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Okaloosa County BOCC — May 20, 2014 — Airgas Invoice-March 2014 — reading text
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COUNTY EMS 9025900245 8026697023 66.90
SOQ0 1291991 1288928 OKALOOSA COUNTY EMS 9025961395 8026760378 51.48
CONTINUED
SHIP TO: —
Ai OKALOOSA COUNTY EMS
Irgas. www.airgas.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 031000053
Marietta, GA 30065-2249
REV 1.1.13. SEL-001000 Page 35 of 36
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Ai Alrgas USA fle INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
POB
irgas. Maree eR 40065-2249 C1 04/03/2014, 1291991 9 9500181646 | 05/01/2014 $ 2,669.10
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy A!RGAS USA, LLC Ol Check
922 SKIPPER AVE A Credit Card
FORT WALTON BEACH FL 32547-7315 real 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 eel Pen PPL 0 P| | | P|
puLTO ATTN ACCOUNTS PAYABLE Mp flee pelt te dene ties
OKALOOSA CO EMS AIRGAS USA, LLC
PK 90 COLLEGE BLVD E PO BOX 532609
Ht NICEVILLE FL 32578-1343
ATLANTA GA 30353-2609
00622
b29159911550018164b00002b69100
2 ORDER D
a
SUMMARY PAGE
Sales Sold Ship Ship To Name Region Inv Delivery Invoice Amount
Org To To Num Number
S000 1291991 1288928 OKALOOSA COUNTY EMS 9026021023 8026843934 6,33
$000 1291991 1288928 OKALOOSA COUNTY EMS 9026059446 8026816404 97.17
S000 1291991 1288928 OKALOOSA COUNTY EMS 9917849453 N/A 920.70
$ 2,669.10
SHIP TO:
Airgas. OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER 0 TANNER, MD
Airgas USA, LLC 90 COLLEGE BLVD E Acct No, 8606074182
PO Box 9249 FL 32578-1 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19 SEL-o01000 Page 36 of 36