Okaloosa County BOCC — September 16, 2014 — Airgas Invoice-July 2014

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. PIS VAUGHN RD NW STE400 4 [Roa/os/2014f 1291991 } 9500208054 | 08/31/2014 $ 2,968.35 PLEASE MARK YOUR METHOD OF PAYMENT AMOUNT ENCLOSED 6 ALIL8.35 sotpgy AIRGAS USA, LLC Cl Check 922 SKIPPER AVE Fl credit card 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: Deepa tte eT alten lle! PAYER ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 600086 3 429199119500206954000029b6351 TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR GESTION S eae YOUR ACCOUNT PLEASE. PaEBe ay -727-0693 SRDER DATE E REGION INV NG: ee SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Delivery Invoice Amount Org To To Num Number Date $000 1291991 1288928 OKALOOSA COUNTY EMS 9029091120 8029938370 07/01/2014 108.32 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029091121 8029962153 07/01/2014 105.76 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029091122 8029996791 07/02/2014 46.45 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029091123 8030039612 07/02/2014 6.59 $000 1291991 1288928 OKALOOSA COUNTY EMS 9029149064 8030052722 07/07/2014 67.50 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029149295 8030052723 07/07/2014 26.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029203245 8030052721 07/07/2014 87.27 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029239624 8030097043 07/07/2014 74.09 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029239915 8030162282 07/08/2014 7.60 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029319779 8030142411 07/08/2014 79.40 $000 1291991 1288928 OKALOOSA COUNTY EMS 9029319780 8030192573 07/09/2014 60.91 $000 1291991 1288928 OKALOOSA COUNTY EMS 9029319781 8030206784 07/09/2014 26.68 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9029365082 8030282841 07/11/2014 26.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029365083 8030282842 07/11/2014 47.73 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029365084 8030282843 07/11/2014 42.42 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029468961 8030329282 07/14/2014 59.63 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029468962 8030369974 07/15/2014 92.58 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029515363 8030422435 07/16/2014 59.63 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9029515364 8030463751 07/16/2014 6.59 So00 1291991 1288928 OKALOOSA COUNTY EMS 9029621854 8030563380 07/18/2014 10.08 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029641194 8030520322 07/18/2014 67.50 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029641465 8030520361 07/18/2014 471.73 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029641466 8030520362 07/18/2014 26.68 So00 1291991 1288928 OKALOOSA COUNTY EMS 9029641467 8030591605 07/21/2014 7.60 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029697579 8030566386 07/21/2014 114.91 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029697580 8030608037 07/22/2014 67.50 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029755231 8030654586 07/23/2014 41.14 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029788085 8030724705 07/24/2014 13.18 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029788086 8030738101 07/24/2014 6.59 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9029835600 8030737156 07/25/2014 80.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9029835601 8030737157 07/25/2014 89.83 CONTINUED FOR WIRE TRANSFER PAYMENTS Airgas. www.airgas.com AIRGAS USA, LLC AIRGAS USA, LLC Acct No. 8606074182 2015 VAUGHN RD NW STE 400 PNC Bank, ABA No 031000053 KENNESAW GA 30144-7802 REV 1.4.19 SE- 001000 Page 1 of 38 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 Airgas. 2015 VAUGHN RD NYY STE 400 ca Mogyos/2014| 1291991 | 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC 1 check 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 [J Credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 00066 a TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER ee YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE aes 800: 727+ ae SION INV NOL oo 6 a a SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Delivery Invoice Amount Org To To Num Number Date $000 1291991 1288928 OKALOOSA COUNTY EMS 9029914265 8030801565 07/28/2014 26.68 $000 1291991 1288928 OKALOOSA COUNTY EMS 9029914266 8030801566 07/28/2014 103.01 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9029914267 8030840600 07/29/2014 59.63 $000 1291991 1288928 OKALOOSA COUNTY EMS 9030046652 8030893029 07/30/2014 54.32 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9920834513 N/A-Rental N/A 1,118.78 $ 2,968.35 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.19 SF - 001000 Page 2 of 38 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 ct Airgas. sotosy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO. §=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 TO eae PROPER CREDIT, rar RETURN THE eee Fenner WITH YOUR REMITTANCE. FOR QUESTIONS. ON YOUR ACCOUNT PLEASE CALL. sane 800- ats 0693 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 08/05/2014, 1291991 9500206954 § 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LJ Check [| Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Ei BMS 71201001 1288928 9029091120 00000000 NET 30 OOO a ESSEX ROAD so48 1026973471 03 OX USPDA 5048 10 CL 10 10 6.59 Ch 65.90 N (Vol: 150 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD $048 1026973471 03 OX USP125 S048 2 Ch 2 2 14.46 CL 28.92 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 94.82 Delivery Fiat Fee 13.50 SHIP TO: 1288928 Al gas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 90 COLLEGE BLVD E REV 1.1.13 SEE 001000 $ 108.32 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD NICEVILLE FL 32578-1343 Page 3 of 38 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 Aira, EES s75 10 caffososaora| 201001 | esoazonsse J oas12014 PLEASE MARK YOUR METHOD OF PAYMENT soLoBy AIRGAS USA, LLC 922 SKIPPER AVE H cnet 4 FORT WALTON BEACH FL 32547-7315 red Var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. siLto =ATTN ACCOUNTS PAYABLE . OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 a CALL: 200-727-0 STA# 6 Hollywood S048 1027038624 03 OX USPDA S048 14 CL 14 14 6.59 CL 92.26 N (Vol: 210 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 92.26 Delivery Flat Fee 13.50 105.76 SHIP TO: 1288928 § 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 REV 4.1.19 SEt - 001000 Page 4 of 38 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 STE 400 4 Mfos/05/2014 1291991 | 9500206954 § 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC 922 SKIPPER AVE H Coe ard FORT WALTON BEACH FL 32547-7315 rei van 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ATTN ACCOUNTS PAYABLE BILL TO ; OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 TO nee CREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE peepee 800-727-0693 NICEVILLE EMS S048 1026973610 03 OX USPDA 8048 5 CL 5 5 6.59 CL 32.95 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 32.95 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 KENNESAW GA 30144-7802 REV 1.1.13 "001000 NICEVILLE FL 32578-1343 Page 5 of 38 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 Airgas. AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 SOLD BY BiLLTO = ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 00066 3 ocean city 1027102038 OX USPDA 8048 (Vol: c1 15 FT3) OXYGEN USP DA MED CGA 870 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 08/05/2014 1291991 9] 9500206954 ff 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LJ check (J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. CALL 800-727-069. so48 02 1 CL 1 1 6.59 CL 6.59 N Sale subtotal: 6.59 SHIP TO: 1288928 Aj OKALOOSA COUNTY EMS gas. 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 Sb -e0t000 Page 6 of 38 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 Airga ). aN Bolad-7802 C19 08/05/2014 1291991 ff 9500206954 Ff 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.psy AIRGAS USA, LLC 11 check 922 SKIPPER AVE : FORT WALTON BEACH FL 32547-7315 L] Credit Gara 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO = ATTN ACCOUNTS PAYABLE vx OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 o00066 3 TO ENSURE PROPER GREDIT, PLEASE RETURN THE ee roe wie YOUR REMITTANCE FOR QUESTIONS ON ae ACCOUNT PLEASE Gi LL 800-727-0693 TERMS 1291991 1288928 3020140004 00000000 NET 30 o7ia014 | 7 | DESTIN &MS $048 1026974359 03 OX USPDA $048 6 Ch 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS $048 1026974359 03 OX USP125 S048 1Ch 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 54.00 Delivery Flat Fee 13.50 $ 67.50 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 1.1.19 54- 001000 Page 7 of 38 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 Alrga , ARE WAUGHNNRD NW STE 400 1 fBcg/05/20149| 1201901 ] 9500206954 | 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 922 SKIPPER AVE H Cee ard FORT WALTON BEACH FL 32547-7315 real art 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }==ATTN ACCOUNTS PAYABLE raz OKALOOSA CO EMS war 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 co0086 3 CALL: 800-727-069. [REGION INVNG! UORSER DATES 1291901 see + pozetae208 00000000 NET 30 07/04/2014 DESTIN FD $048 1026967448 03 OX USPDA S048 2 CL 2 2 6.59 CL 13,18 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 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 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL - 901000 Page 8 of 38 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 Alrga . 201s VAUGHN RD Nw SIE 400 cr fosv0s/2014 1291991 | ss00206054 | 08/31/2014 || SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sotpsY AIRGAS USA, LLC [7 check 922 SKIPPER AVE , 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. BILLTO ==ATTN ACCOUNTS PAYABLE » OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 TO ae PROPER CREDIT, PLEASE. Ren THE UrrER FORA wit YOUR ee FOR QUESTIONS on oe ACCOUNT PLEASE CALL: HapEMaee -727-0693 3 EXTRA PER MIKE FOR 4TH WEEKEND S048 1026974361 03 OX USPDA 5048 9 CL 9 6 6.59 CL 59.31 N (Vol: 135 FT3) OXYGEN USP DA MED CGA 870 3 EXTRA PER MIKE FOR 4TH WEEKEND $048 1026974361 03 OX USP125 so48 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3}) OXYGEN USP 125 Sale subtotal: 73.77 Delivery Flat Fee 13.50 SHIP TO: 12888928 Ai OKALOOSA COUNTY EMS gas. www.airgas.com CUIRISTOPHER D TANNER, MD 90 CO AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL 001000 Page 9 of 38 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 Airga . POIs VAUGHN RD NW STE 400 1 flogi05/2014] 1291991 | 9500206954 § 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC ~ [1] check 922 SKIPPER AVE FJ] Credit Card FORT WALTON BEACH FL 32547-7315 rear van 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. atta ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 a é IRDER DATE= 1291991 20008 9029239624 | 00000000 NETS 30 07/07/2014 CRESTVIEW EMS 8048 1027158129 03 OX USPDA $048 7 Ch 7 7 6.59 CL 46,13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1027158129 03 OX USP125 S048 1 CL 1 1 14.46 Ch 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 60.59 Delivery Flat Fee 13.50 $ 74.09 SHIP TO: 1288928 Air tS OKALOOSA COUNTY EMS 0a . 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 Sb 001000 Page 10 of 38 REV 1.1.43 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 Airga . ROIS VAUGHNRD NW STE 400 4 Mogios/2014| 1291991 | 9500206954 J 08/31/2014 | SEE SUMMARY PAGE 4 SOLD BY BILL TO 000066 3 TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER oR WITH YOUR REMITTANCE. FOR QUESTIONS ON oe ACCOUNT PLEASE pa pee 727-0693 ocean city f/d S048 1027218846 02 OX USPD 8048 1 CL 1 7.60 CL 7.60 N CY-OX USPDA 0 1 PLEASE MARK YOUR METHOD OF PAYMENT AIRGAS USA, LLC C1 check 922 SKIPPER AVE E] credit Card FORT WALTON BEACH FL 32547-7315 reat war 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 (Vol: 15 FT3) OXYGEN USP MEDICAL PURE D CGA 870 Sale subtotal: 7.60 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 32678-1343 KENNESAW GA 30144-7802 SEL - 001000 Page 11 of 38 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. 215 VAUGHN RD NW STE 400 4 Mlosjos/2014 1291991 | 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 1 check 922 SKIPPER AVE Fl] creait card FORT WALTON BEACH FL 32547-7315 rea ar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO ATTN ACCOUNTS PAYABLE ‘az, OKALOOSA CO EMS ges 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ongoes ESSEX ROAD $048 1027153018 03 OX USPDA 8048 10 CL 10 10 6.59 CL 65.90 N (Vol: 150 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 65.90 Delivery Flat Fee 13.50 $ 79.40 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 SFL - 001000 Page 12 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 08/08/2014§ 1291991 || 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LJ check [_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. - AIRGAS USA, LLC Air as. 2015 VAUGHN RD NW STE 400 qq KENNESAW GA 30144-7802 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLTO }=ATTN ACCOUNTS PAYABLE F OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION wir YOUR REMITTANCE, FOR QUESTIONS ¢ aoe YOUR ACCOUNT PLEASE ae ‘see 800 far os 0693 [REGION ORDER 1200028 9029319780 | 00000000 “NETS 30 07/09/2014 out NICEVILLE EMS so4g8 1027151958 03 OX USP125 8048 1 Ch 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 NICEVILLE BMS $048 1027151958 03 OX USPDA S048 5 CL 5 5 6.59 CL 32.95 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 47.41. Delivery Flat Fee 13.50 60.91 SHIP TO: 1288928 i Ai OKALOOSA COUNTY EMS gas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2018 VAUGHN RD NW sTe4oo NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL -001000 Page 13 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 AIRGAS bshy LLC INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMQUNT Airgas. 7: Pete VAC GHN RD NW STE 400 1 08/05/2014§ 1291991 J 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC oO Check 922 SKIPPER AVE Fl credit Card FORT WALTON BEACH FL 32547-7315 reat Gan 850-862-5214 Please visit www.airgas.com/onlinebilipay or complete the information on the reverse side of this form. BILLTO = ATTN ACCOUNTS PAYABLE avys OKALOOSA CO EMS Ske 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ongo66 FD North Bay S048 1027158289 03 OX USPDA S048 2 CL 2 2 6.59 CL 13.18 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 Delivery Flat Fee 13.50 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS g . 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 SFL - 001000 Page 14 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 08/05/2014§ 1291991 | 9500206954 f 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT oO Check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. . AIRGAS USA, LLG Air as. 2015 VAUGHN RD NW STE 400 Gq KENNESAW GA 30144-7802 so.psy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 pitto ATTN ACCOUNTS PAYABLE vag OKALOOSA CO EMS ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 00068 TO ENSURE EROFER CREDIT, PLEASE ee THE Wes ae WITH YOUR REMITTANCE, FOR QUESTIONS. ae YOUR ACCOUNT PL] DESTIN FD 5048 1027158292 03 OX USPDA S048 2 CL 2 2 6.59 CL 13.18 N {Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 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 1.1.49 95r-001000 Page 15 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Al RGAS USA LLC INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT. Airga . KENNESAW: RS DON SIE M0o cr fhosios/2014f 1291901 | 9500206966 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotoBy AIRGAS USA, LLC Oo Check 922 SKIPPER AVE + FORT WALTON BEACH EL 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. BILLTO ATTN ACCOUNTS PAYABLE ys OKALOOSA CO EMS gee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 900066 3 DESTIN EMS 8048 1027158293 03 OX USPDA S048 3 CL 3 3 6.59 CL 19.77 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS S048 1027158293 03 OX USP125 S048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 34.23 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS , www.airgas.com ede TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2018 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 8&4 - 001000 Page 16 of 38 REV 1.1.13 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 Alrga , 2215 VAUGHN RD NW STE 400 4 fs/o5/20149. 1291991 | 9500206954 | 08/31/2014 | SEE SUMMARY PAGE 4 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 922 SKIPPER AVE H ork 4 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. BILLTO }=ATTN ACCOUNTS PAYABLE ‘a1 OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 oogose as THE, YeFER PORTION WITH. PORDER BA ‘201001 oes | s029365084 90000000 NET 30 07/11/2014 NOISHI ESSEX ROAD $048 1027158294 03 OX USP125 S048 2 Ch 2 2 14.46 CL 28,92 N (Vol: 254 PT3) OXYGEN USP 125 Sale subtotal: 28.92 Delivery Flat Fee 13.50 42.42 SHIP TO: 1288928 $ Aj OKALOOSA COUNTY EMS. irgas. 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- 001000 Page 17 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Al RGAS USA | LLC INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. PO 18 VAUGH RD NW STE 400 ci ffos/05/2014] 1201991 | 9500206054 F 08/31/2014 || SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT so.pey AIRGAS USA, LLC 922 SKIPPER AVE . Cae ard FORT WALTON BEACH FL. 32547-7315 reait Gar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BiLLTO ~=ATTN ACCOUNTS PAYABLE sys OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 o00066 3 CRESTVIEW EMS so48 1027366359 03 OX USPDA S048 7 CL 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 46.13 Delivery Flat Fee 13.50 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS irgas. wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw sTE 400 NICEVILLE FL 32678-1343 KENNESAW GA 30144-7602 REV 1.1.19 SEL" 001000 Page 18 of 38 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 , 2015 VAUGHN RD NW STE400 cy fo8/05/2014] 1291991 | 9500206084 J 08/31/2014 | SEE SUMMARY PAGE 4 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC Cc Check 922 SKIPPER AVE 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. Bitto ATTN ACCOUNTS PAYABLE yz OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 E UPPER ae eee CALL: 800- Mena ee ESSEX ROAD $048 1027365207 03 OX USPDA S048 12 CL 12 12 6.59 CL 79.08 N (Vol: 180 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 79.08 Delivery Flat Fee . 13.50 $ 92.58 SHIP TO: 1288928 Airgas. www.airgas.com CHRISTOPHER DPANKER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD Nw ste 499 NICEVILLE FL 32678-1343 KENNESAW GA 30144-7602 REV 1.1.19 8+ 001000 Page 19 of 38 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. Pots VAUGHINRD NW STE400 4 fco8/05/2014] 1291991 | 9500206054 | 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC 922 SKIPPER AVE H Cae ard FORT WALTON BEACH FL 32547-7315 realt ar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO ATTN ACCOUNTS PAYABLE P OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 rae Tsaze5t5369 | 00000000 NET 30 ‘07/16/2014 AN NICEVILLE EMS S048 1027335948 03 OX USPDA S048 7 CL 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 46.13 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 2018 VAUGHN RD Nw STE 400 NICEVILLE FL 32678-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL- 001000 Page 20 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 08/08/2014, 1291991 |] 9500206954 J 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT L] Check (J Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. AIRGAS USA LEC Air as. 2015 VAUGHN RD NW STE 400 Gy KENNESAW GA 30144-7802 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO. ~=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 RaW Aes ay ocean city FD S048 7027491938 02 OX USPDA S048 1 CL 1 1 6.59 CL 6.59 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 6.59 $ 6.59 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 1.1.19 96 001000 Page 21 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA, LLO INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT Airga . POIs VAUGHN RD NW STE400 cy Hoa/05/2014] 1291991 | 9500206084 J 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sousy AIRGAS USA, LLC 922 SKIPPER AVE H nee ard FORT WALTON BEACH FL 32547-7315 red Ga 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. BLLTO ATTNACCOUNTS PAYABLE oo OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 SURE PI PER C CRI iT, PLEASE RETURN THE oct fon Ton wr OURE ocean cit S048 1027584424 02 OX USPEA S048 1 CL 1 1 10,08 CL 10,08 N (Vol: 24 FT3) OXYGEN USP MEDICAL PURE EA CGA 870 Sale subtotal: 10.08 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS irgas. 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 4.1.13 55+ 001000 Page 22 of 38 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 Ai mas. 7015 VAUGHNRD NW STE400 4 Mos/osi2014] 1291991 } 9500206054 f 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC [1] check 922 SKIPPER AVE FORT WALTON BEACH EL 32547-7315 [_] credit Cara 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 DESTIN EMS S048 1027367059 03 OX USPDA S048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS $048 1027367059 03 OX USP125 S048 1 cL 1 1 14.46 CL 14.46 N {Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 54.00 Delivery Flat Fee 13.50 $ 67.50 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS U . www.airgas.com So Coat D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD Nw ste 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REY 1.1,1g5E-- 601000 Page 23 of 38 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. PAIS VAUGHNRO NW STE 400 4 Bosyosi2014] 1201991 } 9500206064 | 08/31/2014 : PLEASE MARK YOUR METHOD OF PAYMENT sotogy AIRGAS USA, LLC oO Check 922 SKIPPER AVE EJ credit Card FORT WALTON BEACH FL 32547-7315 reall 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 ws OKALOOSA CO EMS Re 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 engone ESSEX ROAD $048 1027366841 03 OX USPDA S048 3 CL 3 3 6.59 CL 19.77 N (Vol: 45 PT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD 8048 1027366841 03 OX USP125 $048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 34.23 Delivery Flat Fee 13.50 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS 0 . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LL 2015 VAUGHN RD Nw sTE 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 561001000 Page 24 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Z AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT, Airga PRIS VAUGHN RD NW STE400 4 Hos/os/2014] 1291991 | 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotoBY AIRGAS USA, LLC [check 922 SKIPPER AVE A Credit 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. eto ATTN ACCOUNTS PAYABLE saz OKALOOSA CO EMS fee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 o0goss DESTIN FD $048 1027246778 03 OX USPDA $048 2 CL 2 2 6.59 CL 13.18 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 Delivery Flat Fee 13,50 26.68 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 1.1.49 SE - 001000 Page 25 of 38 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. PAR VAUGHN RD NW STE 400 1 08/05/2014 1291991 | 9500206054 f 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 922 SKIPPER AVE H ok 4 FORT WALTON BEACH FL 32547-7315 red Var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BiuTO }=ATTN ACCOUNTS PAYABLE a. OKALOOSA CO EMS eee 90 COLLEGE BLVD E 009066 NICEVILLE FL 32578-1343 Galt: B00-727-0693 ocean city FD 5048 1027609025 OX USPD S048 1 cL 1 1 7.60 CL 7.60 N (Vol: 15 FT3) OXYGEN USP MEDICAL PURE D CGA 870 Sale subtotal: 7.60 SHIP TO: 1288928 Air as. OKALOOSA COUNTY EMS g . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 4oo NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 SEL- 001000 Page 26 of 38 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 Ai ma . ARIS VAUGHIND NW STE 400 C4 Mos/os/2014] 1291991 | 9500206054 9 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC gO Check 922 SKIPPER AVE FE] credit Card FORT WALTON BEACH FL 32547-7315 rear var 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. BitTo }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 ORDER DATE | 72910901 1288028 5020607579" F 90000000 "NET 30 07/21/2014 a CRESTVIEW EMS $048 1027588992 03 OX USPDA SO48 11 CL 11 11 6.59 CL 72.49 N (Vol: 165 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1027588992 03 OX USP125 S048 2 CL 2 2 14.46 CL 28.92 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 101.41 Delivery Flat Fee 13.50 $ 114.91 SHIP TO: 1288928 Aj 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 4.1.19 Ft - 001000 Page 27 of 38 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. POE VAUGHN RD Nw STE400 4 Mloa/05/2014] 1291991 |} 9500206054 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT soLppy AIRGAS USA, LLC [J check 922 SKIPPER AVE FORT WALTON BEACH EL 32547-7315 [] Credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BiLLTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 o00066 3 ESSEX ROAD $048 1027589099 03 OX USPDA S048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD 8048 1027589099 03 OX USP125 S048 1 cL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 54.00 Delivery Flat Fee 13.50 SHIP TO: 1288928 Air as. OKALOOSA COUNTY EMS g . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NWSTE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL- 001000 Page 28 of 38 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 VAUGHNRD NW STE 400 4 fBosjo5/2014] 1291901 ] 9500206054 | 08/31/2014 || SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sotpeyY AIRGAS USA, LLC 922 SKIPPER AVE [] Check FORT WALTON BEACH FL 32547-7315 [1] credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or BILLTO ~=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 a AMOUNT ENCLOSED. complete the information on the reverse side of this form. NICEVILLE EMS 1027588463 OX USPDA $048 2 CL (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS 1027588463 OX USP125 S048 1 CL (Vol: 127 FT3) OXYGEN USP 125 Delivery Flat Fee 03 1 $048 6.59 Ch $048 14.46 CL Sale subtotal: SHIP TO; 1288928 Air cS OKALOOSA COUNTY EMS 0a . www.airgas.com CHRISTOPHER D TANNER, MD 90 E BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW ste 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 FEV 4.1.13 55+ 001000 Page 29 of 38 13.18 N 14.46 N 27,64 13.50 $ 41.14 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 STE 400 4 Mog/05/2014 1291991 ff 9500206954 | 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC [1 cheek 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. BILLTO. }==ATTN ACCOUNTS PAYABLE “zz OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 engona Ocean City FD 048 1027734041 02 OX USPDA S048 2 CL 2 2 6.59 Ch 13.18 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 SHIP TO: 1288928 hit as OKALOOSA COUNTY EMS g . www.airgas.com spits Torres 0 TANNER, MD 90 E BLVD E AIRGAS USA, LLG 2015 VAUGHN RD Nw sTE 490 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SFL 001000 Page 30 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 08/05/2014 1291991 9 9500206954 J 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT [I check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. - AIRGAS USA, LLG Air a 2015 VAUGHN RD NW STE 400 Gq . KENNESAW GA 30144-7802 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO. }~=ATTN ACCOUNTS PAYABLE . OKALOOSA CO EMS wae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000068 3 1291901 1288928 9026788086 00000000 NET 30 o7i2ai2014 | 31 | eo RELEASE ORDER NUM ocean city S048 1027742295 02 OX USPDA S048 1 CL 1 1 6.59 CL 6.59 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 6.59 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS 9 . www.airgas.com So not ear by TANNER, MD EGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 S6L- 001000 Page 31 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 i AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT, Airgas. 2015 VAUGHN RD NW STE 400 1 fl os/o5/2014. 1291991 | 9500206954 J 08/31/2014 || SEE SUMMARY PAGE 4 PLEASE MARK YOUR METHOD OF PAYMENT solpay AIRGAS USA, LLC F] cheek 922 SKIPPER AVE : 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. BLLTO ATTN ACCOUNTS PAYABLE “ax OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Heian OER DATE 12st 1288928 8020835600 | F 90000000 Ne 30 07/25/2014 — -ORDE! ESSEX ROAD S048 1027589091 03 OX USPDA S048 8 CL 8 8 6.59 Ch 52.72 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD So48 1027589091 03 OX USP125 S048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 PT3) OXYGEN USP 125 Sale subtotal: 67.18 Delivery Flat Fee 13.50 $ 80.68 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS 0 . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2018 VAUGHN RD NW ste 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 564 - 007000 Page 32 of 38 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE. PAY THIS AMOUNT 08/05/2014§ 1291991 [J 9500206954 ff 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT O Check (_] credit Cara Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. . AIRGAS USA, LLC Air AS. ZGYAUSHINRS ww se 400 oy , KENNESAW GA 30144-7802 soLpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO }=ATTN ACCOUNTS PAYABLE rag, OKALOOSA CO EMS ete: 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 DESTIN EMS S048 1027589090 03 OX USPDA S048 5 CL 5 5 6.59 Ch 32.95 N {Vol: 75 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS 5048 1027589090 03 OX USP125 so4g 3 CL 3 3 14.46 CL 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 76.33 Delivery Flat Fee 13.50 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS irgas. www.airgas.com op Colcor 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 1.1.19 53+-001000 Page 33 of 38 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. Po15 VAUGHN RD Nw STE400 1 floa/osi2014] 1291991 | 9500206054 J 08/31/2014 |] SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC 922 SKIPPER AVE H Cot ard FORT WALTON BEACH FL 32547-7315 red Var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLto ATTN ACCOUNTS PAYABLE waz OKALOOSA CO EMS fae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 0000866 3 PPER SANE bale UR REMITTANCE, FOR CALL: 800-727-0693 OROER DA “zui601 1288028 | 9020914265 | 00000000 NET 30 07/28/2014 CRESTVIEW FD Sso48 1027791305 03 OX USPDA S048 2 CL 2 2 6.59 CL 13.18 N (Vol: 30 FT3} OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 Delivery Flat Fee 13.50 SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS Irgas. 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 30144-7602 REV 1.1.13 S54 - 901000 Page 34 of 38 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 Al ga ANA SRE S55! cx fososrz014] 1291991} osoozoses¢ J 08/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC O Check 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 LJ Credit Card 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }==ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 a EGROER DAT 1291991 1288928 “5020014266 00000000 | NET 30 07/28/2014 a CRESTVIEW EMS $048 1027791306 03 OX USPDA S048 7 Chl 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1027791306 03 OX USP125 S048 3.CL 3 3 14.46 CL 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 89.51 Delivery Flat Fee 13.50 $ 103.01 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS 0 . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw sTE 490 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1,1, 43 S€t-001000 Page 35 of 38 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 Airga , ROIS VAUCHN RD NW STE400 1 Mlos/os/2014f 1291991 | 9500206954 | 08/31/2014 || SEE SUMMARY PAGE 4 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC 922 SKIPPER AVE I eek ard FORT WALTON BEAGH 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. siLto ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 REGION IN NOE ES * ORDER DATE: | RE 1201901 ~ 8028 9020914267 00000000 NET 30 07/29/2014 —_—— ESSEX ROAD $048 1027793481 03 OX USPDA $048 7 Ch 7 7 6.59 Ch 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 46.13 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.con 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 1.1.19 SEL - 001000 Page 36 of 38 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 Airga . UIE VAUGHN RD NW STE 400 4 08/05/2014) 1291991 || 9500206954 | 08/31/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC C1] check 922 SKIPPER AVE Fl creait card FORT WALTON BEACH FL 32547-7315 reall Car 850-862-5214 Piease visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BitTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000066 3 GALL: 800-727-0695 NICEVILLE EMS S048 1027793600 03 OX USPDA $048 4 CL 4 4 6.59 CL 26.36 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS So48 1027793600 03 OX USP125 S048 i cL 1 2 14.46 CL 14.46 N (Vol; 127 FT3) OXYGEN USP 125 Sale subtotal: 40.82 Delivery Flat Fee 13.50 SHIP TO: 1288928 Al OKALOOSA COUNTY EMS gas. www.airgas.com CHRISTOPHER iv TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2018 VAUGHN RD Nw sTE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 Seb 001000 Page 37 of 38 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - AIRGAS USA, LLo INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas, 2EENiSue se — Poscscore| 2oror | esoozoese f onc PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC Ol Check 922 SKIPPER AVE 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. BILLTO =ATTN ACCOUNTS PAYABLE “ax, OKALOOSA CO EMS fe 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 c000s6 3 J Re ENSURE PROPER CREDIT, ELEASE RETURN THE wren PORTION WITH tour ee ance FOR cata oN XOUR SEO AP BURGH Gols ae 127-0699. RRCYLMLG-OX - Rent Cyl Med Large Oxygen 18 23 24 0 17 17 0 0 $0.29/DAY RRCYLMXS-OX - Rent Cyl Med Xs Oxygen 136 172 169 0 139 0 139 4303 $0.26/DAY $1,118.78 N 154 195 193 e) 156 $1,118.78 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 i inthe said $ 1,118.78 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. SHIP TO: 1288928 Ai OKALOOSA COUNTY EMS irgas. 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 1.1.19 SEL-001000 Page 38 of 38 REV 1.1.13 . AIRGAS USA, LLG Air a 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 ATTN ACCOUNTS PAYABLE a, OKALOOSA GO EMS KE 90 COLLEGE BLVD E NICEVILLE FL 32878-1343 900086 Airgas. www.dairgas.com