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

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