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Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 Sea OE E 1343 nat Ne Be06074182
PO Box 9249 NICEVIL 7 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.1 SEL- 901000 Page 8 of 42
FOR ADDRESS CORRECTIONS, PLEASE FAX-NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO, ‘DUE DATE PAY THIS AMOUNT
01/06/2014) 1291991 #§ 9500156047 ff 01/31/2014 | SEE SUMMARY PAGE
Airgas US! USN fhe
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Marietta, oN 30065-2249
Airgas.
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sotopy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO. }=©6 ATTN ACCOUNTS PAYABLE
__.,. OKALOOSA CO EMS
oe 90 COLLEGE BLVD E
Ee @ NICEVILLE FL 32578-1343
000628
CONSOLIDATED INVOICE
PLEASE MARK YOUR METHOD OF PAYMENT
LI check
AMOUNT ENCLOSED
[J credit Card
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
Ut fe eee Meet ate te leer!
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
129149911950015604700003181944
93
a4 = 20 ERD g
con 1288028 fanzzsee0t | 00000000 NT 30 42106/2013 |
ESSEX ROAD S048
1020612063 03
OX USPDA 8048 10 CL lo 10 6.33 CL 63.30 N
(Vol: 150 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD So48
1020612063 03
OX USP125 048 4 Ch 4 4 14.04 CL 56.16 N
(Vol: 508 FT3) OXYGEN USP 125
Sale subtotal: 119.46
Delivery Flat Fee 13,50
132.96
SHIP TO: 1288928 =
OKALOOSA COUNTY EMS
Airgas.
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
REV 1.4.13 SEL- e000
www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
Page 9 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
- Airgas USA, fic INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. Maree BS so08s-2040 Ci01/06/2014 1291991 J 9500156047 J 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpspy AIRGAS USA, LLC
922 SKIPPER AVE 4 Cork ard
: FORT WALTON BEACH FL 32547-7315 reat Can
850-862-5214
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
MabffUeafpatbendy pala ef pel fd [ Toop lp fponpapepeedfapeagl
auto ATTN ACCOUNTS PAYABLE Tao oe ei co bc UU TU
OKALOOSA CO EMS AIRGAS USA, LLC
“wa: ~=90 COLLEGE BLVD E . PO BOX 532609
ly NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000528 .
42591499114950015604700005161948
TO ENSURE ae CREDIT, ai cee THE UerER portion WITH YOUR REMITTANCE. FOR QUESTIONS ON) YOUR ACCOUNT PLEASE CALL: 800-727-0608
1291991 1288908 "2029384013. 00000000
ocean city f/d
S048
1020849275 02
OX USPDA S048 1 cL 1 1 6.33 CL -6.33 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.33
$ 6.33
SHIP TO: 1288928 :
Airgas. OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD F3 3 Ante se0co74iee
PO Box 9249 NICEVILLE FL 32578-134 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249 . :
REV 1.1.13 SEL- 001000 Page 10 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 °
Airgas USA, LEC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. PO Box 2240 e5-2249 C1 01/06/2014] 1291991 J 9500156047 J 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE H cre ,
FORT WALTON BEACH FL 32547-7315 reat var
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO: -
MeEfofoadpolhoady Uy oLaf aD pal [eM Dora D[peyrayogeedf geet
auto ATTNACCOUNTS PAYABLE afte Mead tye lL ate tae
. OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
129199115950015604700003181944
Ocean City FD S048
1020876364
02
OX USPDA S048 2 CL 2 2 6.33 CL 12.66 N
(Vol: 30 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 12.66
12.6
SHIP TO: 1288928 : ee § 6
Airgas. OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS
. www.airgas.com CHRISTOPHER D TANNER, MD
niga us Lic arr aee eto. 0742
PO Box 9249 7 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19 SEL - 001000
Page 11 of 42
FO
Airgas USM he
'O Box 924!
Marietta, aN 30065-2249
Airgas. :
AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214.
C1
SOLD BY
BILL TO
000628
ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
TO ENSURE PROPER GREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR f
i TREGION INV. NO,
EMITTANCE. FOR QUESTIONS ON ae ASCO NT PLEASE CALL sews 727° 0608.
CONSOLIDATED INVOICE
R ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
01/06/2014, 1291991 § 9500156047 ff 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
Cd check
LJ Credit Card
AMOUNT ENCLOSED.
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
eH fla efollett
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
12519911950015604 700003181948
CRESTVIEW EMS $048
1020841880 03
OX USPDA $048 12 CL 12 12 6.33 CL 75.96 N
(Vol: 180 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS S048
1020841880 03
OX USP125 S048 3 CL 3 3 14.04 CL 42.12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 118.08
Delivery Flat Fee 13.50
: / 131.58
SHIP TO: 1288928 §
OKALOOSA COUNTY EMS
Airgas.
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
REV 1.1.13 SEL - 201000
Page
www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
12 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT
01/06/2014 1291991 9} 9800156047 9] 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT |
LI check
(J credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
pitgas | US fhe
Airgas. °° Marietta, oe 30065-2249 c
soLpey AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
PLEASE MAKE CHECKS PAYABLE AND REMIT'T0:
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sito. ATTN ACCOUNTS PAYABLE Uap epee fpf pele tL eee tet
OKALOOSA CO EMS AIRGAS USA, LLC
Feat 90 COLLEGE BLVD E PO BOX 532609
é NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
429499320550015604700005181948
ESSEX ROAD S048
1020836077 03
OX USPDA S048 7 CL 7 7 6.33 CL 44.31 N
(Vol: 105 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD S048
1020836077 03
OX USP125 8048 1 CL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 58.35
Delivery Flat Fee 13,50
71.85
SHIP TO: 1288928 - $
Airgas OKALOOSA COUNTY EMS FOR WIRE TRANSFER. PAYMENTS
. wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
90 COLLEGE BLVD E
Airgas USA, LLC Acct No. 8606074182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19 SE - 001000 Page 13 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
pirgas USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Monee Sado 30065-2249 C1fR 01/06/2014 1291991 § 9500156047 | 01/31/2014 [| SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC Oo Check .
922 SKIPPER AVE :
FORT WALTON BEACH FL 32547-7315 L] Credit Card
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
. Ua fof] pula py lp oTefQUstp Uf ff [poop] Tpepapepee tl prong
euito ATTNACCOUNTS PAYABLE hectare ET gb OV VE
OKALOOSA CO EMS AIRGAS USA, LLC
is uals 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
* pone28
429199115950015604700003181948
TO ENSURE PROPER CREDIT, PLEASE RETURN THE EER aP RNG PORTION wil YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT, PLEASE CALL: 800-727-0693
NICEVILLE EMS S048
1020839826 03
OX USPDA 8048 9 CL 9 9 6.33 CL 56,97 N
(Vol: 135 FT3) OXYGEN USP DA MED CGA 870
NICEVILLE EMS S048
1020839826 03
OX USP125 S048 3 CL 3 3 14.04 CL 42,12 N
{Vol: 381 FT3} OXYGEN USP 125
Sale subtotal: 99.09
Delivery Flat Fee : 13.50
112.59
SHIP TO: 1288928 §
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC SO COLLEGE BLVD E Ant No, 8606074182
PO Box 9249 -
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 S8+-001000 , Page 14 of 42
Airgas USN fhe
Air as. PO Box 924
Marietta, aN 30065-2249
sotpBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO =ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
90 COLLEGE BLVD E
Ee NICEVILLE FL. 32578-1343
000828
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE.TO: 770-590-6112
INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT
01/06/2014 1291991 [| 9500156047 | 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT _
Ol Check
C1 credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
Eee fe fle eye Moe eyelet!
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
425919911550015b047000031815948
FD North Bay $048
1020839828 03
OX USPDA S048 3 CL 3 3 6.33 CL 18.99 N
(Vol; 45 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 18.99
Delivery Flat Fee 13.50
32,49
SHIP TO: 1288928 §
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
nips Sino ACEH te tons sectors
PO Box 9249 -
Marietta, GA 30065-2249
REV 4.1.13 SEL- 201000
PNC Bank, ABA No 031000053
Page 15 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, LLCO INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Po Box 8249 30065-2249 C19 01/06/2014, 1291991 | 9600156047 § 01/31/2014 | SEE SUMMARY PAGE
. PLEASE MARK YOUR METHOD OF PAYMENT
sotppy AIRGAS USA, LLC : Oo Check
922 SKIPPER AVE :
FORT WALTON BEACH FL 32547-7315 L] Credit Cara
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
HaMpafesfpetbead gly deltte HLT Pog peg peaee peat
aLLTo ATTN ACCOUNTS PAYABLE Matty yd ht ETL Ch oe TT Re ef FT
. OKALOOSA CO EMS AIRGAS USA, LLC
xi 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343
ATLANTA GA 30353-2609
000628
1294599414950015604700003181948
DESTIN EMS S048
1020842518 03
OX USPDA S048 3 CL 3 3 6.33 CL 18.99 N
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 18.99
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E Acct No, 8606074182
PO Box 9249 NICEVILLE FL 32578-1343 . PNC Bank, ABA No 034000083
Marietta, GA 30065-2249
REV 1.1.13 SEL-201000 Page 16 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Marat, oN 30065-2249 C19 01/06/2014, 1291991 § 9500156047 Ff 01/31/2014 | SEE SUMMARY PAGE
: PLEASE MARK YOUR METHOD OF PAYMENT
so.psy AIRGAS USA, LLC [1 check :
922 SKIPPER AVE Fe] credit card
FORT WALTON BEACH FL 32547-7315 Fealt Var
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
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sitTo ATTN ACCOUNTS PAYABLE eA ofh ef goELeg fg pote fA eto Lg Leaner diet
ag, OKALOOSA CO EMS AIRGAS USA, LLC
Fest 90 COLLEGE BLVD E : PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
129495911950015604 700009181948
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