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icycle, Inc. <br /> PAGE: 1 of 2 <br /> 00 075 Polo Trail Dr, Suite 201 <br /> ni000 Stericycleo Lake Forest, IL 60045 INVOICE DATE 03./31%2005 <br /> W 0 INVOICE NUMBER 0003204971, <br /> 0 <br /> rU <br /> Da CUSTOMER NUMBER 6050356 <br /> Experts in Infection Control and Healthcare Compliance Services <br /> C3 PREVIOUS BALANCE $10,619.61 <br /> ® FOR CUSTOMER SERVICE TOTAL ADJUSTMENTS $8,26719 <br /> GAMBRO HEALTH CARE-SAN JOAQUIN OM 666-STERI-CALL TOTAL NEW CHARGES $2,49.99 <br /> In ACCOUNTS PAYABLE ON 866-783-7422 <br /> C3 15253 BAKE PKWY <br /> C3 IRVINE,CA 92618-2502 APR 1. 8 2005 FOR PICK-UP INFORMATION TOTAL BALANCE DUE <br /> 800-MED-WASTE BY 0 413 0/2 00 5 $4,792.41 <br /> 800-633-9278 612610A <br /> 31111-0742.1 HSONIPMF001691 <br /> WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature <br /> is on this certificate,and who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the <br /> California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> YOUR ACCOUNT REFLECTS A BALANCE 30 DAYS PAST DUE <br /> CERTIFICATION:The material listed on the manifest#(s)details below(infectious medical waste)has been treated in accordance with the requirements of federal,state,and local <br /> regulations governing the treatment of such waste.A copy of this certificate,applicable manifests,and the appropriate logs will remain on file with the company. <br /> MANIFEST/ QUANTITY/ <br /> DATE ORDER NUMBER CONTAINERS DESCRIPTION WEIGHT PRICE TOTAL <br /> PREVIOUS BALANCE $10,619.61 <br /> ADJUSTMENTS -$8,267.19 <br /> 03/09/2005 Payment -$2,619.85 <br /> 03/09/2005 Payment -$2,731.08 <br /> 03/09/2005 Payment -$2,916.26 <br /> REMAINING PREVIOUS BALANCE $2,352.42 <br /> NEW CHARGES $2,439.99 <br /> Site 001: Gambro Health Care,3115 W March Ln,Stockton,CA 85219 <br /> Commodity Medical Waste;Weighed at Stericycle,Inc.,1345 Doolittle Dr Ste C,San Leandro,CA 94577. Tom Sta,berger,Deputy Weightmaster <br /> 03/03/2005 MDRC003BZQ 6.00 90 Gal Tub(Bio)CT 27.2 LB 533.00 LB $0.517 LB $275.56 <br /> 03/03/2005 MDRC003BZQ 1.00 Energy Charge 0,00 LB $4.000 EA $4.00 <br /> 03/07/2005 MDRC003CBB 5.00 90 Gal Tub(Bio)CT 27.2 LB 533.40 LB $0.517 LS $275.77 <br /> 03/07/2005 MDRC003C8B 1.00 Energy Charge 0.00 LB $4.000 EA $4.00 <br /> 03/10/2005 MDRC003CNE 6.00 90 Gal Tub(Bio)CT 27.2 LB 493.10 LB $0.517 LB $254.93 <br /> 03/10/2005 MDRC003CNE 1.00 Energy Charge 0.00 LB $4.000 EA $4.00 <br /> 03/14/2005 MDRC003CW 6.00 90 Gal Tub(Bio)CT 27.2 LB 546.50 LB $0.517 LB $282.54 <br /> 03/14/2005 MDRC003CW 1.00 Energy Charge 0.00 LB $4.000 EA $4.00 <br /> 03/17/2005 MDRC003DBC 6.00 90 GalTub(Blo)CT 27.2 LB 564.90 LB $0.517 LB $292.05 <br /> 03/17/2005 MDRC003DBC 1.00 Energy.Charge 0.00 LB $4.000 EA $4.00 <br /> PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />