Laserfiche WebLink
®Stericycle, Inc. <br />60 P.O. Box 9001589 <br />090 Ste[ kyle a Louisville, KY 40290-1589 <br />6166 <br />Experts in Infection Control and Healthcare Compliance Services <br />ON <br />Billing & Payment Information: <br />(877) 245-5360, Option 1 <br />0101 SUTTER GOULD MED FOUNDTN ,1-11 Schedule & Pickup Information: <br />ENGINEERING <br />600 COFFEE ROAD (877) 245-5360, Option 2 <br />MODESTO, CA 95355-4276 on <br />For Customer Service: <br />(866) STERICALL <br />(866) 783-7422 <br />PAGE: 1 of 2 <br />INVOICE DATE <br />01/31/2007 <br />INVOICE NUMBER <br />0003892400 <br />CUSTOMER NUMBER <br />6070300 <br />PREVIOUS BALANCE <br />$202.35 <br />TOTAL ADJUSTMENTS <br />$0.00 <br />TOTAL NEW CHARGES <br />$300.16 <br />TOTAL BALANCE DUE <br />BY 03/02/2007 <br />$502.51 <br />31111-117d9•Tor r)ktncnktnnnnon 612610A <br />WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature <br />is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE <br />CERTIFICATION: The material listed on the manifest #(s) details below (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local <br />regulations governing the treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company. <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT <br />PREVIOUS BALANCE <br />CURRENT ADJUSTMENTS <br />NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) <br />TOTAL BALANCE DUE BY 03/0212007 <br />• <br />® <br />TOTAL BALANCE DUE BY 03/02/2007 <br />$ <br />Stericycle <br />® <br />Stericycle, Inc. <br />INVOICE NUMBER <br />P.O. Box 9001589 <br />01/31/2007 <br />Louisville, KY 40290-1589 <br />$202.35 <br />$0.00 <br />$300.16 <br />$502.51 <br />FES 14 2007 <br />PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />r1 If account information has changed please check <br />" box and fill out back portion of coupon <br />AMOUNT ENCLOSED <br />TOTAL BALANCE DUE BY 03/02/2007 <br />$ <br />$502.51 <br />CUSTOMER NUMBER <br />INVOICE DATE <br />INVOICE NUMBER <br />6070300 <br />01/31/2007 <br />0003892400 <br />ygp• DPR <br />CHECK CARD USING FOR PAYMENT <br />SECURITY <br />El 1:1 El El <br />MASTERCARD DISCOVER VISA AMERICAN EXP <br />CODE <br />CARD NUMBER <br />EXP. DATE <br />SIGNATURE <br />PRINTED NAME <br />1006070300 0003892400 11111 11 0300C <br />ADDRESSEE: <br />IIIItIlI111IIIlIIIIIIIIIlI11IIlIlII11IIlII11IIIIIIIIIIIIII <br />SUTTER GOULD MED FOUNDTN <br />ENGINEERING <br />600 COFFEE ROAD <br />MODESTO, CA 95355-4276 <br />IIII II I IIIII I IIlIIIIII III11f1IIIl Il I1IIIIIIIIIIIIIIItIIIIIItI I <br />31111-U742'TOGONQSQN000098 U742NSW 20G0NSFBD:1.1 <br />REMIT TO: <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />STERICYCLE, INC. <br />P.O. BOX 9001589 <br />LOUISVILLE, KY 40290-1589 <br />