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Okaloosa County BOCC — May 20, 2014 — Airgas Invoice-March 2014 — reading text
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Airgas. Airgas US! USA, fhe
Ox 9
Marietta, ae 30065-2249
ATTN ACCOUNTS PAYABLE
|. OKALOOSA CO EMS
ee 90 COLLEGE BLVD E
! NICEVILLE FL 32578-1343
000622
Airgas. www.airgas.com
REV 1.1.13
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas L Ush phe INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Moin ah. 30085-2240 C19 04/03/2014 1291991 ¥ 9500181646 | 05/01/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpspy AIRGAS USA, LLC Ol Check
922 SKIPPER AVE Cl Credit Card
FORT WALTON BEACH FL 32547-7315 rea Gar
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:
Mal fofleed po doed yUpoel Lal oAPSHLTPoug HT peaprpegeed | pp!
auto ATTN ACCOUNTS PAYABLE PYM bi ci bo Fe EY
OKALOOSA CO EMS’ AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
00822
429449913 9500161b4600002b69100
CRESTVIEW EMS $048
1023278351 03
OX USPDA S048 12 CL 12 12 6.33 CL 75.96 N
(Vol: 180 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS S048
1023278351 03
OX USP125 So48 3 CL 3 3 14.04 CL 42.12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 118.08
Delivery Flat Fee 13.50
§ 131.58
. SHIP TO: 1288928
Airgas ; OKALOOSA COUNTY EMS
» www.aitgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC RIGEVILLE EL 2478-1243 Acct No. 8606074182
PO Box 9249 -
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000 Page 1 of 36
7] Airgas USA {uc
irgas. PO Box 9:
Marietta, aN 30065-2249
soLpsy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BiLTO }=ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
mee 90 COLLEGE BLVD E
fz NICEVILLE FL 32578-1343
000622
TO ENSURE PROPER CREDIT, oe ao
foo GOLDS
THE Bee aR
ITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL inte Sanaa
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
04/03/2014 1291991 [| 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
CJ check
(J Credit Cara
Please visit www.airgas.com/ontinebillpay or
complete the information on the reverse side of this form.
ct
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
[EEN flae pM gpg tyele te le eee ties!
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
L2919931459500161b4b00002b69100
1291091
ESSEX ROAD S048
1023333459 03
OX USPDA S048 8 CL 8 8 6.33 CL 50.64 N
(Vol: 120 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 50.64
Delivery Flat Fee 13.50
. SHIP TO: 1288928 $ 64.14
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
nye utc SSeS NE ia set StnT4 te
PO Box 9249 ~
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000
PNC Bank, ABA No 031000053
Page 2 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USN LLC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. fi box o2te 30065-2249 C1) 04/03/2014] 1291991 | 9500181646 | 05/01/2014 ||] SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
922 SKIPPER AVE [] Check .
soLpBY AIRGAS USA
FORT WALTON BEACH FL 32547-7315
850-862-5214
LLC
aitto ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000622
C1 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:
MEP yee tel eam liegt
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
1259199319 50018L64b000026L9100
“este ‘20002 ‘9025033260 00000000 NET 30 “03/04/2014 r 3
ocean city FD
1023357503
OX USPDA
(Vol:
$048 1 cL
15 FT3) OXYGEN USP DA MED CGA 870
1
BM 2S GRD
$048
02
1 6.33 CL 6.33 N
Sale subtotal: 6.33
SHIP TO: 1288928
Airgas yawwairgas.com OKALOOSA COUNTY EMS
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 SEL -001000
CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
Page 3 of 36
$ 6.33
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
Airgas. #25:%:
Marletta, aN 30065-2249
soLpsy AIRGAS USA,
LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO ==ATTN ACCOUNTS PAYABLE
a, OKALOOSA CO EMS
‘ 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000822
TO nae EROF CREDIT, Sine RETURN THE UPPER Fone wird YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800. He 0693
ci
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
04/03/20149 1291991 [J 9500181646 | 05/01/2014 [| SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
C1 check ;
(J 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:
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
42591599139500181b4E00002bL9100
NICEVILLE EMS S048
1023330124 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
§ 51.48
SHIP TO: 1288928
Airgas. OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
negaus tic eae NE on feta ra
PO Box 9249 ~
Marietta, GA 30065-2249
REV 1.1.13 SEL- 001000
PNC Bank, ABA No 031000053
Page 4 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas | USA, gic INVOICE DATE PAYER INVOICE NO. OUE DATE PAY THIS AMOUNT
Airgas. Mere edo 30085-2249 C1 04/03/2014] 1291991 |} 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotoBy AIRGAS USA, LLC oO Check
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315 [_] 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: ~
TAT LEH Pee PCL P| | Pe Fe
sto ATTN ACCOUNTS PAYABLE LEAs pel beady tlre ies
OKALOOSA CO EMS AIRGAS USA, LLC
nate 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
4291591195001816400002b69100
FD North Bay S048
1023332012 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, LLC
Airgas USA, LLC NICEVILLE FL 39578-1349 Acct No. 8606074182
PO Box 9249 /
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL -001000 Page 5 of 36
Airgas St he
iraas. * CO Box 924!
Marietta, aN 30065-2249
sotpBY AIRGAS USA,
LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO }=©ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
000622
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
C1
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE. PAY THIS AMOUNT
04/03/2014 1291991 [9500181646 § 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
im Check
[_] 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:
ATP pelo yl lp Pere thiet
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
42519911950038164400002b69100
1288825 T 90251 96495 00000000 = NETS 30 osioe2ov4
ISE LORDER NU
DESTIN EMS S048
1023413637 03
OX USPDA S048 3 CL 3 3 6.33 CL 18.99 N
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 18.99
Delivery Flat Fee 13.50
32.49 .
SHIP TO: 1288928 § °
Airgas. www.airgas.com
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 SEL-oo1000
OKALOOSA COUNTY EMS
CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC
80 COLLEGE BLVD E
NICEVILLE FL 32578-1343 Acct No. 8606074182
PNG Bank, ABA No 031000053
Page 6 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Aitgas uss fle INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. Moree oS 30065-2240 C1f§04o3/2014] 1291991 || 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC
922 SKIPPER AVE Ld Ca card
FORT WALTON BEACH FL 32547-7315 rea val
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:
WadfoflaeD pod Don}p Upedal ML afe ols Pea i fpeagypegeed fp pag
sutto ATTN ACCOUNTS PAYABLE PTA LES Po TT ced bi ue EE oo
_., OKALOOSA CO EMS AIRGAS USA, LLC
Ee 90 COLLEGE BLVDE PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
429199115500148164L00002b69100
UPPER FOR FORTION We wo pfs BO
t2at00 1288028 Sepa oetoe | 00000000 NET 30 ‘Toss
SH
DESTIN FD $048
1023413636 03
OX USPDA $048 5 CL 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
SHIP TO: 1288928 —————
Airgas. OKALOOSA COUNTY EMS
. wwwairgas.con CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E nat No 3e0go74182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000083
Marietta, GA 30065-2249
REV 1.1.13 SEL- 001000
Page 7 of 36
REV 1.1.13 SEL- 001000
Airgas L US hc
Airgas Marietta, one 30065-2249 C1
so.pBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BLTO ATTN ACCOUNTS PAYABLE
_, OKALOOSA CO EMS
Aisi 90 COLLEGE BLVD E
Bs NICEVILLE FL 32578-1343
000622
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
04/03/2014 1291991 [ 9500181646 [| 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
O Check
LJ credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
AMOUNT ENCLOSED
tis ty Wd Fe TL tea TTT ero
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
L2923992159500148164L000026659100
STERMS:
1291991 288828 SODEPRONS | 00000000 _NET 30 Poaovaate Tia
ESSEX ROAD so48
1023413337 03
OX USPDA S048 11 CL qo 6.33 CL 69.63 N
(Vol: 165 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1023413337 03
OX USP125 $048 1 CL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 83.67
Delivery Flat Fee 13.50
97.47
SHIP TO: 1288928 §
OKALOOSA COUNTY EMS NSS
Airgas. www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
Airgas USA, LLC
PO Box 9249 NICEVILLE FL 32578-1343
Marietta, GA 30065-2249
Page 8 of 36
AIRGAS USA, LLG
Acct No. 8606074182
PNC Bank, ABA No 031000053
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Alrgas | UE pic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Moree edo 30085-2249 C19 04/03/20144 1291991 [| 9500181646 | 05/01/2014 [| SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sopBy AIRGAS USA, LLC Cc Check
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315 [] Credit Care
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:
ITAA TE PPLE PPL er 0 1 || PE | PPP
auto ATTN ACCOUNTS PAYABLE Vids fy Ld PC oi TF
-_ OKALOOSA CO EMS AIRGAS USA, LLC
Re 90 COLLEGE BLVD E PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
1291559119500181b4600002665100
H 800 ae 1693
CRESTVIEW EMS $048
1023499731 03
OX USPDA S048 10 CL 10 10 6.33 CL 63.30 N
(Vol: 150 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS 8048
1023499731 03
OX USP125 S048 3 CL 3 3 14.04 Ch 42,12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 105.42
Delivery Flat Fee 13.50
118.92
SHIP TO: 1288928 $
Airgas OKALOOSA COUNTY EMS
» www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC MCE VILE EL are 1343 Acct No. 8306074182
PO Box 9249 FL 32578-
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000 Page 9 of 36
CONSOLIDATED INVOICE
FOR ADDRESS
