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Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Dec 2013 — reading text
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ENSURE EROPER CREDIT, PLEASE RETURN THE UPPER PORTION Wu PORTION Witt YOUR EMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693
ORDER DATE |
“1291991 "1288028 _ Een “90000000 NET 20
REV 1.1.13
CRESTVIEW EMS $048
1021278881 03
OX USPDA So48 12 CL 12 12 6.33 CL 75.96 N
(Vol: 180 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS Sso48
1021278881 03
OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 90.00
Delivery Flat Fee 13.50 -
$ 103.50
SHIP TO: 1288928"
OKALOOSA COUNTY EMS
Airgas. www.airgas.com
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
.90 COLLEGE BLVD E
SEL - 001000
CHRISTOPHER D TANNER, MD
NICEVILLE FL 32578-1343
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
Page 26 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770:590-6112
Airgas USA the
PO Box 924 fer
Marietta, aN 30065-2249
Airgas.
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
01/06/2014, 1291891 9 9500156047 Ff 01/31/2014 J SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
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:
sotpBy AIRGAS USA, LLC | Check
922 SKIPPER AVE Eo credit card
FORT WALTON BEACH FL 32547-7315 redit var
850-862-5214
BiLTO. ATTN ACCOUNTS PAYABLE
_, OKALOOSA CO EMS
fee 90 COLLEGE BLVD E
“we NICEVILLE FL 32578-1343
000628
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
42919911950015604 700003181948
TO ae ae CREDIT, a Rerun THE aaa fae wire. YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL. BON Ter oe 0693
OChAN CITY 8048
1021208926 02
OX USPDA S048 1 CL 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
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
AV 1.1.19 SEL- 001000
Page 27 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
Airgas | ush be INVOICE DATE. PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT .
Airgas. ° Marie a 30068-2249 C19) 01/06/2014] 1291991 J 9500156047 | 01/31/2014 || SEE SUMMARY PAGE
, PLEASE MARK YOUR METHOD OF PAYMENT
sotpey AIRGAS USA, LLC [] check
922 SKIPPER AVE [| credit card
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:
TAY ATES PRL aet PU ec UPA) | | PET
sito ATTN ACCOUNTS PAYABLE flee Mop hf pe dtemee ties
..,, OKALOOSA CO EMS AIRGAS USA, LLC
er 90 COLLEGE BLVD E PO BOX 532609
se NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
429459941950015604700003181944
TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER RRSP RRe No wine YOUR REMITTANCE FOR QUESTIONS: ee YOUR ACCOUNT PLEASE ae 800-727-0693
BT [ORDER DAI
1291991 1288928 o229t27o6, (0000000 ~ NET 30 12/24/2013
ESSEX ROAD $048
1021278101 03
OX USPDA S048 6 CL 6 6 6.33 CL 37.98 N
(Vol: 90 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1021278101 03
OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N
(Vol: 254 FT3) OXYGEN USP 125
Sale subtotal: 66.06
Delivery Flat Fee : 13.50
SHIP TO: 1288928 = I $79.56
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD :
90 COLLEGE BLVD E AIRGAS USA, LLC
Acct No. 8606074182
Airgas USA, LLC
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL - 001000 Page 28 of 42
Alrgas L US phe
Marlehe. GA. 30065-2249 C4
Airgas. ;
soppy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO ATTN ACCOUNTS PAYABLE
|. OKALOOSA CO EMS
"a! 60 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000628
1291091
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
ate ENSURE EROFER CREDIT, aa Bean THE HERE RR PORTION wie OUR fe FOR QUESTIONS oN YOUR ACCOUNT PLEASE CALL: £00. -727-0693
CONSOLIDATED INVOICE
PLEASE MARK YOUR METHOD OF PAYMENT *
(J Check
[_] 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:
This Wid Coie Th be UY
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
12939911950015604700003181548
ORDERDATE:
“200026 | oozsaizrea | 50000000 | NET 30 12/25/2013 a_i
NICEVILLE EMS $048
1021275297 03
OX USPDA S048 6 CL 6 6 6.33 CL 37.98 N
(Vol: 90 FT3) OXYGEN USP DA MED CGA 870
NICEVILLE EMS $048
1021275297 03
OX USP125 $048 2 CL 2 2 14.04 CL 28.08 N
(Vol: 254 FT3) OXYGEN USP 125
Sale subtotal: 66.06
Delivery Flat Fee 13.50
$ 79.56
SHIP TO: 1288928
Airgas. www.airgas.com CHAISTORNER D ANiiCe, MD
Airgas USA, LLC 90 COLLEGE BLVD E
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 S#L- 001000
NICEVILLE FL 32578-1343
FOR WIRE TRANSFER PAYMENTS
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
Page 29 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas L ) fhe INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. : Mea eh soqes-2240 C1 01/06/2014 1291991 ] 9500156047 | 01/31/2014 | SEE SUMMARY PAGE
. PLEASE MARK YOUR METHOD OF PAYMENT
soLpsy AIRGAS USA, LLC [1 check
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315 [_] 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:
TATA ed LLP Pe eT en || ene
ato ATTN ACCOUNTS PAYABLE TT Aicis Li FTL ch boo ae TT UL oY
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E . PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
429159911950015604 700003181948
DESTIN EMS S048
1021279232 03
OX USPDA 8048 4 CL 4 4 6.33 CL "25.32 N
(Vol: 60 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 25.32
Delivery Flat Fee 13.50
SHIP TO: 1288928 # 38.82
Airgas OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
peste RSE Fr 9 reat ore
PO Box 9249 - PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL 001000 ; Page 30 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. Mere 228° so0es-2049 Caffo1soe/2014 1201991 | 9800156047 | 01/31/2014 |] SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD. OF PAYMENT
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE H ne ard
FORT WALTON BEACH FL 32547-7315 red var
850-862-5214
Please visit www.airgas.com/onlinebilipay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
WalfafesfyoULas Dp Uy alefMed AP EUD [oo | Ppereppeaeeddppeagl
sito. ATTN ACCOUNTS PAYABLE AE Mpepoe pede a Melt AP emer thes
OKALOOSA CO EMS AIRGAS USA, LLC
bas 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
429199119500156047000031815948
ENSURE PROPER. SREDIT, FLEASE AETURN THE cen EC wit ee Re TNE. FOR QUESTIONS. a saNe ACCOUNT PLEASE CALL: 800: ae 0693
DESTIN FD 8048
1021279231 03
OX USPDA So48 3 CL 3 3 6.33 CL 18.99 N
(Vol: 45 FYT3) 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
Airgas USA, LLG 90 COLLEGE BLVD E AaINo, senen7462
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.49 S&L 001000 Page 31 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Alrgas USA fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. : FIO Box 9240 | as 004g Ciho1/06/2014§ 1291991 J 9500156047 | 01/31/2014 If SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
‘sotpByY AIRGAS USA, LLC .
922 SKIPPER AVE H one ;
FORT WALTON BEACH FL. 32547-7315 rea war
850-862-5214 Please visit www.airgas.com/onlinabillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
TAT A LH Pee PLE PPT eT | PPT PIT
suto ATTN ACCOUNTS PAYABLE Ep flee gett ele eerie tie
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000628
B291L5911950015604 7000051815948
ESSEX ROAD 8048
1021279289 03
OX USPDA $048 8 CL 8 8 6.33 CL 50.64 N
(Vol: 120 FT3) OXYGEN USP DA MED CGA 870
‘ Sale subtotal: 50.64
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas OKALOOSA GOUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E AatNo. se0go74182
PO Box 9249 NICEVILLE FL 32578-1343 __ PNG Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SFL-001000 Page 32 of 42
Ai Airuas t USN gt?
gas. ; Mariel, oN 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
ge 90 COLLEGE BLVD E
i 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 §f 9500156047 ff 01/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
oO Check
LJ Credit Card
Please visit www.airgas.com/oniinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT. TO:
PU ORL Ter ci TUR
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
4259499145950015604700003181948
Crestview EMS so48
1021384032 03
OX USPDA 8048 17 CL 17 17 6.33 CL 107.61 N
(Vol: 255 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 107.61
Delivery Flat Fee 13.50
SHIP TO: 1288928 atk § 121.11
Airgas OKALOOSA COUNTY EMS
. www.airgas.comn CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E AIRGAS USA, LLC
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.19 58! 001000
NICEVILLE FL 32578-1343
Acct No. 8606074182
PNC Bank, ABA No 031000053
Page 33 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
i Alrgas | USA, fhe INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. : FIO Box 9240 as op4g CAM o106/2014f 1291991} 9500156047 | 01/31/2014 | SEE SUMMARY PAGE
: PLEASE MARK YOUR METHOD OF PAYMENT
sotpBY AIRGAS USA, LLC
922 SKIPPER AVE [1] Check
FORT WALTON BEACH FL 32547-7315
850-862-5214
C] 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:
ITA BLM Pee PAL CL Fd | Peet
alto ATTN ACCOUNTS PAYABLE EE flee ge lo le tener tes
7 OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343
: . ATLANTA GA 30353-2609
00628
129159911950015604 700003161948
TQ ENSURE BROPER CREDIT PLEASE RETURN THE UPPER LEPER FORTION wi WITH YOUR RENITTAN E. FOR QUESTIONS ON YOUR B ACCOUNT PLEASE CALL: 800-727-0693
OLD: iu = [ORDER DATE:
ocean city f/d S048
1021428050
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
SHIP TO: 1288928
$ 6.33 .
Airgas. www.airgas.com
Airgas USA, LLG.
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 S84 90000
OKALOOSA COUNTY EMS
CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
Page 34 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 -
Airgas | Use fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. : Meas ae 30065-2249 C1§01/06/20149 1291991 |} 9500156047 J 01/31/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
so_pBy AIRGAS USA, LLC oO Check
922 SKIPPER AVE ;
FORT WALTON BEACH FL. 32547-7315 L_] credit
