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