Okaloosa County BOCC — August 5, 2014 — Airgas Invoice-June 2014 — reading text

32547-7315 redit Gan 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. piLLTO ATTN ACCOUNTS PAYABLE we. OKALOOSA CO EMS se 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000581 13 DER OF rast "1286028 9028811201 00000000 NET 30 06/24/2014 ESSEX ROAD So48 1026753363 03 OX USPDA SO48 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 Ai OKALOOSA COUNTY EMS Irgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw sTE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 101000 Page 32 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA, LLCO INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airga PRLS VAUGHINRD NW STE 400 caflo7/03/2014] 1291991 || 9500200746 J 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC 922 SKIPPER AVE Hemet ; FORT WALTON BEACH FL 32547-7315 reall Gar 850-862-5214 Please visit www.alrgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ==ATTN ACCOUNTS PAYABLE razz OKALOOSA CO EMS s f 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 pgs NICEVILLE EMS 8048 1026752636 . 03 OX USPDA S048 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 Air OKALOOSA COUNTY EMS ETQAS, i aicgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 SEL - 191000 REV 1.1.13 Page 33 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 7 AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NW STE 400 cao7/03/2014] 1291991 | 9500200746 | 07/31/2014 soLpBy AIRGAS USA, LLC C1 check 922 SKIPPER AVE i FORT WALTON BEACH FL 32547-7315 L] Credit Cara 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BiLTO ATTN ACCOUNTS PAYABLE wei, OKALOOSA CO EMS Ee 90 COLLEGE BLVD E 000881 13 NICEVILLE FL 32578-1343 Ocean City F D $048 1026892776 02 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 SHIP TO: 1288928 Airgas. etter COUNTY EMS . www.airgas.com RISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NWSTE 499 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 Seb> 107000 Page 34. of 41 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. 2015 VAUGHN RD NW $TE400 — cafo7/03/2014 1291991} 9500200746 | 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sopBy AIRGAS USA, LLC [1] check 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 L] Credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BRLLTO ATTN ACCOUNTS PAYABLE ves OKALOOSA CO EMS wa: 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000681 1,3 UPPER PORTION WITH YOUR REI : SOLD. PTO) TREGIONINV.NO | OSES: ERM ROERS 1291991 1288928 9028936492 | 00000000 NET 30 06/27/2014 ESSEX ROAD $048 1026754659 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 Ai OKALOOSA COUNTY EMS irgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 Seh- 101009 Page 35 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA, LLG INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT AGAaS, Es colorisreora] r20r001 | ectozoorae | oretro14 PLEASE MARK YOUR METHOD OF PAYMENT sotosy AIRGAS USA, LLC (Cl check 922 SKIPPER AVE ol Credit Card FORT WALTON BEACH FL 32547-7315 rear var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO ==ATTN ACCOUNTS PAYABLE y3 OKALOOSA CO EMS Eee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000581 41,3 acta PORTION vi TERM 1291991 1288928 He 0280304083 | 00000000 NET 30 DESTIN EMS So48 1026751888 03 OX USPDA So48 4 CL 4 4 6.33 CL 25.32 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS $048 1026751888 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 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS irgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 4.4.49 SE4- #01000 Page 36 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA, LLc INVOICE DATE PAYER INVOICE NO, (UE DATE PAY THIS AMOUNT Alrga 2015 VAUGHN RD NW STE 400 ¢a7/03/2014 1291991 | 9500200746 f 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.ppy AIRGAS USA, LLC 0 Check 922 SKIPPER AVE [1 credit Card 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. BLLTO ATTN ACCOUNTS PAYABLE wae OKALOOSA CO EMS “et 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000581 43 OKLOOSA ISLAND FD so4g8 1026724597 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 Airgas OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLG 90 COLLEGE BLVD E 2015 VAUGHN RD Nwste4oo0 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 SEL - 101000 peviaig 8 Page 37 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA LEC INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NW STE 400 caMlo7/03/20144 1291991 | 9500200746 | 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotosy AIRGAS USA, LLC oO Check 922 SKIPPER AVE ° FORT WALTON BEACH FL 32547-7315 [1] cregit card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. pitto ATTN ACCOUNTS PAYABLE x OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000881 13 ocean cit S048 1027009544 02 OX USPDA so48 1 Ch 1 1 6.33 CL 6.33 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 6.33 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 Ft 171000 Page 38 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 = AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. UE DATE PAY THIS AMOUNT Airga PIE VAUGHNIRD NW STE400 — caflo7/03/2014] 1201901 ] 9500200746 | 07/31/2014 || SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT so.pey AIRGAS USA, LLC C1 check 922 SKIPPER AVE S FORT WALTON BEACH FL 32547-7315 [1] Credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ATTN ACCOUNTS PAYABLE » OKALOOSA CO EMS ae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000581 1,3 Crestview FD S048 1026912112 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 Air Ss OKALOOSA COUNTY EMS | Ua www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW ste 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 144g S8h> 191000 Page 39 of 44 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 4 AIRGAS USA, LLC INVOIGE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airga . 2016 VAUGHNRS Nw STE 400 cafo7/03/2014] 1291991 |] 9500200746 | 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT soLosy AIRGAS USA, LLC C1 check 922 SKIPPER AVE [| creit card FORT WALTON BEACH FL 32547-7315 eon war 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ==ATTN ACCOUNTS PAYABLE wt OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000581 1,3 SORDER DAT osreaor | 40 CRESTVIEW EMS $048 1026921643 03 OX USPDA S048 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1026921643 03 OX USP125 S048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 80.10 Delivery Flat Fee 13,50 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS Igas. www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD Nw sTE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 101000 Page 40 of 41 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 = AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT Air DAS, SSSR SE 07/03/2014] 1201991 | 9500200746 J 07/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT soloBy AIRGAS USA, LLC 922 SKIPPER AVE H ork ; FORT WALTON BEACH FL 32547-7315 realt Gar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ATTN ACCOUNTS PAYABLE » OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ono TO ENSURE PROPER CREDIT, PLEASE | YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACC REGION INV NOT SOLD TO NUMEI OIRELE ER 9920117868 1291991 1288928 RENT 07/03/2014 RRCYLMLG-OX ~ Rent Cyl Med Large Oxygen 18 28 28 0 18 18 0 0 $0.29/DaAy RRCYLMXS~OX ~ Rent Cyl Med Xs Oxygen 1360-125 125 i¢) 136 0 136 ‘4080 $0.26/DAY $1,060.80 N REV 1.1.13 Important. See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the Reverse side of this form. You will be deemed to have accepted the provisions in the said Notice as part of the contractual arrangements between you and us, unless you reject such provisions by written advice to us within (15) days after the date of this document. $ 1,060.80 SHIP TO: 1288928 -] OKALOOSA COUNTY EMS Airgas. www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 SEL - 101000 Page 41 of 41