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CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT
04/03/2014 1291991 4 9500181646 | 05/01/2014 [| SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
CO check
C1 Credit Card
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
Airgas t USN gle
Airgas Marlene. 82° so0as-2049 al
so.pBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
Wea Dpap beat padDacf py dpalaptda) alfat [| for eepet papel
sto ATTNACCOUNTS PAYABLE Ute eden elie
__. OKALOOSA CO EMS AIRGAS USA, LLC
wate §=90 COLLEGE BLVD E PO BOX 532609
§ NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
12919901 750018164600002b69100
ESSEX ROAD $048
1023496637 03
OX USPDA S048 5 CL 5 5 6.33 CL 31.65 N
(Vol: 75 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1023496637 03
OX USP125 S048 1 cL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 45.69
Delivery Flat Fee 13.50
$ 59.19
= SHIP TO: 1288928
Airgas. ; OKALOOSA COUNTY EMS
. wwwaitgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC NICEVILER Ee 4343 Acct No. 8606074182
PO Box 9249 ~ PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 11.13 SeL-o01000 Page 10 of 36
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
(1 Check
(1 credit Cara
Please visit www.airgas.convonlinebillpay or
complete the information on the reverse side of this form.
Altgas USA, LLC
Airgas. porbe S24 GA 30085-2249 C1
so_pBY AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
PTA Aen PLP PV tt [Le Ped] || EE |
eit. ATTN ACCOUNTS PAYABLE Af eee ty el eg einer die
OKALOOSA COEMS - AIRGAS USA, LLC
90 COLLEGE BLVD E
ard PO BOX 532609
He NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
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UPPER PORTION
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ocean city FD 8048
1023621453 02
OX USPDA S048 2 Ch 2 2 6.33 CL 12.66 N
(Vol: 30 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 12.66
$ 12.66
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
sass sec a EE on sea 70
PO Box 9249 ~
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19. S8L-20%000 Page 11 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Alrgas | usa fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. * Moreen BR 30065-2240 C1f§o4i03/2014§ 1201901 | 9500181646 || 05/01/2014 J] SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpay AIRGAS USA, LLC
922 SKIPPER AVE H Ce ard
FORT WALTON BEACH FL 32547-7315 redlt 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:
Wal fafeafpetbasEyayotefttel ool fe[U fone feeayape pool pgoegh
BLLTO. ATTN ACCOUNTS PAYABLE 7 moa at ce To be eT TL |
OKALOOSA CO EMS
_ AIRGAS USA, LLC
Ea 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
429159911 950016164b00002L69100
ocean city FD 8048
1023623032
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
7 SHIP TO: 1288928 $6.33
Airgas. ; OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS
. wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC MIGEVILLE EL 9578-1943 Acat No. 8606074182
PO Box 9249 ~ PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-901000
Page 12 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Alrgas L Ush fic INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Moree ode 30068-2249 C1 04/03/2014 1291991 J 9500181646 | 05/01/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
so_pBpy AIRGAS USA, LLC oO Check
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315 [7] 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 TES PALES PPL Let FPA] 1] eT || PRP PER | PP
auto ATTN ACCOUNTS PAYABLE Eee ofl gly E AE eat einer thes
_. OKALOOSA CO EMS AIRGAS USA, LLC
wat 90 COLLEGE BLVD E PO BOX 532609
a NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
4251.4911950018164600002669100
FD Niceville
1023499881
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
sigs ush Lc er CoulEGE BLVD E, Ae
PO Box 9249 N FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13. S€L-o01000 Page 13 of 36
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
C1 check
CJ credit Cara
Please visit www.airgas. com/onlinebillpay or
complete the information on the reverse side of this form.
Aligas USA, LLC
Airgas. Marlatta, GA 30065-2240 C1
soppy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
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eto ATTN ACCOUNTS PAYABLE ALM fey e di tpl fel leader tie
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000822
4291499147500161b4E00002669100
IS ON aes ACCOUNT CALL: 800. a
NICEVILLE EMS 5048
1023499880 03
OX USPDA S048 7°CL 7 7 6.33 CL 44.31 N
(Vol: 105 FT3) OXYGEN USP DA MED CGA 870
NICEVILLE EMS S048
1023499880 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
wwwairgas.com CHRISTOPHER D TANNER, MD
pore tc EE UME We i
PO Box 9249 -
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001009 Page 14 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
04/03/201 1281994 9500181646 § 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
Airgas L US gte
Marlee. °GN 30065-2249
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE Ht cee ard
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:
TTA Lee FeLLee PUPeL LUA Fe 1 cee] Petre |
BILTO. ATTN ACCOUNTS PAYABLE PENA ofae goofy ete AEP Ee Late dtr
aan OKALOOSA CO EMS AIRGAS USA, LLC
wk 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343
ATLANTA GA 30353-2609
000622
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E CALL: 800-727-0693 _
| ORDER DATE:
roo i002 0025417208 NET 30 03/4 ‘204 Pts
Station # 6 Hollywood
S048
1023590634 03
OX USPDA S048 12 CL 12 12 6.33 CL 75.96 N
(Vol: 180 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 75.96
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas. www.airgas.com
Alrgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 SEL- 001000
OKALOOSA COUNTY EMS
CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
Page 15 of 36
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
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
04/03/2014 1291991 [| 9800181646 ] 05/01/2014 ff SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
[J check
(J Credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
pitgas USN fhe
gas, 8° ct
Marietta, aie 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:
TAAL En PLL PoC ed | || P|
puto. ATTN ACCOUNTS PAYABLE BPD fea ye Mtg tye te eg eee ties
tq, OKALOOSA CO EMS AIRGAS USA, LLC
Make 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
LETT ASOOLS1bYb00002bL9100
DESTIN EMS 8048
1023500603 03
OX USPDA S048 4 ch 4 4 6.33 CL 25.32 N
(Vol: 60 FT3) OXYGEN USP DA MED CGA 870
DESTIN EMS 5048
1023500603 03
OX USP125 S048 1 CL 1 1 14.04 Ch 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 39.36
Delivery Flat Fee 13.50
52.86
SHIP TO: 1288928 : §
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLG PO COLLEGE BLVD E et NS 5600074182
PO Box 9249 FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000 Page 16 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas, {38:2 cs
Marietta, GA 30065-2249
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC im Check
922 SKIPPER AVE FI creait card
FORT WALTON BEACH FL 32547-7315 reat 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:
ATA 8 Len FRE PL TL Pd] |v | Pee | Pe
eto ATTN ACCOUNTS PAYABLE rT ce ne Eo oe LT |
OKALOOSA CO EMS AIRGAS USA, LLC
ss 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
4291399315500181b4b00002bL9100
ESSEX ROAD So48
1023494107 03
OX USPDA $048 4 CL 4 4 6.33 CL 25.32 N
(Vol: 60 FT3).OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1023494107 03
OX USP125 S048 1 CL 1 a 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 39.36
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas. - OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E AIRGAS USA LL
Airgas USA, LLC ~ Acct No. 8606074182
A888 eg NICEVILLE FL 32578-1343
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000 Page 17 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Alrgas Use fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. yeah S240 30065-2249 C104/03/2014, 1291991 |] 9500181646 | 05/01/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotosy AIRGAS USA, LLC C1 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:
Waffle patbaedy Upetag fle elf [Teng t fpenpapepeaf ppl
sito ATTN ACCOUNTS PAYABLE Te led ae oe be PET
.. OKALOOSA CO EMS AIRGAS USA, LLC
Pee 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343
ATLANTA GA 30353-2609
00622
429199419500161b4b000026L9100
RE PROPER
E eee RA Oe x :_ 800-727-0693
SOLD TO ROER DATE [2 SPAS
1201901 _, (280928 PrO25807004 | 00000000 03/17/2014
CRESTVIEW EMS $048
1023706641 03
OX USPDA So48 5 ch 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
$ 45,15
SHIP TO: 1288928 SAVNENTS
Airgas. ; OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE Be E1343 Acct No. ge0eo74182
PO Box 9249 NICEVILLE FL 32578- PNC Bank, ABA No 031000053
Marletta, GA 30065-2249
REV 1.1.13 SEL-o0to00 Page 18 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
hi Airgas | USS A, bLC INVOICE DATE PAYER INVOICE NO. DUE DATE
gas. ° ean ode 30065-2249 04/03/2041 1291991 9500181646 ff 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC Ol Check
922 SKIPPER AVE im Credit Card
FORT WALTON BEACH FL 32547-7315 rea var
850-862-5214 Please visit
