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i <br />INVOICE <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL 'INVOICE # 104305 <br />P.O. Box 10250 DATE 03/31/05 <br />FRESNO; CA 93745 <br />1-8.66-288-2634 <br />SERVICE ADDRESS <br />Memorial, Hosp Assoc Sutter Tracy Diag'Imaging <br />P.O. Box 942, 1530 North Bessie Ave <br />Att: Accounts Payable Suite 108-109 <br />Modesto, CA 95353 ; Tracy, CA 95376 <br />CUST A 5510 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 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 dert,ificate, <br />tracking documents, and treatment logs are on file. The. above inoice <br />number serves as your certifcation'of destruction number . <br />ai i d €# lut}J <br />WASTE STREAM - IN POUNDS SALES TAX 00 <br />Chemo .0 Pharm .0 <br />Pathology .0 Sharps 9.7 TOTAL BILLING 129.51 <br />Red Bag/Bio 12.3 <br />