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atericycle, Inc. so O. Box 9001589 StericyCCe a ouisville, KY 40290-1589 Dole PAGE: 1 of 2 Experts in Infection Control and Healthcare Compliance Services 00 INVOICE NUMBER 0003869563 �Billing M CUSTOMER NUMBER 6070300 - & Payment Information: (877) 245-5360, Option 1 0101 SUTTER GOULD MED FOUNDTN7i; 12/31/2006 Schedule & Pickup Information: ENGINEERING CHECK CARD USING FOR PAYMENT (877) 245-5360, Option 2 600 COFFEE ROAD I MASTERCARD DISCOVER VISA AMERICAN EXP. MODESTO, CA 95355-4276 For Customer Service: EXP. DATE (866) STERICALL PRINTED NAME (866) 783-7422 PAGE: 1 of 2 31111-U742'1ZM161YHA000075 612610A WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. CERTIFICATION: The material listed on the manifest #(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local regulations governing the treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company. ACCOUNT SUMMARY DESCRIPTION DATE AMOUNT PREVIOUS BALANCE CURRENT ADJUSTMENTS NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) TOTAL BALANCE DUE BY 01/30/2007 • 00 INVOICE DATE 12/31/2006 00 INVOICE NUMBER 0003869563 ®i CUSTOMER NUMBER 6070300 - PREVIOUS BALANCE $229.40 6070300 TOTAL ADJUSTMENTS ($229.40) 12/31/2006 TOTAL NEW CHARGES $202.35 TOTAL BALANCE DUE CHECK CARD USING FOR PAYMENT BY 01130/2007 $202.35 31111-U742'1ZM161YHA000075 612610A WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. CERTIFICATION: The material listed on the manifest #(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local regulations governing the treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company. ACCOUNT SUMMARY DESCRIPTION DATE AMOUNT PREVIOUS BALANCE CURRENT ADJUSTMENTS NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) TOTAL BALANCE DUE BY 01/30/2007 • 00 TOTAL BALANCE DUE BY 01/30/2007 00 Stericycie ®i Stericycle, Inc. - P.O. Box 9001589 6070300 Louisville, KY 40290-1589 Payment-Ref#833023 01/04/2007 ($229.40) $229.40 ($229.40) $202.35 $202.35 �11 PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE. r7 If account information has changed please check " box and fill out back portion of coupon AMOUNT ENCLOSED TOTAL BALANCE DUE BY 01/30/2007 $ $202.35 CUSTOMER NUMBER INVOICE DATE INVOICE NUMBER 6070300 12/31/2006 0003869563 ysp•ME CHECK CARD USING FOR PAYMENT SECURITY El 13 E I: I MASTERCARD DISCOVER VISA AMERICAN EXP. CODE CARD NUMBER EXP. DATE SIGNATURE PRINTED NAME 111_1 1 11 0003869563 0000020235 1 111 ADDRESSEE: tintilintiinitiuitiuiuinitiinlitiiniinliiutliu SUTTER GOULD MED FOUNDTN ENGINEERING 600 COFFEE ROAD MODESTO, CA 95355-4276 11.11 .. Ill. IILJIILIIttitIll. itittiiltti1Litiiitii.1.1.11 31111-U742'1ZM161YHA000075 U742NSW 1ZM16JXJM:1.1 REMIT TO: itiuiiinutitiitiniiurtniititilittititinittititintiliti STERICYCLE, INC. P.O. BOX 9001589 LOUISVILLE, KY 40290-1589 � 111111 ill IIIIIIII �� 1111 1111/ li nlllll Ilill �� I /ill II81 Ili/ IIS VIII lli SII