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Okaloosa County BOCC — May 20, 2014 — Airgas Invoice-March 2014 — reading text
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www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
TATA (et PLL PO Ped | || Pe
euro ATTN ACCOUNTS PAYABLE fee fe floe dpe Mtoe dag Mp A EL at einer thie
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
229199115500148164600002b69100
ESSEX ROAD $048
1023706215 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 8048
1023706215 03
OX USP125 8048 3 CL 3 3 14.04 Ch 42.12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 73.77
Delivery Flat Fee 13.50
SHIP TO; 1288928
Airgas OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS
wwwaalrgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E AIRGAS USA, LLC
Airgas USA, LLC Acct No. 8606074182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000083
Marietta, GA 30065-2249
REV 1.1.13 S&L-901000 Page 19 of 36
REV 1.1.13 S&L- 001000
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Ai Airgas L uss A dic INVOIGE DATE PAYER INVOICE NO. DUE DATE
irgas. ede 8249 065-2049 C1ff04/03/2014] 1291991 | 9500181646 J 05/01/2014 Ff SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBY AIRGAS USA, LLC
922 SKIPPER AVE Ey See ard
- 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:
TATA TE PALE ETL PR] || en || Pee
eto ATTN ACCOUNTS PAYABLE af leat Me Maer ties
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
129499439 50018164b00002669100
ae
1291094
NICEVILLE EMS S048
1023701468 03
OX USPDA 8048 9 CL 9 9 6.33 CL 56.97 N
(Vol: 135 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 56.97
Delivery Flat Fee 13.50
70.47
SHIP TO: 1288928 §
Airgas. OKALOOSA COUNTY EMS
. wwwairgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC a COFLEGE BLVD a 34 not Ne 3606074182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
Page 20 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Ai Airgas | USA, fue INVOICE DATE PAYER INVOICE NO. DUE DATE,
irgas. ° PO BOK 9249 as 0740 C1§04/03/20149 1291991 || 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT _
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE H ee ard
FORT WALTON BEACH FL 32547-7315 real 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:
Mbp pbaa fp Eden fy ply abaf MMe [pal fof | f fis: Pr co | Ly
auto ATTNACCOUNTS PAYABLE PTAs fa i (tea Th el bia RE
tan, OKALOOSA CO EMS AIRGAS USA, LLC
fesse 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
42949931950018164L00002669100
DESTIN FD 8048
1023708251 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 90 COLLEGE BLVD E Ant No Be0e074 182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.4.13 SEL -001000
Page 21 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
Airgas USN ble
PO Box 9249 for
Marietta, GA 30065-2249
Airgas.
soLpBy AIRGAS USA, LLC ] check
922 SKIPPER AVE Ei] credit card
FORT WALTON BEACH FL 32547-7315 rea Gard
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:
Wat fafboaf pol DeopeptpsefOU app shfefp] fon ogee eg!
ekto ATTN ACCOUNTS PAYABLE AEA afoe ye Moo fgg tole fOU af ELT eg Leeanneenesd aves
OKALOOSA ‘CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
000622
4291991159500148164L000026b9100
Airgas. www.airgas.com
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
REV 1.1.13 SEL- 01000
OKALOOSA COUNTY EMS
CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
Page 22 of 36
OKLOOSA ISLAND FD S048
1023708250 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
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
Airgas t USA, fic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. vena S249 30065-2249 C1. 04/03/2014], 1291991 |] 9500181646 J 05/01/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC Oo 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:
HLatpaflaaDpeMMeed pay sDof Lal othe] PPeaal faenyapepeaty peg
auto ATTN ACCOUNTS PAYABLE DAEs ef gly el eat eaee ties
‘an, OKALOOSA CO EMS AIRGAS USA, LLC
ae 90 COLLEGE BLVD E PO BOX 532609
u NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
b291794149500161b4b00002bb9100
DESTIN EMS $048
1023698076 03
OX USPDA S048 4 CL 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
SHIP TO: 1288928
Airgas. OKALOOSA COUNTY EMS
. www.airgas.comn CHRISTOPHER D TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E pas No. sacea7aia2
PO Box 9249 NICEVILLE FL 92578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000 Page 23 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6412
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
LJ check
(1 credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
Bitgas t USM he
Airvas. ‘ Martella, GA 30065-2249 ct
so.pBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
Wel fofdon) pel dondp gabe He golf [Mpeg Hf perpypeyeef feel
auto ATTN ACCOUNTS PAYABLE Hee felt ete emer thie
OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
on0g22
12949911950014144,00002665100
S ou 204 ACCOUNT PLEASE CALL: _800- 721-0693, -
[ORDER DATE |
ESSEX ROAD $048
1023706801 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 EAN AU SNES
. wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA. LLC
Airgas USA, LLC AATEC Acct No. 8606074182
PO Box 9249 NICEV 578-1343 PNC Bank, ABA No 031000083
Marietta, GA 30065-2249
REV 1.1.49 SEL- 001000 Page 24 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Ai Aitgas L ush fie INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
irgas. = Meee Si 30065-2249 Cif 04/03/2014] 1291991 | 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC O 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:
Malfaflea] plead pate] aty cP foe | fpsgyrpegeeftppoagl
euto. ATTN ACCOUNTS PAYABLE Pf oe De Te be TUT
_, OKALOOSA CO EMS AIRGAS USA, LLC
Hi 90 COLLEGE BLVD E PO BOX 532609
[Se NICEVILLE FL 32578-1343 ATLANTA GA 30363-2609
000622
429199114500181b4600002669100
ocean city f/d $048
1023918345 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
. SHIP TO: 1288928
Airga 5 . OKALOOSA COUNTY EMS
. wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
. 90 COLLEGE BLVD E
Airgas USA, LLG NICEVILLE EL. 32578-1343 Acct No. 8606074182
PO Box 9249 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 11.13 SEL - 001000 Page 25 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 9 9500181646 | 05/01/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
LI check
[] credit Cara
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
Airgas USN pee
irgas. PO Box 924 fer]
Marietta, oe 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:
TAAL PLP Te PTT et || Pe | Pee
auto ATTN ACCOUNTS PAYABLE Mf fleege tay ltl eg em e dies
OKALOOSA CO EMS AIRGAS USA, LLC
ae 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
129195911950014164b00002b69100
CRESTVIEW FD $048
1023921223 03
OX USPDA SO48 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 FOR WIRE TRANSFER PAYMENTS _ |
. wwwaairgas.com CHRISTOPHER D TANNER, MD
Arogs USA LLC emia tN, amore
PO Box 9249 ~
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL - 001000 Page 26 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, fic . INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. Meee a 30085-2249 C1§04/03/2014F 1291991 | 9500181646 | 05/01/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soppy AIRGAS USA, LLC
922 SKIPPER AVE : ok 4
FORT WALTON BEACH FL 32547-7315 rea 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:
TAT A TS PUPS Ue UT PED Ee || PRP | PP
auto ATTN ACCOUNTS PAYABLE Peete ht ed eae thie
_,. OKALOOSA CO EMS AIRGAS USA, LLC
BH 90 COLLEGE BLVDE PO BOX 532609
#E NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000622
1291591159500181644000026L9100
PORDER DATE | E
“1201091 ‘2028 S2aeDB Ie "00000000 NET 30 03/25/2014 | 27 |
ESSEX ROAD $048
1023922059 03
OX USPDA $048 8 Ch 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
Airgas. OKALOOSA COUNTY EMS
. wwwaairgas.com CHRISTOPHER D TANNER, MD
Airgas USA, LLC Re oO LEE BND E cat No. S606074 182
PO Box 9249 I 2578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SEL-001000
Page 27 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.
Airgas US fhe
irgas. Marieke ct
Marietta, oN 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:
TAT TES PLE PLA Fen] Te | POPE PES
sito ATTN ACCOUNTS PAYABLE tis Lod Cltls YL Cha oe
_., OKALOOSA CO EMS AIRGAS USA, LLC
4 90 COLLEGE BLVD E PO BOX 532609
E NICEVILLE FL 32578-1343 ATLANTA GA 30353-2809
000622
429499119500181b4b00002b69100
CRESTVIEW EMS So48
1023921224 03
OX USPDA $048 10 CL 10 10 6.33 CL 63.30 N
(Vol: 150 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS $048
