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

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