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Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Dec 2013 — reading text
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S048 1 CL 1 1 6.33 CL 6.33 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6,33
Delivery Flat Fee 13.50
ig.
SHIP TO: 1288928 = § 19.83
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
nige ust ic Rice rE fee re
PO Box 9249 ~ PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19 SE- 001900 Page 17 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA fre INVOICE DATE “PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
- Airgas. FiO BOK 8200 a5 0049 C1M§01/06/2014] 1291991] 9500156047 J 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC oO Check
922 SKIPPER AVE F] creat card
FORT WALTON BEACH FL 32547-7315 ret Van
850-862-5214 Please visit www.airgas.com/oniinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
TATA Len PRL RPL Led AL | ert Peel] Pee
suLto ATTN ACCOUNTS PAYABLE Ube af epee Maoh yet TTL eee thet
_. OKALOOSA CO EMS AIRGAS USA, LLC
ne 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
1291993155001 5604 7000031615948
TO.ENSURE PROPER GREDIL, PLEAS PLEASE R BTU THE UPPER PORTION WITH YOUR REMITTANCE, FOR QUESTIONS ¢ ON Lous ACCOUNT PLEASE G, el 800-727-0693
201004 [soe i “Ner 30 1213/2013 a
ESSEX ROAD S048
1020837936 03
OX USPDA 8048 6 CL 6 6 6,33 CL 37.98 N
(Vol: 90 FT3) OXYGEN USP DA MED CCA 870
ESSEX ROAD S048
1020837936 03
OX USP125 8048 3 CL 3 3 14.04 cL 42.12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 80.10
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas. OKALOOSA COUNTY EMS
www.airgas.com SARIS TORTER D TANNER, MD
AigesUSA,LC «SO COLLEGE BLVD E Act No, 6606074162
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.4.19 SEL-901000 Page 18 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, ue INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Box 924
Airgas. Maree Sk 30065-2040 C101/06/2014 1291901 || 9500156047 9 01/31/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBY AIRGAS USA, LLC im Check
922 SKIPPER AVE E] credit Card
FORT WALTON BEACH FL 32547-7315 rear war
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:
Wolfaflenbpataedpylyateqita] ALAM eof fesagr epeed apoagl
auto ATTN ACCOUNTS PAYABLE Tle ee foe oe be Pe UY TC
, OKALOOSA CO EMS AIRGAS USA, LLC
Eee 90 COLLEGE BLVD E PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
42949921950015604700003181544
CRESTVIEW EMS S048
1020911148 03
OX USPDA S048 3 CL 3 3 6.33 CL 18.99 N
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS S048
1020911148 03
OX USP125 so48 1 CL 1 1 44.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 33.03
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
mgeusy sic ST eee on fee 00
PO Box 9249 ~
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 S&- 001000 Page 19 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
- Airgas USA, phe INVOICE DATE. PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Marnie SA: 30085-2240 cif§o1/06/20149 1291991 | 9500156047 ff 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC : oo 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:
TAT Les PLO PPL || en | Pee | Pe
auto ATTN ACCOUNTS PAYABLE Fie eed eae det CU TR Uf
_, OKALOOSA CO EMS AIRGAS USA, LLC
Sez! 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
429159911950015604700003181948
ESSEX ROAD S048
1021118487 03
OX USPDA S048 4 CL 4 4 - 6.33 CL 25.32 N
(Vol; 60 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD S048
1021118487 03
OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N
(Vol: 254 FT3) OXYGEN USP 125
Sale subtotal: 53.40
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD .
90 COLLEGE BLVD E Aut abe 8606074182
Airgas USA, LLC NICEVILLE FL 32578-1343 NG Bay
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL- 091000 Page 20 of 42
pirgas US) ee he
10x 9:
Airgas. § Marietta, an 30065-2249
sotpBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
Bitto }==ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
90 COLLEGE BLVD E
fe NICEVILLE FL 32578-1343
000628
ct
URE PROPER CREDIT, tee RETURN JHE Pas anata POR wee YOUR Tae FOR QUESTIONS oN yen IR ACCOUNT PLEASE. ae £00. Lar 0693
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] 9500156047 J 01/31/2014 [| SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT .
CJ check
[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:
UA ofa Moe gpl obey TT ea Here tee
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
12519911550015604 7000031815946
NICEVILLE EMS So48
1021168419 03
OX USPDA $048 8 CL 8 8 6.33 CL 50.64 N
(Vol: 120 PT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 50,64
Delivery Flat Fee 13.50
a
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
; 90 COLLEGE BLVD E ARS OONOya aD
Airgas USA, LLG NICEVILLE FL 32578-1343 Acct No. 8
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 584- 901000
PNC Bank, ABA No 031000053
Page 21 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
= Airgas USA pe INVOICE DATE PAYER INVOICE NO. . DUE DATE PAY THIS AMOUNT
Airgas. Mons Aa? so08s-2249 C1ffo1/06/20149 1201901 | 9500156047 § 01/31/2014 |] SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
. solpBy AIRGAS USA, LLC
922 SKIPPER AVE H cnet a ;
FORT WALTON BEACH FL 32547-7315 Teall 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:
Wad ffbee]peldandy tyatoy bel oT Led [TPeegtfpegyapeyeaf tpn
eutto ATTN ACCOUNTS PAYABLE Unf efoa|pe Mea tele emer tie
., OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 _ ATLANTA GA 30353-2609
000828 .
42919911950015604700003181548
TO ENSURE PROPER CREOIT, ELSE AeTEN THE RESON NON PORTION Witt. YOUR ee FOR QUESTIONS ON. YOUR ACCOUNT PLEASE Pas eae Lat 0608
ocean cit
8048
1021193131 02
OX USPDA $048 1 CL 1 1 6.33 CL 6.33 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.33
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
. www.airgas:icom CHRISTOPHER D TANNER, MD
momen face ceavoe He mS UA,
PO Box 9249 NICEVILLE FL 32578-1343 ; PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 4.1.13 SEL- 001000 Page 22 of 42
Airgas USN ble
Airgas. PO Box 924 ct
Marietta, aN 30065-2249
so.tpBy AIRGAS USA, LLC oO Cheok
922 SKIPPER AVE FJ credit Card
FORT WALTON BEACH FL 32547-7315 redit Car
850-862-5214
BiLto ATTN ACCOUNTS PAYABLE
., OKALOOSA CO EMS
fea 90 GOLLEGE BLVD E
NICEVILLE FL 32578-1343
000628
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
LeU Yeften geld agtyet [Eee tf eal needle!
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT :
01/06/20148 1291991 9500156047 ff 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
AMOUNT ENCLOSED
4292599445950015604700003181948
DESTIN EMS
S048
1021194645 03
OX USPDA S048 2 CL 2 2 6.33 CL 12.66 N
(Vol: 30 FT3) OXYGEN USP DA MED CGA 870
DESTIN EMS S048
1021194645 03
OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N
(Vol; 127 FT3) OXYGEN USP 125 :
Sale subtotal: 26.70
Delivery Flat Fee 13.50
40.20
SHIP TO: 1288928 §
Ai as OKALOOSA COUNTY EMS
rg . www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E
PO Box 9249 NICEVILLE FL 32578-1343
Marietta, GA 30065-2249
REV 1.1.13 S€--001000 Page 23 of 42
FOR WIRE TRANSFER PAYMENTS
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOIGE 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
Aitaas et fhe
Marietta GA. 30065-2249 C4
Airgas. ;
so.osy AIRGAS USA, LLC
922 SKIPPER AVE LW aoe ard
FORT WALTON BEACH FL 32547-7315 reant (ar
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:
TAT Ten Len PROP LA Ped |e] | OPP | Pee
eulto ATTN ACCOUNTS PAYABLE 7 ja oe Fee oe bas Pee UC
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E
ed
fae
000628
PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
429499134500156047000031815948
oA
OKLOOSA ISLAND FD
S048
1021194643 03
OX USPDA 8048 1 cL i 1 6.33 CL 6.33 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.33
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
PO Box 9249 NICEVILLE FL 32578-1343
Marietta, GA 30065-2249
REV 1,1,13 SEL- 901000
Page 24 of 42
FOR WIRE TRANSFER PAYMENTS
AIRGAS USA, LLC
Acct No, 8606074182
PNC Bank, ABA No 031000053
Airgas US fhe
Alrgas. ice:
Marietta, aN 30065-2249
soLosy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
sitto ATTN ACCOUNTS PAYABLE
000628
OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
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
Cd check
(1 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:
Baten ty el ef tf ea ene lies
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
LEAL AFL ASOOLSEO4 7000031810948
SSB FROrER CREDIT, PLEASE cee THE STG FORTION wi YOUR EMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE ae 800-727-0693
TERN [ORDER DAI
rae 1288028 T 3022864000 | “00000000 NET 30 12/20/2013 F 25
ESSEX ROAD
X S048
1021194647 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 = Se §
Airgas OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS
. www.airgas.com CHRISTOPHER D TANNER, MD
nig isa ic Seana etna ra
PO Box 9249 -
Marietta, GA 30065-2249
REV 4,4,1 SEE -901000
PNC Bank, ABA No 031000053
Page 25 of 42
Aligas | Wa fhe
Marlene GA’ 30065-2249 C4
Airgas. :
sotpey 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
NICEVILLE FL 32578-1343
000628
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] 9500156047 § 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
LI Check
LJ 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:
PEM flacd peepee A Peat heared ied
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
42919941950015604700003181948
To
