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® Stericycle, Inc. PAGE: 2 of, 2 <br /> 75 Polo Trail Dr, Suite 201 oICE <br /> ni Steri c' ® Forest, IL 60045 DATE 09/30J2004 <br /> ru ® DICE NUMBER 0002986444 <br /> o CUSTOMIER PNMBEFa 605035¢ <br /> w Experts in Infection Control and Healthcare Compliance Services 1I�VaCE A Q(jN ;®uE <br /> O <br /> ® BY.1 <br /> 0130 004 <br /> 217 90. <br /> C3 FOR CUSTOMER SERVICE <br /> w GAMBRO HEALTH CARE-SAN JOAQUIN 866-STERI-CALL CURRENT - $2,217.90 <br /> ACCOUNTS PAYABLE 866-783-7422 1-30 DAYS 60Ir <br /> .00.; <br /> 0 115 COLUMBIA 31-60 DAYS:,.:. $0.00.. <br /> ALISO VIEJO,CA 92656-1458 FOR PICK-UP INFORMATION <br /> C3 61-90 DAYS $0.00;; <br /> ru 800-MED-WASTE <br /> Boo-s33-9278 OVER 90 DAYS >60x00 <br /> 31111-U742"1CM0X4TCV002352 612610A <br /> MANIFEST/ QUANTITY/ <br /> DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL <br /> 09/30/2004 MDRC002WE2 1.,00 Energy Charge 0.00 LB $2.750 EA $2.75. <br /> 09/30/2004 MDRC002WE2 3.00 90 Gat Tub(Bio)CT 27.2 LB 403.60 LB $0.517 LB $208.66 <br /> Site 001:SUB TOTAL $2,217.90 <br /> Site 001:TAX TOTAL $0.00 <br /> Site 001: TOTAL $2,217.90 <br /> INVOICE AMOUNT®UE BY 10/30/2004 $2,217.90 <br /> I- <br /> V 0 U C H E R # <br /> ENTER 1)"ATE <br /> 31111-U742'1 CMOX4TCV002352 1CMOX9210:2.2 1 llBN161111111111MIN1NII1 UW1MN11 11111 <br />