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e <br />w <br />INVOICE e <br />DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 0FRIECECEIVED <br />JUN 13 2005 <br />f � � <br />Page No. 1 <br />CALIFORNIA MEDICAL DISPOSAL <br />INVOICE # 104793 <br />DATE 05/31/05 <br />P.O. Box 10250 <br />FRESNO, CA 93745qY <br />p � ,r�, � P � j <br />°""` <br />5 k�au <br />1-866-288-2634 <br />, fi <br />' <br />. <br />J <br />E SS <br />SERVICE <br />Memorial Hospital Assoc <br />Ave <br />West Ave <br />P.O. Box 942 <br />Accounts POYaWe <br />445 Eaton <br />Att : Accounts Payable <br />Tracy, CA 95376 <br />Modesto, CA 95353 <br />CUST.# 5509 PO# <br />TERMS <br />Net 30 day* <br />! - - - - - - - ®- - - <br />- - - - - - - - - - - - - - - - - - - - -'' -A <br />----- - - - - - <br />- <br />Description a <br />- - - - - - - - - - - <br />TARE WT NET WT/QTY <br />Unit Price Extension <br />- - - - - - -,- - - - - - - - - - - - - - - - - - - - - <br />- '- - - - - - - - - - - - - - - - - - - - - - - - - - - <br />- - - - -- -- - - - - - - - - - - - T "--I <br />PICK UPDATE 05-05-05 <br />MANIFEST #20427 <br />44 GALLON RED BAG BIO <br />15.4 21.7 <br />LBS .205 4.45e <br />44 GALLON RED BAG BIO, <br />15.4 17.1 <br />LBS .205 3.51 <br />4.45 <br />1 44 GALLON RED BAG'BIO, <br />15.4 21.7 <br />LBS .205 <br />PICK UP DATE 05-12-05 <br />1 <br />MANIFEST #20904 <br />44 GALLON RED BAG BIO <br />15.4 8.1 <br />LBS .205 1.66 <br />44 GALLON RED BAG BIO <br />15.4 14.7 <br />LBS .205 3.01 <br />1.91 <br />44 GALLQN RED BAG BI'0 <br />15.4 9.3 <br />7.0 <br />LBS .205 <br />LBS 1.44 <br />44 GALLON RED BAG BIO <br />15.4 <br />.205 <br />1 PICK UP DATE 05-19-05,' <br />MANIFEST #21362 <br />44 GALLON RED BAG BIO <br />15.4 9.7 <br />LBS .205 1.99 <br />44 GALLON RED BAG BIO <br />15.4 8.0 <br />LBS .205 1.64 <br />3.05 <br />44 GALLON RED BAG BIO <br />15.4 14.9 <br />LBS .205 <br />PICK UP DATE 05-26-05 <br />e <br />MANIFEST #21831 <br />44 GALLON'RED BAG BIO <br />15.4 9.7 <br />LBS .205 1.99 <br />44 GALLON RED BAG BIO <br />15.4 6.5 <br />LBS .205 1.33 <br />2.32 / <br />44 GALLON RED BAG BIO <br />15.4 11.3 <br />LBS .205 <br />MINIMUM SERVICE FEE <br />.0 4.0 <br />EACH 25.000 100.00 <br />Red Bag/Bio waste less <br />than contract amount <br />2.3% FUEL SURCHARGE <br />.0 1.0 <br />EACH 3.050 3.05 <br />WEIGH MASTER CERTIFICATE .0 1.0 <br />EACH .000 .00 <br />This is to verify that the <br />following described commodity was weighed, <br />measured, or counted by a weighmaster, whose signature is'on this <br />accuracy, by <br />certificate, who is a recognized authority of as prescribed <br />Division 5 of the California <br />Chapter 7 (commencing with Section 12700) of <br />Professions Code, administered by the Division of Measurement <br />Business and <br />Standards of the California Department of Food and <br />Agriculture. Principle <br />Weigh Master: Central Valley Medical Disposal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 <br />E Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / <br />Unit of Measure: Pounds <br />DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 0FRIECECEIVED <br />JUN 13 2005 <br />f � � <br />