1.00 Record Retention Fee 0.00 LB $S.2s0 EA 02/28,'2065 MDFR0029EI 1.,-0 Minimum Pick-up Fee 0.00 La $�..s0r, EA 0212812005 MDFR0029EI -._1 44 Gal Tub{Bio),CT 12.7 lb 12-,. )0 L6 $0.470 LH $112.02 Site 002:SUB TOTAL $577.36 Site 002:TAX TOTAL $0.00 Site 002: TOTAL $577.36 TOTAL AMOUNT DUE BY 03/3012005 $1,340-15 31111_u742'1GU9uG85003'56 1,3U0LN27, *4 1111111111111111111oil Ifll11111111IIIIIMull!!