READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — July 15, 2014 — Airgas Invoice-May 2014 — reading text
Part 2 of 5. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 55-Airgas Invoice-May 2014.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
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
