Okaloosa County BOCC — July 15, 2014 — Airgas Invoice-May 2014

REV 1.1.13 Airgas. Airgas | uss pte Marietta, ho 30065-2249 ATTN ACCOUNTS PAYABLE __.. OKALOOSA CO EMS wat 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000613 Airgas. www.airgas.com CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USA fle INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. © Mar BF? sn6s-2240 CA 0s/04/2014§ 1291991 J 9500194495 J 07/01/2014 ff SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBY AIRGAS USA, LLC 922 SKIPPER AVE H onto ; FORT WALTON BEACH FL 32547-7315 realt art 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: HAY faa fpoVMeafglpeLefttef ola feng fT egy agape ypeagl sito ATTN ACCOUNTS PAYABLE Mfrs fy MMe gey tf pol Peer lie " OKALOOSA CO EMS AIRGAS USA, LLC wig 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613, 42919914950039494995000026b99385 DESTIN EMS $048 1025032559 03 OX USPDA S048 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 8. SHIP TO: 1288928 522-8? Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nies suc RICE rare 04 fet, ne PO Box 9249 ~ PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101000 i Page 1 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas Ug Sf A, phe INVOICE DATE PAYER INVOICE NO. QUE DATE PO Bo: gas. FiO Box oad 28 0065-2240 C1) oco4/2014] 1291991 || 9500194496 § 07/01/2014 J SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 922 SKIPPER AVE Ey cee 4 FORT WALTON BEACH FL 32547-7315 redit Ga 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: Malfafaad pelles ty yale fMeE UD Teg perp epee lppergl sulto ATTN ACCOUNTS PAYABLE TT bos ee oo ee CC OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 129399119 50019449500002b99385 TO Se CREOIT, ee ae THE neee PORTION ae eee REMITTANCE, FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: ite 727 0693 ESSEX ROAD S048 1025029961 03 OX USPDA so4s8 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3}) OXYGEN USP DA MED CGA 870 Sale subtotal: 37.98 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 Ace No. Be0eorAte2 PO Box 9249 NICEVILLE FL 92578-1343 PNC Bank, ABA No 031000083 Marietta, GA 30065-2249 REV 1.1.13 SEL~ 101000 Page 2 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas | USA pte INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. ° vrei 9248 66-2040 C1mmoe/04/20149 1291991 | 9500194495 f 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC 922 SKIPPER AVE Hy ae ard FORT WALTON BEACH FL 32547-7315 reatt Gar 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: Madfof deed pelle pelelep lp [fer ten paged peal euLto ATTN ACCOUNTS PAYABLE Me ele ee eee lies _. OKALOOSA CO EMS AIRGAS USA, LLC Ke if 90 COLLEGE BLVD E PO BOX 532609 E NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 429499434950019449500002b995945 Gat: 000-727-0698 120101 [ast P5027 64064 | 00000000 1 NET: 30 Posoeot4 | ocean city S048 1025298387 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 , Airgas. ..... OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA. LLC Airgas USA, LLC ROLE SE BLN D it 343 Acct No. 8606074182 PO Box 9249 i $2578-134, PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.14 SEL- 101000 Page 3 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Al Alrgas | USA pre INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT gas. ° Marat sds 30085-2249 C1 06/04/2014] 1291991 4 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBY AIRGAS USA, LLC ( check 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 [_] Credit Card 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: Wadfofleofpedecd Hpollllal APM Pat perp peed fpyeel euito ATTN ACCOUNTS PAYABLE Medel tee pete a tel aL altered . OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 : NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 2291590195001944 9500002699365 TO ENSURE PROPER CREDIT, PLEASE RETURN THE Peet aati WITH YOUR REMITTANCE, FOR QUESTIONS ae YOUR ACCOUNT PLEASE pases eure -0693 Florosa FD S048 5000281504 03 OX USPDA $048 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 37,98 Delivery Flat Fee 13,50 SHIP TO: 1288928 Airgas ..... OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC 90 COLLEGE BLVD E 43 Acct No. 8606074182 PO Box 9249 NICEVILLE FL. 32578-13 PNC Bank, ABA No 034000053 Marietta, GA 30065-2249 REY 1.1.13 SEL - 101000 Page 4 of 414 Alraas USN bbe Marlesta, Bio 30065-2249 Airvas. § 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 NICEVILLE FL 32578-1343 wre 000613 ci CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/20144 1291991 9] 9500194495 J 07/01/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [_] Credit Card Please visit www.airgas.com/onlinebillpay or (J check complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: a he UC VOU AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 429149911950014944 9500002699345 reo 1268028 9027214296 | 00000000 NET 30 Fosisrzot4 | CRESTVIEW EMS S048 1025251208 03 OX USPDA S048 5 ch 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 31.65 Delivery Flat Fee 13.50 $ 45.15 SHIP TO: 1288928 Airgas. www.airgas.com Airgas USA, LLC. PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL-101000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIRE TRANS PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNG Bank, ABA No 031000053 Page 5 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas | USA fie INVOICE BATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT gas. : ere 9249 30065-2249 C1 06/04/2014] 1291991 | 9500194495 | 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotosy AIRGAS USA, LLC oO Check 922 SKIPPER AVE Fi] credit card FORT WALTON BEACH FL 32547-7315 ean 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: BLLTO ATTN ACCOUNTS PAYABLE ., OKALOOSA CO EMS AIRGAS USA, LLC [Re 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42914991149500394949500002699345 TO ne PROPER CREDIT, Pe RETURN THE aaa FoRTON ane YOUR REMITTANCE. FOR QUESTIONS ae jue ACCOUNT PLEASE ras 800: LoL 0693 ESSEX ROAD S048 1025307739 03 OX USPDA $048 8 CL 8 8 6.33 CL 50.64 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1025307739 03 OX USP125 S048 2 CL 2 2 14.04 Ch 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 78.72 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. ; OKALOOSA COUNTY EMS werwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC eee ECE Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000083 Marietta, GA 30065-2249 REV 1.1.13 86L- 101000 Page 6 of 41 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 Ai rgas. Moree et sones-2249 C1 06/04/2014] 1291991 ff 9500194495 | 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC Ol 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: TRY (eg PeLLe ira Loo co io rope yp alto ATTN ACCOUNTS PAYABLE le eee ies aie OKALOOSA CO EMS AIRGAS USA, LLC ba 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 3291599219500194949500002b993485 NICEVILLE EMS $048 1025352219 03 OX USPDA $048 3 CL 3 3 6.33 CL 18.99 N (Vol: 45 FT3} OXYGEN USP DA MED CGA 870 NICEVILLE EMS S048 1025352219 03 OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 33.03 Delivery Flat Fee 13.50 $ 46.53 . SHIP TO: 1288928 Airgas owe airgas com OKALOOSA COUNTY EMS Mp IFOR WIRE TRANSFER PAYMENTS _ | WIRE TRANSFER PAYMENTS 90 COLLEGE BLVDE AIRGAS USA, LLG Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL-ioan00 Page 7 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas USA, Lic INVOICE DATE PAYER INVOICE NO. DUE DATE PO Box 924! irgas. Morea ea 30085-2240 CAM 06/04/2014% 1291991 ] 9500194495 J 07/01/2014 |] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC 922 SKIPPER AVE H ek ard FORT WALTON BEACH FL 32547-7315 rea 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: WEL) ofa afpaMMead gy ste fdef eed fe [Pena AT peagapeyoal peal auto ATTN ACCOUNTS PAYABLE 7 OF ce eo bce rT TUE | Cc OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 L29L 9944595000994 9500002699345 TO ENSURE PROPER CREDIT, PLEASE Sao THE UPPER RESRRCI A wy Ocean City $048 1025378418 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 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 Ol LECE BLVD E heat No 360e074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 8 of 41 sotpBy AIRGAS USA, LLC CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT 06/04/2014 1291991 [| 9500194495 § 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check (J Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Air as. * Alrggs L USA, fic I] Marieltec GA. 30065-2249 ct 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: EUs Mfupden | pe Vbaa fgg hp abup da] pad fof pppes aed ipegl sto ATTN ACCOUNTS PAYABLE Efe Med leer de OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 429159941950019449500002699385 ENSURE. aoe CREOIT, ea RETURN THE Ta AAWaare roRne wo YOUR REMITTAI UESTIONS ON YOUR ACCOUNT PLEASE CALL: £00. ae DESTIN EMS $048 1025352751 03 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 Delivery Flat Fee 13.50 19.83 SHIP TO: 1288928 | _# 19-83 Airgas OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, Le 90 COLLEGE BLVD E Aut No. aeoeo7a182 PO Box 924 NICEVILLE FL 32578-1343 PNC Bank, ABA No 034000083 Marietta, aN 30065-2249 REV 1.1.13. SEL- 101000 Page 9 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai i Airgas ush Le INVOICE DATE PAYER INVOICE NO. UE BATE PAY THIS AMOUNT PO Box 924 I gas. Morbi Bx 30065-2249 Cg 06/04/2014] 1291991 J 9500194495 | 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC 922 SKIPPER AVE Lt Ce ard FORT WALTON BEACH FL 32547-7315 reall va 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: Malfafbeed allasdp tpabelllaf Pleat ferppaeed fa peel auto ATTN ACCOUNTS PAYABLE elated eee the weg, OKALOOSA CO EMS AIRGAS USA, LLC Hrs! §90 COLLEGE BLVD E PO BOX 532609 : NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42939931950019449500002b99345 10 ENSURE paoree CREDIT, PLPASE aera THE aa rates wit 1OUR REM TANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800. Teroees ORDER DATE | ‘201001 “as cae 90000000 | NET 30 05/08/2014 OKLOOSA ISLAND FD S048 1025352749 03 OX USPDA $048 1 CL 1 i 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 . wwwaairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLG ro Col LeCe BLVD E 4343 Acct No, 8606074182 PO Box 9249 NICEVILLE FL 32578- PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101900. Page 10 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT. 06/04/2014, 1291991 |] 9500194495 J 07/01/2014 [I SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT Q Check L} credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Airgas USA, phe irgas PO Box 9249 cl * Marietta, GA 30065-2249 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: ITAL LER FALL UPL LL RT|] Eee | eee | euto ATTNACCOUNTS PAYABLE Ft hod boii oo bee ee UT | Co OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42949914950013994595000026993485 DESTIN FD S048 1025352750 03 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 Delivery Flat Fee 13.50 26.16 - SHIP TO: 1288928 $ AITO AS. sr sicgas.com SALOOSA COUNTY EMS » WWW.alrgas.co: NER, Dp 90 COLLEGE BLVD E AIRGAS USA, LLG Airgas USA, LLG ~ Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 11 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Aj Airgas L USA, ite INVOICE DATE PAYER INVOICE NO. DUE DATE gas. « Mois St 30068-2249 Cif§06/04/20149 1291991 | 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC 922 SKIPPER AVE H Cae ek ard FORT WALTON BEACH FL 32547-7315 reall Car 850-862-5214 Please visit www.airgas.conVonlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Hp ofeafyatdaed rtp abe] Met et fe fag fl peg epee peel sito ATTN ACCOUNTS PAYABLE Petpet pete TL eee tet tan, OKALOOSA CO EMS AIRGAS USA, LLC i 90 COLLEGE BLVD E PO BOX 532609 & NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 900613 42919931950019449500002b993985 TO aaa eee CREOIT, PLEASE een THE uereR PORTION WITH YOUR REMITTANCE, FOR QUESTIONS a we ACCOUNT PLEASE. pasts 5 NOt HELE p63 ESSEX ROAD 8048 1025350486 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 so48 1025350486 03 OX USP125 SO48 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 wwwaairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC RTA SRE 343 Acct No. 8606074182 PO Box 9249 - PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 104000 Page 12 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014 1291991 [J 9500194495 ff 07/01/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the Information on the reverse side of this form. Air as. ° Airgas L Us he g Marotta, GA” 30065-2249 C4 sotoBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: TATA (Pe Le PRT TOP | Pe | eee BLLTo. ATTN ACCOUNTS PAYABLE ba Af flea pM ef gg tpete fe TEL eee tet ,, OKALOOSA CO EMS AIRGAS USA, LLC weié 90 COLLEGE BLVD E PO BOX 532609 e NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 1291994195001944 4500002699385 ocean city _ $048 1025467787 02 OX USPDA 8048 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 i Airgas OKALOOSA COUNTY EMS . wwwaaitgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E Aes Boado7ai82 Airgas USA, LLC NICEVILLE FL 32578-1343 NC Bay PO Box 9249 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 1041000 Page 13 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA, LLC INVOICE DATE PAYER INVOICE NO. DUE BATE PAY THIS AMOUNT Airgas. £0 Box 924s 30088-2249 C1 06/04/2014] 1201991 } 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC | Check 922 SKIPPER AVE El credit Card FORT WALTON BEACH FL 32547-7315 rear 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: ITA BLP Pe PPPS (es || ee P| auto ATTN ACCOUNTS PAYABLE EL Apple |p tye tere ties __, OKALOOSA CO EMS AIRGAS USA, LLC wit 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 L294 994495001944 9500002699345 TO ENSURE prone aes ELEASE aeTUnN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800; ie 0693 CRESTVIEW EMS 8048 1025462824 03 OX USPDA S048 15 CL 15 15 6.33 CL 94.95 N (Vol: 225 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1025462824 03 OX USP125 8048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 137.07 Delivery Flat Fee 13.50 $ 150.57 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS wwwaairgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101000 Page 14 of 44 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Alrgas USA, LLCO INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. FO Box odo 30066-2249 C1f§06/04/2014] 1291991 | 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC [1 check 922 SKIPPER AVE EJ] credit card FORT WALTON BEACH FL 32547-7315 reat 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: Whedon] oDLondp Dy oDa [Ded psbfed fT oeg fT peprgpepeeh ppaagl auto ATTN ACCOUNTS PAYABLE Heol people Meyer ree ties . OKALOOSA CO EMS AIRGAS USA, LLC fae 90 COLLEGE BLVD E PO BOX 532609 i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42594993434950019494950000269935485 ESSEX ROAD S048 1025451628 03 OX USPDA S048 10 CL 10 6.33 CL 63.30 N (Vol: 150 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1025451628 03 OX USP125 S048 2 CL 2 14.04 CL 28.08 N (Vol; 254 FT3) OXYGEN USP 125 Sale subtotal: 91.38 Delivery Flat Fee 13.50 104.88 SHIP TO: 1288928 $ Airgas. OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD poe ee NIGEVILLE FL 32678-1343 foot No, 8606074182 PO Box 9249 = PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.18 SEL- 101000 Page 15 of 41 Airgas. Altgas L us plc Marlee GA. 30065-2249 C1 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 im Check BiLLTO ATTN ACCOUNTS PAYABLE ,, OKALOOSA CO EMS be 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000613 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: CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/20148 1291991 § 9500194495 § 07/01/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT AMOUNT ENCLOSED PTA Oe Pe oe bed Fe TUT ed poe AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 129199119500194949500002699385 FD 1025463039 OX USPDA $048 2 CL (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 2 so48 6.33 CL 12.66 N Sale subtotal: 12.66 13.50 SHIP TO: 1288928 AITWAS. wnvaicsscom SASOPRER TANNER, MO Airgas USA, LLG PO Box 9249 Marietta, GA 30065-2249 REV 1.1.79 SEL - 101000 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 16 of 414 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 | USA phe INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. * Moree 9249 30085-2249 C1 06/04/2014, 1291991 [| 9500194495 9 07/01/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC | Check 922 SKIPPER AVE : FORT WALTON BEACH FL 32547-7315 L] credit Card 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: VeaMfaQhaefpoldendppty oad Mad pled feet Ppepapepeef] peal ato ATTN ACCOUNTS PAYABLE Fens ees Veet Fh ee bed FO UE OKALOOSA CO EMS AIRGAS USA, LLC Ee oe 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 129254931950019444500002b99345 NICEVILLE EMS S048 1025460837 03 OX USPDA S048 5 CL 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS $048 1025460837 03 OX USP125 S048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 73.77 Delivery Flat Fee 13.50 87.27 SHIP TO: 1288928 $ Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AES ponevat Airgas USA, LLC Acct No. 8806074182 20 Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101000 Page 17 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas L USA, pic INVOICE DATE PAYER INVOICE NO. DUE DATE irgas. * FO BOK 9249 a5. o74g C1f06/04/20149 1291991 J 9500194495 | 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soltpsy AIRGAS USA, LLC 922 SKIPPER AVE H Coe ard FORT WALTON BEACH FL 32547-7315 realt 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: WalpaplaafpeHlaed payed fle ADP Pea EL eepyapegeald peng euro ATTN ACCOUNTS PAYABLE Ueto pete tet ee EP emer ties _., OKALOOSA CO EMS AIRGAS USA, LLC 4 aout 90 COLLEGE BLVDE PO BOX 532609 i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42929933950019449500002699345 TO ENSURE fRoree CREDIT, PLEASE RETURN THE EGGERS PORTION wie YOUR REMITTANCE FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693 ocean city f/d S048 1025638069 02 OX USPDA S048 1 CL 4 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 . wawairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC 90 OLE SE BY DE 343 Acct No. 8606074182 PO Box 9249 NICEVILLE 578- PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 18 of 41 pitgas USN ble gas. (2 Marietta, aie 30065-2249 AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 SOLD BY BLLTO }=©ATTN ACCOUNTS PAYABLE _, OKALOOSA CO EMS tt 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 900613 na CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014 1291991 | 9500194495 f 07/01/2014 I SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT Ol Check L] 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: Tia Ld Chet Fhe eo EUR oo AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 22919934450019445500002b9939a85 188928 SeoererasT F 50000000 NET 30 Oe tB2014 DER NUMBER: DESTIN FD so48 1025461836 03 OX USPDA 8048 2 CL 2 2 6.33 CL 12.66 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 12.66 Delivery Flat Fee 13.50 $ 26.16 SHIP TO: 1288928 Airgas. : OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL- 107000 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 19 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE T! 70-590-6112 . Airgas L USA fre INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT Airgas. Maret SA 30065-2240 C1) 06/04/2014] 1291991 § 9500194495 | 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC Co 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: WUDpo ft ofpadDen)pybpolaplba fy olf ofp [far rappel pel sito ATTN ACCOUNTS PAYABLE Mp fteapeTee eype lt a erred agan, OKALOOSA CO EMS AIRGAS USA, LLC eG 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 4293.9191149500194949500002699385 TO ENSUE EROCER CREDIT, Lae RETURN THE EES RGR oe PORTION wit YOUR REMITTANCE. FOR QUESTIONS ae YOUR AC! E CALL: aa ener OmNs Sq GRDER DATE fe = 1201001 1288928 SeaeTies 00000000 NET 30 05/15/2014 DESTIN EMS S048 1025463129 03 OX USPDA So48 2 CL 2 2 6.33 CL 12.66 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS 8048 1025463129 03 OX USP125 So48 1 cL 1 a 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 26.70 Delivery Flat Fee 13,50 40.2 SHIP TO: 1288928 § ° Airgas OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD ney tic EE a rate, i PO Box 9249 : PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 S5L- 107000 Page 20 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA, LLC INVOICE DATE PAYER: INVOICE NO. DUE PATE PAY THIS AMOUNT Airgas. ° FiO Box 8249 a 004g C1f}06/04/2014f 1291991 | 9500194495 | 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC ; 1] cheek 922 SKIPPER AVE F] crecit card FORT WALTON BEACH FL 32547-7315 realt Gar 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: Wadfolenl peUbeed alyea tad gelato HPpep epee peer auto ATTN ACCOUNTS PAYABLE UEEnpeflen petted egy el le tL ler die ., OKALOOSA CO EMS AIRGAS USA, LLC ue 90 COLLEGE BLVD E PO BOX 532 bist NICEVILLE FL 32578-1343 © BOX 832608 ATLANTA GA 30353-2609 000613 42919922 95000944950000e699385 ESSEX ROAD S048 1025460753 03 OX USPDA So48 7 Ch 7 7 6.33 CL 44.31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 44.31 Delivery Flat Fee 13.50 57.81 SHIP TO: 1288928 avert $57 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC RT SO ECE BND E mi nat Ne. po0g74 182 PO Box 9249 ICEVILLE FL 32578-1343 PNC Bank, ABA No 034000053 Marietta, GA 30065-2249 REV 1.1.13 SEL~ 101000 Page 21 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USA phe INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Alrgas. Mora sado 30068-2249 C1§06/04/2014, 1291991 ff 9500194495 9 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.psy AIRGAS USA, LLC Ol Check 922 SKIPPER AVE C Credit Card FORT WALTON BEACH FL 32547-7315 Feat 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: WeaUpafaafpaMlaed pay ataf Me feoE Pag Peer ye peeel yeaa euLto ATTN ACCOUNTS PAYABLE PEA pba f ply fet Lea eee lies OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 425949941950019949500002b6993945 TO aaa peor. CREDIT, PLEASE ae THE SEE eee WITH HS ee FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800 -7 27-0693 OCEAN CITY FD $048 1025694257 02 OX USPDA S048 i CL 1 1 6.33 CL 6.33 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 OCEAN CITY FD $048 1025694257 02 OX USPD S048 1 cL 1 1 6.33 CL 6.33 N (Vol: 15 FT3) OXYGEN USP MEDICAL PURE D CGA 870 Sale subtotal: 12.66 SHIP TO: 1288928 Airgas. ; OKALOOSA COUNTY EMS » www.alrgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC 90 COLLEGE BLVD E Acct No. 8606074182 Airgas USA | NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 22 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 = Airgas USA, pus INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. More ak? 30068-2240 Caf 06/04/2014 1291991 J 9500194495 } 07/01/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC CI check 922 SKIPPER AVE : FORT WALTON BEACH FL 32547-7315 L_] Credit Card 850-862-5214 Please visit www.airgas.conv/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Malfefleefpotbecd opted tad APT fey {Teer pepeelfypogl siuto ATTN ACCOUNTS PAYABLE LM etpefea tote el lene thie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 429299219500194495000026993465 ca 800-727-06: : DER DA: Pott ‘208 9027642500 | 00000000 NET 30 Tostanots CRESTVIBW EMS $048 1025682199 03 OX USPDA $048 7 CL 7 7 6.33 CL 44.31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS so48 1025682199 03 OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 : Sale subtotal: 72.39 Delivery Flat Fee 13.50 85.89 7 SHIP TO: 1288928 $ Airgas. OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC RICE VILES EL aoa76-13 43 Acct No, 8806074182 PO Box 9249 - PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 104000 Page 23 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014, 1291991 9500194495 ff 07/01/2014 § SEE SUMMARY PAGE pitgas L USN bbe Mariela, oN 30065-2249 Ct Airgas. sotoBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MARK YOUR METHOD OF PAYMENT ‘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: Uebel tt ealteniere lie! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 BILLTO }==ATTN ACCOUNTS PAYABLE ,, OKALOOSA CO EMS "y 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000613 12925911950015944 9500002699365 TO ENSURE | phones CREDIT, EAbASe RETURN THE aa FCRENG WITH YOUR REMITTANCE. FOR QUESTIONS: ae oe ACCOUNT PLEASE CALL: _ eee 727-0693 FD on hollywood S048 1025723302 03 OX USPDA S048 11 CL 11 11 6.33 CL 69.63 N {Vol: 165 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 69.63 Delivery Flat Fee 13.50 SHIP TO: 1288928 OKALOOSA COUNTY EMS Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.19 SEL- 101000 CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 24 of 41 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 Aj Airgas L USA fre INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT gas. ° Maret GA 30065-2249 C1#§06/04/2014] 1291991 § 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpByY AIRGAS USA, LLC [1 check 922 SKIPPER AVE Ee] creait card FORT WALTON BEACH FL 32547-7315 Feat Gar 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: Walpefloefpelberfy tela MET Peg pap ppl peal auto ATTN ACCOUNTS PAYABLE flee Td leet aire the OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 900613 4291991495001944 9500002699385 acne ae CR EASE RETU JE REGIATL beet Fe WITH YOUR REMITTANCE. ESSEX ROAD $048 1025682322 03 ‘lox USPDA $048 5 Ch 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1025682322 03 OX USP125 5048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 73.77 Delivery Flat Fee 13.50 87.27 SHIP TO: 1288928 § Airga S OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD sega usa Lc oe patna aire 2 PO Box 9249 ~ PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.19 SEL- 101000 Page 25 of 414 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas USA, pes INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT gas. ° Moisi sede 30065-2249 C1 06/04/2014] 1291991 [| 9500194495 9 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.DBY AIRGAS USA, LLC Ol 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: WolYoQ aol paVNaad yal pote [Eel olf [EY foon ff earapepeed] peal euto ATTN ACCOUNTS PAYABLE Eat fofdee| peel ett Uf eae thier _. OKALOOSA CO EMS AIRGAS USA, LLC ess 90 COLLEGE BLVDE PO BOX 532609 : NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42949913950039449500002699385 TO ey PROPER CREDIT, EEE RETURN THE UPPER PORTION with YOUR REMITTANCE, FOR QUESTIONS rs OUR ACO PLEASE CALL: eee mate 9698 FD North Bay S048 1025679086 03 OX USPDA 8048 2 CL 2 2 6.33 Ch 12.66 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 12.66 Delivery Flat Fee 13.50 $ 26.16 . SHIP TO: 1288928 Airgas... OKALOOSA COUNTY EMS | wwwaairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC 90 COLLEGE BLVD E Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101000 Page 26 of 41 pitgas t USM bic Mariela, _ 30065-2249 Airgas. § so.pspy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BuLTo ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS faa 90 COLLEGE BLVD E ve NICEVILLE FL 32578-1343 000613 ct TO ENSURE PROPER CREDIT, PLEASE ae THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS: Pie ACCOUNT PLEASE PaRBe 800 at 0698 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014, 1291991 § 9500194495 § 07/01/2014 {| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (J credit Cara Please visit www.airgas.com/onlinebillpay or C1 Check complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AD tele |p eafartyel |e t eal eer tlie! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 129199249500109449500002b9939485 ER NICEVILLE EMS $048 1025679085 03 OX USPDA 8048 1 CL L 1 6.33 CL 6.33 N (Vol; 15 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS 8048 1025679085 03 OX USP125 S048 1 cL A 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 20.37 Delivery Flat Fee 13.50 $ 33.87 SHIP TO: 1288928 RITGAS. sorsisns.con CERSTORHER DTANNER, MO 90 COLLEGE BLVD E Airgas USA, LLC oes aig NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.13 SEL - 101000 Page 27 of 41 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLG Acct No. 8606074182 PNC Bank, ABA No 031000053 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA, dlc INVOICE DATE PAYER: INVOICE NG. DUE DATE PAY THIS AMOUNT Airgas. Mona a 0065-2249 C1) 06/04/2014 1291991 ] 9500194495 | 07/01/2014 I] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC Oo Check 922 SKIPPER AVE [creat Gard FORT WALTON BEACH FL 32547-7315 canvar 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: TAG LB Peucedd reed ce ree) td fc TOL | ToL alto ATTNACCOUNTS PAYABLE PP LSC bo OY Uf ua, OKALOOSA CO EMS AIRGAS USA, LLC neat 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 129159941950019449500002b99385 par ee PER CREDIT, PLEASE nes THE pore FORTION WITH YOUR REMITTANCE, FOR QUESTIONS ON ee ACCOUNT PLEASE. CALL 800. 727: 0698 DESTIN FD so48 1025682430 03 OX USPDA $048 2 CL 2 2 6.33 CL 12.66 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 12.66 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLG 90 COLLEGE BLVD E Ant No feoeu7ate2 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 . REV 1.1.13 SBL- 101000 Page 28 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas | uss fA Lic INVOICE DATE PAYER INVOICE. NO. DUE DATE irgas. ° FO Box 9240 ae o049 C1 06/04/20149 1291991 J 9500194495 f 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBY AIRGAS USA, LLC 922 SKIPPER AVE HT cnet 4 FORT WALTON BEACH FL 32547-7315 ea 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: Walp spl fp eae Dy tyobe [Met tA Palen peal peal auto ATTNACCOUNTS PAYABLE AMA fle eM ph pet fallen ties OKALOOSA CO EMS _ AIRGAS USA, LLC West 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000643 4294991195001949495000026599385 DESTIN EMS so48 1025679028 03 OX USPDA 8048 1 CL 1 1 6.33 Ch 6.33 N (Vol: 15 PT3) 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 rast No, naneuvate2 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000083 Marietta, GA 30065-2249 REV 1.1.13 SEt - 101000 Page 29 of 41 Ailoas USN faad Mariel, ho 30065-2249 Airgas. ; soppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO = ATTN ACCOUNTS PAYABLE _.. OKALOOSA CO EMS ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000613 ESSEX ROAD 1025677388 OX USPDA so4g Delivery Flat Fee TO oa EEROFER CREDIT, PLEASE ee THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON: YOUR ACCOUNT PLEASE CALL: £00- 1274 0693 (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/20148 1291991 § 9500194495 J 07/01/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [-] 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: tia CR ib CC AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 42949900950009449500002699385 S048 03 6 CL 6 6 6.33 Ch 37.98 N Sale subtotal: 37.98 13.50 SHIP TO: 1288928 Airgas. wwowrairgas.com OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS CHRISTOPHER D TANNER, MD Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.49 SEL- 101000 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 30 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-890-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014, 1291991 9] 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT oO Check [J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Airgas. * Alroas | USA, pec . Marios, eae 30065-2249 C4 sotppgy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Walpole peed ply beet eg erg pyell peat eiLto ATTN ACCOUNTS PAYABLE ME feof Moelle eee ties OKALOOSA CO EMS AIRGAS USA, LLC ba 90 COLLEGE BLVD E PO BOX 532609 ¢ NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 4257399419500194949500002b99385 ALL: 800+; 7274 SRS a re ERE “20100 128028 "9027803565 00000000 emma; 30 05/23/2014 Poseanor| at | OCEAN CITY F/D S048 1025914907 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 6.33 SHIP TO: 1288928 ‘ Airgas OKALOOSA COUNTY EMS wwwairgas.com CHRISTOPHER D TANNER, MD spe uss ic SHEE SE ere PO Box 9249 : PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 4.1.18 SEL - 101000 Page 31 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Alrgas L ue fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. Morbi ak? 30068-2240 C1 06/04/2014] 1291991 f 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pay AIRGAS USA, LLC oO Check 922 SKIPPER AVE F] creait card FORT WALTON BEACH FL 32547-7315 Feat Car 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: Walpapts [polled p tele Mef AP Eee perp preg alto ATTN ACCOUNTS PAYABLE Ate ted el Eades dhe OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVDE PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 4293.9911950019494950000e0699385 TO ENSURE peoeee CREOIT, a RETURN THE eee WN WITH YOUR REMITTANCE, FOR QUESTIONS. a YOUR ACCOUNT PLEASE pas sett 127 698. ESSEX ROAD 5048 1025878702 03 OX USPDA S048 7 CL 7 7 6.33 CL 44,31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 44.31 Delivery Flat Fee 13,50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD smeusa ec score ain’ ee PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 . REV 1.1.13 SEL- 401000 Page 32 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Altgas USA, LLCO INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. * FiO Box 9249 30085-2249 C1f06/04/2014, 1291991 9] 9500194495 | 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC im Check 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 [_] Credit Card 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: AL ed Poe Pres td Lod Pe iio ope Epp! auto ATTN ACCOUNTS PAYABLE He fe ee ate EEE eal terme thie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 4259379119500139449500002699385 TO ENSURE PROPER CREDIT, pee RETURN THE WereR Fenny WITH YOUR REMITTANC. LD: GION INVEN UESTIONS. ana ee ACCOUNT PLEASE pa 00 DT2T 0688 CRESTVIEW EMS $048 1025877014 03 OX USPDA SO48 7 CL 7 7 6.33 CL 44.31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1025877014 03 OX USP125 S048 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 . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS I ELC Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.18 SEL- 101000 Page 33 of 41 Airgas t USN ghe Marlo, sais 30065-2249 Airgas. C1 soLpBy 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 000613 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014), 1291991 f 9500194495 | 07/01/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [] check [_] 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: [Uda Afefen pete feted fe fet Ea ener tte! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4294993359500L944 9500002699585 OKLOOSA ISLAND FD S048 1025870487 03 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 Delivery Flat Fee 13.50 SHIP TO: 1288928 AITDAS. vovvcicsescon SMSO COUNT EMS 90COLLEGEBLVDE AIRGAS USA, LLG Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.43 SEL~- 101000 NICEVILLE FL 32578-1343 Page 34 of 41 Acct No. 8606074182 PNC Bank, ABA No 031000053 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 06/04/2014] 1291991 §f 9500194495 ff 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check [_] credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Airgas arnt ble irgas, Se o Marietta, aN 30065-2249 sotppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: ELA floabpe Mas plpale fled oA] Poa fp eayapepoul pag sulto ATTN ACCOUNTS PAYABLE PVA Ln chlo Tac bo PR TT eT | OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 1291994195001944 9500002699345 100 are 603 DESTIN FD S048 1025870488 03 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 Delivery Flat Fee 13.50 $ 19.83 . SHIP TO: 1288928 Airgas. ; OKALOOSA COUNTY EMS FO. E TRANSFER PAYMENTS » wwW.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC MIORYILLS FL re 4343 Acct No. 8606074182 PO Box 9249 . PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.1 Set - 101000 Page 35 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Airgas USA, ad INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT PO Box 9249 irgas. Marietta, GA 30085-2249 C1 06/04/20148 1291991 § 9500194495 J 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC oO Check 922 SKIPPER AVE i FORT WALTON BEACH FL 32547-7315 L] Credit Card 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: BILLTO ATTN ACCOUNTS PAYABLE _. OKALOOSA CO EMS AIRGAS USA, LLC He 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 125915993195001949495000026993545 Rese ENSURE, PROPER CREDIT, teen | THE eer FORTION RNG YOUR REMITTANCE. FOR QUESTIONS a YOUR ACCOUNT PLEASE pa Lae ane 0693 DESTIN EMS $048 1025878969 03 OX USPDA $048 3 CL 3 3 6.33 CL 18.99 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS $048 1025878969 03 OX USP125 ~ $048 ; 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 61.11 Delivery Flat Fee 13.50 74.61 SHIP TO: 1288928 § Ai OKALOOSA COUNTY EMS irgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E Airgas USA, LLC Acct No. 8606074182 PO Box 9248 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30085-2249 REV 1.1.43 SEL - 104000 Page 36 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. QUE DATE PAY THIS AMOUNT 06/04/2014, 1291991 f 9500194495 J 07/01/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT Ld check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Airgas USN fhe irgas PO Box 924 C4 * Marietta, oA 30065-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: ; ITA] TE PALL Ue et P| | PRP PE ato. ATTN ACCOUNTS PAYABLE AE Pe elt ey eatin OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 429499419500199495000026993485 NICEVILLE EMS S048 1025875605 03 OX USPDA 8048 4 Ch 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 38.82 SHIP TO: 1288928 $ 38.8 Airgas. OKALOOSA COUNTY EMS IFOR WIRE TRANSFER PAYMENTS __| . www.airgas.com CHRISTOPHER D TANNER, MD irgas USA, LLG RIGEMILLE FL soer& 4343 Rent No. 3606074 182 PO Box 9249 . PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 37 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas | USA, fte INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. oe SR 30085-2240 C1§06/04/2014, 1291991 |] 9500194495 9 07/01/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pBpy AIRGAS USA, LLC Oo Check 922 SKIPPER AVE EJ] 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: TATA Le PRL PPL PPT Pee auto ATTN ACCOUNTS PAYABLE 7 td oes oe Toe bet Co ETC as OKALOOSA CO EMS AIRGAS USA, LLC ‘i 90 COLLEGE BLVDE PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 32919911595003994950000269939a5 TO ENSURE PROPER CREDIT, PLEASE RETURN THE orrER FORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON. Nee ACCOUNT PLEASE CALL 800-7. -727-0693 ESSEX ROAD S048 1025878704 03 OX USPDA SO48 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1025878704 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 AITDAS. vrsicisescom QM OOSA COUNTY ES 90COLLEGEBLVDE AIRGAS USA, LC Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 034000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 101000 Page 38 of 41 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas. § Airgas | USh Eee INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 0 Box 8249 5 204g 06/04/2014§ 1291991 | 9500194495 | 07/01/2014 |] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.osy AIRGAS USA, LLC 922 SKIPPER AVE H ne ard 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: ITAL LER PALL et PPL Le Fee Pe || Pee ato ATTN ACCOUNTS PAYABLE PVA Ll cua Tr he bho TTY . OKALOOSA CO EMS AIRGAS USA, LLC be 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 429199119500139449500002b99385 TO ENSURE PROPER CREDIT, PLEASE RETURN THE viet PORTION ae OR REMITTANCE FOR ayaa one mae Se nea CALL: 800- 127. 0699. . (REE HASE ORDER: 9919392157| 1291991 288028 RENT Poe04/2014 | NET 30 RRCYLMLG-OX - Rent Cyl Med Large Oxygen 18 26 26 0 18 18 it) 0) $0 .26/DAY RRCYLMXS-OX - Rent Cyl Med Xs Oxygen 136 154 154 0 136 0 136 4216 _ $0. 22/DAY $927.52 N $927.52 Important. See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the $ 927.52 Reverse Sido of this form. vou wil be deemed 19 have accepted, the provisions i in ie said h : jotice as part of the contractual arrangements between you and us, unless you reject suc! provisions by written advice to us ‘with (15) days after ihe date of this document . SHIP TO: 1288928 AIRGAS USA, LLC Airgas. ' OKALOOSA COUNTY EMS Acct No. 8606074182 + www.airgas.com CHRISTOPHER D TANNER, MD PNC Bank, ABA No 031000053 Airgas USA, LLC 90 COLLEGE BLVD E PO Box 9249 NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.13 SEL - #01000 Page 39 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Aj Airgas USA, Luc INVOICE DATE PAYER INVOICE NO. DUE DATE PO Box 9249 gas. Marietta, GA 30065-2249 C1 06/04/2014 1291991 9500194495 ff 07/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC 922 SKIPPER AVE Et ore , FORT WALTON BEACH FL 32547-7315 Feat Cap 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: Wp flee peUdeadg pelea pel Peat pg y pepe tye BILLTo ATTNACCOUNTS PAYABLE le etal Ee emer thie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 42592954459500194949500002699345 SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Invoice Amount Org To To Num Number S000 1291991 1288928 OKALOOSA COUNTY EMS 9027154082 8027960105 38.82 So00 1291991 1288928 OKALOOSA COUNTY EMS 9027154083 8027960109 51.48 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027154084 8028050759 6.33 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027154335 5000281504 51.48 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9027214296 8028007624 45.15 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027214297 8028060958 92.22 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027258958 8028112505 46.53 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027258959 8028137904 6.33 8000 1291991 1288928 OKALOOSA COUNTY EMS 9027293539 8028153479 19,83 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027293540 8028153500 19,83 8000 1291991 1288928 OKALOOSA COUNTY EMS 9027293541 8028153501 26.16 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027352881 8028199454 66.90 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027352882 8028228788 6.33 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027430032 8028246629 150.57 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027430033 8028302381 104.88 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027489333 8028342172 26.16 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027489334 8028342174 87.27 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027549623 8028419961 6.33 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027571451 8028400024 26.16 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027571452 8028400026 40.20 So00 1291991 1288928 OKALOOSA COUNTY EMS 9027571453 8028437737 57,81 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027571454 8028481169 12.66 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027642500 8028494141 85.89 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027675454 8028513883 83.13 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027675675 8028537850 87.27 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027722378 8028584317 26.16 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027722379 8028584318 33.87 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027803322 8028639676 26.16 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027803323 8028639678 19.83 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027803324 8028683827 51.48 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027803565 8028725072 6.33 CONTINUED SHIP TO: Airgas OKALOOSA COUNTY EMS wwwaaitgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC Airgas USA, LLC 90 COLLEGE BLVD E Acct No, 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000083 Marietta, GA 30065-2249 REV 1.1.19 SEL- 101000 Page 40 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas, 26:5. a More aN 30065-2249 » : PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC q 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: BILLTO ATTN ACCOUNTS PAYABLE is OKALOOSA CO EMS AIRGAS USA, LLC ma ©=90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000613 4291992395001594495000026993585 ORDER O81 REGION INV NG | g a ce SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Invoice Amount Org To To Num Number $000 1291991 1288928 OKALOOSA COUNTY EMS 9027908983 8028754024 57.81 S000 1291991 1288928 OKALOOSA COUNTY EMS 9027908984 8028754025 71.85 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027947822 8028824906 19.83 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027947823 8028824907 19.83 $000 1291991 1288928 OKALOOSA COUNTY EMS 9027947824 8028824908 74.61 S000 1291991 1288928 OKALOOSA COUNTY EMS 9028013122 8028789757 38.82 S000 1291991 1288928 OKALOOSA COUNTY EMS 9028013123 8028887764 79.56 S000 1291991 1288928 OKALOOSA COUNTY EMS 9919392157 N/A 927.52 SHIP TO: Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 BO Box 92 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 49 Marietta, GA 30066-2249 REV 1.1.19 82t~t04000 Page 41 of 41