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;ent by: GAMBRO 9498315035; 06/11 /2005 4:40AM; #686; Page 23/24 <br /> PAGE: I of 2 <br /> Steriayycle. Inc. <br /> � P.C . Box 7914504/30/2005 <br /> .----_... <br /> oe Ste11.1cytW�+1�"" Phoenix, AZ 85062-9'145 FtNV <br /> VOICE NU 00 323357 <br /> t7ICE NU ER0003233574 <br /> USTO R NUMBER 6018100 f <br /> px in CaMro1 sill W •q k <br /> 'P'F2C=YlOII&BALANCE $649.53 <br /> FOR CUSTOMER SERVICE TOTAL ADJUSTMENTS -$649.53 <br /> QAAliBFtO HEALTH CARE a STERt-CALL TOTAL NEW CHARGES $602.18 <br /> LAURA SimPsON 763-7022 <br /> 1S263 BAKE PARKWAY FOR PICK-Up INFORMATION I TOTI�1 BALANCE DUE <br /> IRVINE,CA 92618-2602WWV 800»MED-WASTE I By 06/30/2005 $602.18 <br /> g278 XI 111-U742111Kox4t 5000/729 <br /> vasa wa measured,or courded by a we'91-41101, ose signature <br /> W MAS R C1< k ICA hFs a tv certify that itxe foI deseritted c with seown 12700)of Division 6 of the <br /> is On ttib oerofcate,and who is a recognized autharky of accuracy,as Ixe$ by%r4 Sts'7(Cartofthe11-M tg <br /> Cbfllbrnie N3u3alr�es&tld Professions Code,edministerini by the{3lv�ioti of eu"e ;1;94erdasd8 aF the CeIllOmie£? rR of Food and Agricurtae. <br /> MAY 16 6�U5 <br /> ii RTIF KATION-The material listed on the manifest 00)details bek+w tinus M66061 v eta)has been treated in accordance with the rectuiremeni>a of federal,gFabe,and focal <br /> 'agulatiom g®variaingtha treatment of such walla,A copy of this oesffRoate,appl'ar>wbie nonftsts,and Oro opwominta bcm morin rernatn on fila with the company, . <br /> MANIVIRSTI CWANTITYf - : yl£ ARIce TOTAL <br /> DATE ORDr:R HUMMER COKTAINER6 bESCRi�TIt3H <br /> $649.53 <br /> €REVIOUS BALANCE B -$649.53 <br /> A JUS NTS 2 10 <br /> 05!0212005 Psyn*m 96 ,53 <br /> REMAINING PREWOUS $0.00 <br /> .:. $602.18 <br /> NEW CHARGES <br /> 3ftm OQ2' Oemt>ro Tloatth caro,ilbd 8 ieietrr$t;Pefdel{t 8swiesea Af«trraoa,CA 93e-9 <br /> zommodlry Medlaet blllrste;M19hedof Staricy0h.fnc.,09311 W$vv ltAmo.Frwsno, 9372Z'Ing or l�epuf�rVYafghtmsrtar <br /> t14104t2005 AAC FF=2DFY 1.00 Rsoyd Retarttion Fee 0.00 LS $5.250 EA 85.2 <br /> 5 MDFR002DFY 1.00 10 nimumPick-up£ee 0.00 LB $23.300 EA $23.30 <br /> 0410412005 MOFRO02DFY 2.00 44 Gal Tub(Blo);CT 121 lb 92.80 LB $0.470 LIS $43.62 <br /> 0 410 7120 0 5 M0ER002DY8 2.00 Record Ratention Fee 0.00 LH $5.250 EA $5.25 <br /> 000712006 M05RO02DYS 1;00 MWffvurvi Pick-up Fee 0.00 LE $15.550 EA $"L5.55 <br /> 04/07/2005 MDFR002DYB 2.00 44 GalTub(Bia),CT 12.7 lb 109.30 L8 $0.470 LB $51.37 <br /> 0411142005 MOF R002EA3 1.00 Tiar*t.*, 6.50 LH $0,1590 LB $4.48 <br /> 04!1112005 M0FR002EA3 1.00 ReterkiO4+Foe 0.00 IB $5,250 EA $5.25 <br /> 04/4172006 MOFR002EA3 1.00 wnitnomPiCk-up Fee 0.00 LB $24.230 to $24.23 <br /> 0411112005 MOFR002EA3 2.00 44(3alTub(Bip);OT 12.7 ib 91.30 LS $0.470 1A I $38.21 <br /> 04114r.005 MDFR002ESU 1.00 FacwdAe08t orkFOG 0.00 LE $5.250 RA $5.25 <br /> 04f14i2006 MDFRO02ESU 1.00 "nitnumpick-up Fee 0.00 LB $4.790 EA $4.79 <br /> PLEBE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br /> AMOUNT ENCLOSED TOTAL BALANCE DUE BY 05130*005 <br /> $602.15 <br /> CUSTOMER NUMBER INVOICE DATE INVOICE NUMBER <br /> �±* w �y pro®�y 6018100 04/30/2005 0003233574 <br /> 0 10k 7 b `{W .Lo#e e CHECk CAM U61ati1 POP PAYMENT <br /> Steric�YScle. Inc. SECUFtay <br /> F.®. COX 7914 rJ I otSCOV R VSn A.111IeANtxa COM <br /> Phoenix, AZ 85062-9145 EXP.WE <br /> RETURN SERVICE REQUESTED esaoalvu� YRIw, O».Ms <br /> 0006018100 DOD3233574 0000060216 3 030007 <br /> AODRESSEE: j 1g j g gg 11111111161114 <br /> y R ITTO: <br /> II lits Elltlill111111IItilltill 1111111111114 till IIItill$109111 IIt1tttFlt11111111161 1141AIItlifltlllStlr4llltllllllll <br /> GAMBRO HEALTH CARE STERICYCLE, INC. <br /> LAURA SIMPSON P.O. BOX 79145 <br /> 16253 SAKE PARKWAY PHOENIX, A2 85062.9145 <br /> IRVINE,CA 92618-2502 <br /> IIrIIItIII Lill 1.1111]111111JI11I11111IIl�lll�lllrrlll►1111111�®ll yam{ <br /> 3111 t.tft62`11KDX.Ii.lt300617?>? tN(ffiX9G9F8:1,2 � 010 <br />