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DocuSign Envelope ID:2EFACEA2-F689-45B2-8486-9DEAB9FCB10C <br /> i <br /> ra • <br /> 1•i Stericycle Account/Site# <br /> • Prot"ung P¢oy!e.ItOwing Reck; <br /> Mailback Service Agreement <br /> Service Address: Billing Address: <br /> Name: Lumiere Spa Name: <br /> Address 1: 15 W.Oak St Address 1: 15 W.Oak St <br /> Address 2: Address 2: <br /> City/State/Zip: Lodi,CA 95240 City/State/Zip: Lodi,CA 95240 <br /> E-Mail: lumierethespa@gmail.com E-Mail: lumierethespa@gmail.com <br /> Phone: (209)625-7772 Fax: 0 Phone: Fax: <br /> Sales Rep: Eric Levy Generator ID#: <br /> Account has multiple sites locations.Yes*®No 10 <br /> *If yes see attachment B for list of locations covered by this agreement. <br /> SCOPE OF SERVICES: <br /> 1. The effective date ofthis Agreement is 7/1/2020. <br /> 2. Service includes the provision and use of Stericycle Mailback Program products and services for Regulated Medical,Sharps and Amalgam/Mercury Waste. <br /> 3. Any additional services or products purchased by Customer shall be billed separately according to then-current Stericycle pricing but subject to the terms and <br /> conditions of this Agreement. <br /> Mailback Services Provided <br /> Product Item# Product Description Quantity Item Price Total <br /> Item Price <br /> 1QIV4 1-One Quart Container(20-40 syringe cap) 1.0 43.93 43.93 <br /> By signing below I acknowledge that I am the Customer's authorized officer or agent and that I have the authority to bind Customer to this Agreement. <br /> Customer agrees t ; l[%:terms and conditions that appear on following pages hereoL <br /> DocS; nedby: Name Georgina Anaya Title Owner Date 7/8/2020 <br /> 56ABD A304AF... <br /> CUSTOMER: <br /> STERICYCLEG Name Eric Levy Title ISE Date 7/8/2020 <br /> 781A57735CB5247C... <br /> 4010 Commercial Ave.,Northbrook,IL 60062 Phone:(847)943-6436 Fax:(866)728-6053 <br /> 7-15-2020 <br /> Generated by Eric Levy Contract Number SRCL-01346543 <br />