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e <br />INVOICE , <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL INVOICE # 104307 <br />P.O. Box 10250 DATE 03/31/05 e <br />FRESNO, CA 93745 <br />1-866-288-2634 <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 />---------------------------------------------------------------------------------- <br />Brumley, Jr. -Address: 4100 E Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / Unit of Measure: Pounds <br />DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 .00 <br />This is to certify that the above described medical waste was treated in <br />accordance with the requirements.of Federal, State and'Local regulations <br />governing the treatment of medical waste. A copy of this certificate,. <br />tracking documents, and treatment logs,are on file. The above invoice <br />number serves as your certifcation of destruction number. <br />APh 20 2005 <br />PLEASE <br />AND COD <br />y <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 />