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

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