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

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: