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Page: 1 of 1 <br /> Stericyclee a qP <br /> Manteca Care & Rehab <br /> Experts in Infection Control and Healthcare Compliance Services Accounts Payable <br /> 9188 Glenoaks Blvd,Suite 300 410 Eastwood Ave <br /> Sun Valley CA 91352 Manteca CA 95336-3167 <br /> FOR CUSTOMER FOR PICK-UP INVOICE DATE INVOICE NUMBER CUSTOMER NUMBER TERMS <br /> SERVICE INFORMATION <br /> CALL 800-953-9324 CALL 800-953-9324 06/01/2004 0002796001 6059477 Net 30 Days <br /> OESCI�IR rlbN VV£1GHT(LSj PRICE tJltvl 7©7 AL <br /> -3167 <br /> v FACILITYM ed commodity was weighed,measured or counted by a weighmaster,whose signature is on this certificate, <br /> y mmencing with Section 12700)of Division 5 of the California Business and Professions Code, <br /> a INVOICE Department of Food and Agriculture. <br /> c GUMONTH ® s,Fresno,CA 93722 Terry Shain Deputy Weighmaster <br /> ACCT# AMOUNT <br /> C ab Bio CT 12.7 lb 0.00 0.000 EA 0.00 <br /> C 2• -e Standard-Monthly 0.00 825.000 EA 825.00 <br /> C -uel Charge 0,00 7.000 EA 7.00 <br /> 1 SITE-SUBTOTAL-AMT: $832.00 <br /> SITE-TOTAL-TAX: $0.00 <br /> SITE-TOTAL-AMT: $832.00 <br /> TOTAL i Z <br /> APPROVAL I i <br /> t <br /> Currertif 13t);Days 3f 6f1 Oaya S1 X30 I)3ys Muer 9CG bars <br /> 1,664 00 0.00 0.00 0.00 0.00 INVOICE TOTAL: $832.00 <br /> IItEE.rfi$A(3E;GENTE.. ;: <br /> CERTIFICATION: THE MATERIAL LISTED ON THE MANIFEST #'(S) DETAILED ABOVE (INFECTIOUS MEDICAL WASTE) HAS BEEN TREATED IN ACCORDANCE <br /> WITH THE REQUIREMENTS OF FEDERAL, STATE, AND LOCAL REGULATIONS GOVERNING THE TREATMENT OF SUCH WASTE. A COPY OF THIS <br /> CERTIFICATE,APPLICABLE MANIFESTS,AND THE APPROPRIATE LOGS WILL REMAIN ON FILE WITH THE COMPANY. <br /> STE073 STE001 STE00102ATP 00000505 i 00000516 DETACH AT PERFORATION AND RETURN BOTTOM PORTION WITH YOUR PAYMENT <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> ❑ American Express ❑ VISA ❑ MasterCard ❑ Discover <br /> 04 Esparta in Credit Card Account Number Expiration Date Infe 'on Control and healthcare Compliance Services P <br /> 110 <br /> so Signature <br /> 9188 Glenoaks Blvd,Suite 300 <br /> Sun Valley CA 91352 <br /> 0006059477 0002796001 0000083200 3 030000 <br /> fr' Please write Amount Paid below <br /> 'elenleluelloeelleellneelleenllellnlneleoellllenellnl PLEASE STERICYCLE INC <br /> Manteca Care & Rehab SEND PO BOX 79145 <br /> Accounts Payable PAYMENT <br /> 410 Eastwood Ave TO PHOENIX AZ 85062-9145 <br /> Manteca CA 95336-3167 lleeleelelelleemellnealelleluenllelnleleluleelel[Ill gill 1 <br /> 00000505 38 8278 <br /> Invoice Customer Date: Invoice Amount <br /> Number: 0002796001 Number: 6059477 06/01/2004 1 Amount: $832.00 1 Paid- $ <br />