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