Okaloosa County BOCC — May 20, 2014 — Airgas Invoice-March 2014 — reading text

1023921224 03 OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 77.34 Delivery Flat Fee 13.50 $ 90.84 PAYMENTS 7 SHIP TO: 1288928 Airgas. ; OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E Airgas USA, LLC Acct No. 8606074182 PO Box 5249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 28 of 36 Airgas. Altoas USs USA uc Ox 9 Marietta, aN 30065-2249 soLpBy 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 000622 ct (] credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. 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 (J check AMOUNT ENCLOSED PLEASE MAKE CHECKS PAYABLE AND REMIT TO: lie a bet CEE RC AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4245199115950018164400002669100 Airgas. www.airgas.com 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 29 of 36 NICEVILLE EMS S048 1023919838 03 OX USPDA So48 5 CL 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS S048 1023919838 03 OX USP125 $048 2 CL 2 2 14,04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 59.73 Delivery Flat Fee 13.50 SHIP TO: 1288928 OKALOOSA COUNTY EMS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA, fie INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. Rio Bax 824 PFS 0065-2240 C1 04/03/2014 1291991 9 9500181646 [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 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: TUT BS Pouce rune Loa re tr) Go onpeped ppl eto ATTN ACCOUNTS PAYABLE YALE td (Chi a coal BEY Uo OKALOOSA GO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 gach 000622 22919911550018464b00002669100 UESTIONS ON YOUR CALL: 800: 27 ~0693 BRMS oc: [EGRDE S 1291091 “aa80z8 9025900245 00000000 NET 30 0312712044 DESTIN EMS $048 1023922065 03 OX USPDA 8048 4 CL 4 4 6.33 CL 25.32 N {Vol: 60 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS 5048 1023922065 03 OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 53.40 Delivery Flat Fee 13.50 66. SHIP TO; 1288928 566.90 Airgas OKALOOSA COUNTY EMS . www.airgas.con CHRISTOPHER D TANNER, MD rests ET En ete PO Box 9249 ° PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13. SEL-o01000 Page 30 of 36 Air as. * Airgas | USN bee 9 Marlette, _ 30065-2249 1 soLpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 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 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (J 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: WalfuflecdpeMbasty Upolagttel eff Poop fEpea gr popes type PAYABLE PEA tye fete yt eer tes BiLTo ATTN ACCOUNTS .. OKALOOSA CO EMS AIRGAS USA, LLC at 90 COLLEGE BLVD E PO BOX 532609 fie NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000622 42919913950016164b000026b9100 1291981 1208628 Pc02606 1306 | 00000000" ner 30 03/28/2014 abt ESSEX ROAD $048 1023782732 03 OX USPDA S048 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 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD niga is utc ene eae seo R070 PO Box 9249 ~ Marietta, GA 30065-2249 REV 1.1.13 SEL-901000 PNC Bank, ABA No 031000053 Page 31 of 36 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Alrgas | USA fie INVOICE DATE PAYER INVOICE NO. DUE DATE irgas. * Morne BN 30088-2249 C1fh04/03/2014f 1291991 || 9500181646 05/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soltosy AIRGAS USA, LLC 922 SKIPPER AVE fl one , FORT WALTON BEACH FL 32547-7315 reat 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: Walpole ete Upatadal pdf oy dt pap pepe typed auto ATTN ACCOUNTS PAYABLE Nis Lod Ee FTL a ae TE Trt __. OKALOOSA CO EMS AIRGAS USA, LLC Pate 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL. 32578-1343 ATLANTA GA 30353-2609 000622 1291994159500148164b00002669100 ERNS = ORDER DATE “1200008 B02 105 | oooo0ce NET 30 oa/32014 | 32 OCEAN CITY FD . $048 1024198921 02 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 6.33 7 SHIP TO: 1288928 § Airgas. ; OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA LLC Airgas USA, LLC Ay So ODE 4 Acct No. 8606074182 PO Box 9249 ICEVILLE 78-1343 PNC Bank, ABA No 031000053 Marietta, GA 30068-2249 REV 1.1.13 SEL -001000 Page 32 of 36 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USh, fhe INVOICE DATE PAYER: INVOICE NO. QUE DATE PAY THIS AMOUNT Airgas. Monae Bh 30085-2249 C1 04/03/20149 1291991 | 9500181646 § 05/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpsy 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: Wal paPloady Maal tyDe fel lp fea peep pepe typeagl auto ATTN ACCOUNTS PAYABLE 7 iia oes Fei ed UU co OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000622 4251.9911950018164400002669100 19 ENSURE PROPER CREDIT, ae RETURN ae aR road ae YOUR RE CALL: 800-727-06: SOLE E PIC [-GROER DAT 1291991 1260028 Teozeoseaae | 00000000 Wer 30 03/31/2014 CRESTVIEW EMS So48 1024163424 03 OX USPDA S048 11 CL 11 11 6.33 CL 69.63 N (Vol: 165 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1024163424 03 OX USP125 S048 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 SHIP TO: 1288928 AIDS. vv sisencon SAOCACOUNTY EMS . www.airgas.com , 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 Beas eg NICEVILLE PL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL-001000 Page 33 of 36 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Altaas | USN fic INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMCUNT gas. : Moree S249 30085-2249 04/03/2014§ 1291901 ff 9500181646 [| 05/01/2014 J] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC oO Check 922 SKIPPER AVE FE] credit cara 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: PET Ey Peco Prue Le Me) |e epee ped peal BLLTo ATTN ACCOUNTS PAYABLE 7 tts ota eet Ue TU | span, OKALOOSA CO EMS AIRGAS USA, LLC ey 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 00622 . 1294499149500181b4b00002bL5100 JO ENSURE ¢ ENSURE PROPER. CREDIT, P PLEASE RETURN T weer PORTION WITH YOUR REMUTTA T, PLEASE CALL: 800-727-0693 EG TO NUMBER | ES a: ag ASE ORDER NGL 0017840453 [ 1291991 1288928 ~ RENT 04/03/2014 rn NET 30 IR avons a ee RRCYLMLG-OX - Rent Cyl Med Large Oxygen 18 20 20 0 18 18 0 0 $0.26/DAY RRCYLMXS-OX - Rent Cyl Med Xs Oxygen 135 «170 170 0 135 o 135 4185 $0.22/DAY $920.70 N 153 190 190 ) 93800 0 0 gg | Important, See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the Reverse Side of his form. You wil be deemed lo have accepted | the provisions in the sald h $ 920.70 lol as part of the contract arrangems ‘ou Us, Ul 7 provisions by written advice fous ‘within (1 3) days alien the date of thls dosuent ae . SHIP TO: 1288928 AIRGAS USA, LLC Airgas. , OKALOOSA COUNTY EMS Acct No. 8606074182 > Www.alrgas.com CHRISTOPHER D TANNER, MD PNC Bank, ABA No 031000053 Alrgas USA, LLC 90 COLLEGE BLVD E : PO Box 9249 NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.13 SEL -001000 Page 34 of 36 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE. FAX NOTICE TO: 770-590-6112 Airgas USA, LLC INVOICE DATE. PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. FO Box S249 30065-2249 C1M§04/03/2014] 1291991 | 9500181646 J 05/01/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC Ol 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: Heat fofden po dend ght teal eee lien sito ATTN ACCOUNTS PAYABLE _. OKALOOSA CO EMS AIRGAS USA, LLC “4 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000622 429199135500181b46000026659100 INSURE PROPER CREDIT, PEASE SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Invoice Amount Org To To Num Number S000 1291991 1288928 OKALOOSA COUNTY EMS 9025033258 8025833506 131.58 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025033259 8025895898 64.14 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9025033260 8025922211 6.33 $000 1291991 1288928 OKALOOSA COUNTY EMS 9025160754 8025939982 51.48 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9025160945 8025939983 26.16 6000 1291991 1288928 OKALOOSA COUNTY EMS 9025196495 8025987610 32.49 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9025196496 8025987611 45,15 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025289888 8026026879 97,17 SC00 1291991 1288928 OKALOOSA COUNTY EMS 9025289889 8026081206 118.92 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025349215 8026135816 59.19 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9025384967 8026206749 12.66 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025384968 8026210032 6.33 Sso00 1291991 1288928 OKALOOSA COUNTY EMS 9025416833 8026178174 26.16 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025416834 8026178175 71.85 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025417205 8026199174 89.46 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025417206 8026234418 52.86 $000 1291991 1288928 OKALOOSA COUNTY EMS 9025490177 8026270822 52,86 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025567964 8026321172 45.15 so00 1291991 1288928 OKALOOSA COUNTY EMS 9025568265 8026382544 87.27 $000 1291991 1288928 OKALOOSA COUNTY EMS 9025629131 8026424425 10.47 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025648952 8026478598 26.16 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025648953 8026478599 19.83 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9025648954 8026478633 38.82 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025709900 8026517933 26.16 So00 1291991 1288928 OKALOOSA COUNTY EMS 9025709901 8026538814 19.83 $000 1291991 1288928 OKALOOSA COUNTY EMS 9025804815 8026570900 19.83 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9025804816 8026591506 64,14 $000 1291991 1288928 OKALOOSA COUNTY EMS 9025865100 8026570901 90.84 S000 1291991 1288928 OKALOOSA COUNTY EMS 9025899994 8026664263 73.23 $000 1291991 1288928 OKALOOSA