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