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Page: 1 of 1 <br /> Stericycle° 0 9 <br /> 0• Sunbridge Manteca• Experts in Infection Control and Healthcare Compliance Services Tabatha <br /> 9188 Glenoaks Blvd,Suite 300 410 Eastwood Ave <br /> Sun Valley CA 91352 INVOICE, <br /> MantecaCA 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 12/31/2003 0002598554 6018848 Net 30 Days <br /> MANIFEST <br /> DATE QTY pESCRER F[SJN WEIGHT(LB) PRICE tJ/M TOTAL, <br /> NUMBER <br /> Site: 002 Sunbridge Manteca <br /> 410 Eastwood Ave, Manteca, CA 95336-3167 <br /> WEIGHMASTER CERTIFICATE:This is to certify that the following described commodity was weighed,measured or counted by a weighmaster,whose signature is on this certificate, <br /> who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, <br /> administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> Commodity:Medical Waste;Weighed at:Stericycle,Inc.,4135 W Swift Ave,Fresno,CA 93722 Terry Shain Deputy Weighmaster <br /> 12/15/2003 MDFROOOSXG 1.00 44 Gal Tub(Bio), CT 12.7 lb 0.00 0.000 EA 0.00 <br /> 12/22/2003 MDFROOOTS7 1.00 44 Gal Tub(Bio), CT 12.7 lb 33.40 0.000 EA 0.00 <br /> 12/30/2003 MDFROOOUN3 1.00 44 Gal Tub(Bio), CT 12.7 lb 9.40 0.000 EA 0.00 <br /> SITE-SUBTOTAL-AMT: $0.00 <br /> SITE-TOTAL-TAX: $0.00 <br /> SITE-TOTAL-AMT: $0.00 <br /> Curteitf 130 Days 3i-60 Days Sy 90 nays Over 90 Days <br /> 711.941 711.94 0.00 0.00 0.00 <br /> INVOICE TOTAL: $0.00 <br /> MESSAGE CENTER <br /> THANK YOU FOR KEEPING YOUR ACCOUNT CURRENT. <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 STE00102.RTP 00002922 1 0000329) DETACH AT PERFORATION AND RETURN BOTTOM PORTION WITH YOUR PAYMENT <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' - <br /> ❑ American Express ❑ VISA ❑ MasterCard ❑ Discover <br /> • Stericycle® <br /> �• •• Experts in Infection Control and Healthcare Compliance Services Credit Card Account Number Expiration Date <br /> Signature <br /> • 9188 Glenoaks Blvd,Suite 300 <br /> Sun Valley CA 91352 <br /> 0006018848 0002598554 0000000000 3 030005 <br /> REMITTANCI= Please write Amount Paid below <br /> Il�l���l�l�nll�nllullunll����ll�ll��l�nlu�llll�n�ll��l Q PLEASE STERICYCLE INC <br /> Sunbridge Manteca SEND PO BOX 79145 <br /> Tabatha PAYMENT <br /> 410 Eastwood Ave To PHOENIX AZ 85062-9145 <br /> Manteca CA 95336-3167 <br /> 00002922 47 9913 <br /> Invoice Customer Date: Invoice 00 Amount <br /> Number: 0002598554 Number: 6018848 12/31/2003 Amount: $( <br /> Paid: $ <br />