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1 <br />I <br />e <br />1 <br />INVOICE- <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL , 'INVOICE # 104307 <br />P.O. Box 10250 DATE 03/31/05 <br />FRESNO, CA 93745 <br />1-8.66-288-2634 <br />SERVICE ADDRESS <br />Memorial Hospital Assoc Sutter Tracy Eaton Ave <br />P.O. Box 942, 445 West Eaton -Ave <br />Att: Accounts Payable <br />Modesto, CA 95353 , Tracy, CA 95376 <br />CUST.# 5509 PO# TERMS Net 30 days <br />Description TARE WT NET WT/QTY Unit Price Extension <br />Brumley, Jr. Address: 4100 E Therese, Fresno, CA 93725 <br />' Commodity: Medical Waste / Unit of Measure: Pounds <br />DOCUMENT OF DESTRbCTION .0 1..0 EACH .00.0 .00 <br />.This is to certify.that the above described medical waste was treted in <br />accordance with the requirements of Federal, State and Local regu ations <br />governing the treatment of medical waste. A copy of this certificate, <br />tracking documents, and treatment logs are on. file. The -above inq�oice <br />number serves as your certifcation'of destruction numbev. <br />APR. 2 C 2005 <br />PLEASE uIG <br />AND CODE <br />-------------------------------------------------------------------------------- <br />WASTE STREAM - IN POUNDS SALES TAX .00 <br />Chemo .0 Pharm .0 <br />Pathology .0 Sharps .0 TOTAL BILLING 164.52 <br />Red Bag/Bio 192.7 <br />