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03 5 5 p MHLLE11 559 �l� U;33'7 ►a.'�'
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<br /> 1'his Service Agreement(-Agrt�m rntr�nd steered into
<br /> IaS Of
<br /> nc C's �c�),a bclijwarc C.nrpv itlt Land beCw�en Vital Links F3oml=kiP tlttt
<br /> Care C'Cust ")
<br /> Se ilicte Address Billing Addrk;s°,;(if Oittfcrent)
<br /> 7743 NorUt W¢st tan£ Addrv_,s: SAMI=_—-- ---- —• —
<br /> Address:
<br /> City f StatC fPip: —r...,..
<br /> OtylstatelXrp. Stnckt'arl,DCA 95201
<br /> ' .... ...—_�.,
<br /> Fax: ,
<br /> ——.—
<br /> pRctne: (z09}9'iG 81317 fax: (2o9)956-£,137 -- phone:
<br /> — Contact: Tike:
<br /> contact: Zany 'mtle: elft Myr .ry __. �—.—••— — —___—
<br /> The patties agree as follows:
<br /> 2. The eft'ectivc/start date of this agreement's 12 13-8 J oi.
<br /> 2. The services to ice provided by Stericycle ("Scivic,r:s') shall consist of J-.ba removal i�sld dis�wX of the mr=clica] vr��a(es
<br /> ("Subs rakes t ge ter provided
<br /> by Customer andlor 0%[A/El'A compffancc training and`,uppvat(all reft:rences Lo mejirai w�a,te and
<br /> hazardous waste as defined by U.S.Department of EPA,state and local governmental ac�r�.ncies. fpr
<br /> or and 3. Stet icycle will provide thz ollomer9 removal a d dnspox l Of waste from Clic tome Asha I he occur of-er Oleed surn �fJcduled nUrnber of
<br /> the services soletted below. first
<br /> weeks bias eiaaed after the effective date vF this Agreement(Circle your program level selection
<br /> p
<br /> $per"ankh ($—,—) STANDARi)($,3�_OQ)SFL f"($—,,._)PR�FEItRrt�
<br /> cy/year(d one) 52()r 1) 26(CD) 2(0) 6 (��) ¢ ( )
<br /> Service�re+quen
<br /> (lxlwk) (IxJ7wk5) (lx/Awkc) (I'VOYAs) (11�i12wk,5)
<br /> Payment schedule (please check one) MON111LY*(_,) QUARTERLY* 00 ANNUALLY
<br /> Monthly IaytMent available fior pick up frequency greater than thirteen Per ifear.-
<br /> Additional Pick Lip Charge ($6S,.QQ) �i-e � 7'�.r. t 4-j_Title J�" - �_— Oaf_/�LY _�
<br /> Title Date_ —
<br /> STERI:CYCLE, X
<br /> . --. . — ._—" • • inter-office use ONLY - — . __. ..._ ...._ . _..._. •---t�eui�c:�11012:4rtrl
<br /> Seleslx'ron �9
<br /> Type of Agrecrwtt(CJ)]osr One)®New .O Rett=wal •El New 5ervic- Lo stion d 5aacvice Choncle
<br /> 7ca'ds r'>f agreen,rrtt b.(i Mlonths Cnrs�tlnPx'r1+pe
<br /> Size N/A Qty 2 Typ `ire_.—_ OLY
<br /> Tax Exempt;Yr-S W if YES,IA#_ (OPY mj)'-,k acrontpany paperwork)
<br /> PurCha�.thcirn(,f applicable)#__
<br /> Sagmenl Collo 5EG1A• Prfart9 Pe
<br /> Cctstomer No. Situ ID No._—
<br /> Mer ScM4cu Lowtiom
<br /> Autornatit Credit Gard Payment 17 YES 0Tt0 if Yes,irtdtvirlual to s vys,Gbct;r (__ ,.•)__. =_ —
<br /> S(-.i vtrw Atmos RC (RegiAred) (office Hours)rl;FS;�S
<br /> 1tSrSl !� r1fQ. iS� GR�r '3,'r, 3rR?��t►ZJi
<br /> fLoutl dE eyrie ucgins Pate / l�.rico of service:❑Mon f�l T�,c f]�r D3 El Tr,urS
<br /> E]rri
<br /> MaD Page/Grid 9_M Routir•ig Comnwts— -_-- -- — -
<br /> - ^---�•^""` .-.- _ _' � Stiricyetc. Rep?ac:rrs,enl
<br /> 4. Gu Wss:cr ,ttall i,lacr,nil Seib taneav to Ix rcmuved into a G10i�rly tilUcicd(JNJf)(7T a�+raved cxvtlninl,r parvided m, n Gualthe a!by.
<br /> couraitstxs will be pruvidr--d W 01,,;tnnrcr as au�twry ar the rimy w;Dia or nrilc alycutIM ihan�tll j�, ,SutYAuurc1cs Ili%,ted in A&L rd Sc(l�U/`il1'victS vriEf br
<br /> hercitl. 5Eeri�'yc{c rsutkr5><*o n;pr4`�n4itign or Y+�stty
<br /> thsit any -opb
<br /> tunnwud or p;ttt xs,sod fivm rho pre nrisFs. Secticyc►r nmy a r a s Qinnut rn»r ° "dd curse t trey of lil of llrc Suti,�upGl,ut,behalf vI.'lera yc e.
<br /> Stericyzle, Inc. . Lake f=orest, ILL 60045 • wvgw.:ste r.-,yGIE:,con1 f�7ga 1 of 2
<br /> z0 'd 'ON XVd Wd W SO G3M 10-61-030
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