Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Jan 2014

Airgas USN fhe Airgas. PO Box 9249 Marietta, GA 30065-2249 ATTN ACCOUNTS PAYABLE . OKALOOSA CO EMS fae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 Airgas. www.airgas.com REV 1.1.13 Airgas Uy phe Airgas. PO Box 924 Marietta, en 30065-2249 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTO }=3= ATTN ACCOUNTS PAYABLE 000625 OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 TO ENS .PROPER GREDIT, ee ae THE Beers FORNEN WITH YOUR eT r FOR QUESTIONS ON ce ACCOUNT PLEASE CALL: 800 727 0693 C1 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 } 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT in| Check {_] Credit Card Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Lee tp fleet de pete ety TM altar live! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 42915591195001b2b 7700003091684 DESTIN EMS So48 1021427187 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 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E Ae NS nora i82 Airgas USA, LLC NICEVILLE FL 32578-1343 NC Ba PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL - 001000 PNC Bank, ABA No 031000053 Page 1 of 47 0 Box 9: Airgas. :: FORT WALTON BEACH FL 32547-7315 soLpsy AIRGAS USA, LLC 922 SKIPPER AVE 850-862-5214 BILL TO OKALOOSA CO EMS 90 COLLEGE BLVD E 000625 Alas Bh gto Marietta, S248 30065-2249 ATTN ACCOUNTS PAYABLE NICEVILLE FL 32578-1343 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/201 1291991 § 9500162677 § 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ Check LJ Credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Vidas Cy id PU Toa cl WoO COT el AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 b294991495001b267 700003091481 OKLOOSA ISLAND FD S048 1021427185 03 OX USPDA 8048 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 Ai gas. www.airgas.com Airgas USA, LLC PO Box 9249 Marletta, GA 30065-2249 REV 4.4.19 SEL 001000 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 2 of 47 FOR WIRE TRANSEER PAYMENTS AIRGAS USA, LLC Acct No, 8606074182 PNC Bank, ABA No 031000053 Airgas Sy fhe Airgas. PO Box 9; Marietta, aN 30065-2249 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 silLto ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 000625 ocean city FD 1021497302 OX USPE 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 une peoeee CREDIT, PLEASE RETURN THE UPPER FORTH So48 (Vol: 25 FT3) OXYGEN USP MEDICAL PURE FE CGA 870 cq WITH YOUR REMITTANCE, FOR QUESTIONS ON ous ACCOUNT PLEASE aan ae -7 27. 0693 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 [[ 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check [_] Credit Card Please visit www.airgas.com/ontinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 129199419500162b 7700003091641 S048 02 1 CL 1 1 8.00 CL 8.00 N Sale subtotal: 8.00 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD ayes usc nr eae et No, 7st PO Box 9249 ~ Marietta, GA 30065-2249 REV 4.4.13 SEL~ 001000 PNG Bank, ABA No 031000053 Page 3 of 47 Airgas | us te Marita ho 30065-2249 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 000625 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 [| 9500162677 | 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT L] check C1 [-] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 129159119500162b7700003051b661 : EORDEROATES 1291991 “aaa ooe “90000000 NET 30 01/03/2014 ESSEX ROAD $048 1021427580 03 OX USPDA Sso48 8 CL 8 8 6.33 CL 50.64 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD $048 1021427580 03 OX USP125 S048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 92.76 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.19 SEL - 001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 $ 106.26 FOR WIRE TRAN: PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 4 of 47 Ai r S * Alrsas | Ue gts ] Ua Marietta BA. 30065-2249 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS bee 90 COLLEGE BLVD E i NICEVILLE FL 32578-1343 000625 Florosa FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014, 1291991 | 9500162677 J 03/03/2014 § SEE SUMMARY PAGE ar?) eS PROPER CREDIT, PLEASE ETE THE RES RARE NG PORTION wit YOUR REMITTANCE. FOR QUESTIONS C ON) oe ACCOUNT PLEASE CALL: 300 She 0693 so48 1021542116 02 OX USPD 8048 1 CL 1 1 6.33 CL 6.33 N (Vol: 15 FT3) OXYGEN USP MEDICAL PURE D CGA 870 Florosa so48 1021542116 02 OX USPDA $048 3 CL 3 3 6.33 CL 18.99 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 25.32 CONSOLIDATED INVOICE PLEASE MARK YOUR METHOD OF PAYMENT L] check [J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: 7 Ald aU bl LU COC AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 A29L99119500162b 7? 000050591661 SHIP TO: 1288928 Airgas. : OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 4.1.1. SEL - 001000 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 5 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA LLe INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. FiO BO O28 5 0749 C1 02/05/2014 1291991 ] 9500162677 J 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotosy AIRGAS USA, LLC CI cheek 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: WLfefaa dpe M arty ly eLedttel otf] Pepper epeqee] prong BLLTO ATTN ACCOUNTS PAYABLE LE tf Mery el Ee eee det wey OKALOOSA CO EMS AIRGAS USA, LLC i ~90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 2293991195001b26 ?700003091b41 JR REMI on E GALL B00-727 060 1291901 1288928 9023174651 00000000 NET 30 ovog2014 | 6 | Loe CRESTVIEW EMS $048 1021540131 03 OX USPDA $048 16 CL 1616 6.33 CL 101.28 N (Vol: 240 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1021540131 03 OX USP125 $048 2 CL 2 2 14,04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 129.36 Delivery Flat Fee 13.50 142.86 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD tgs Usp EEE EE saan set Sai PO Box 9249 7 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 S8--001000 Page 6 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USA, fie INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. °° Mobis ar 30065-2249 CApfozi05/2014] 1201991 | 9500162677 | 03/03/2014 | SEE SUMMARY PAGE soioey AIRGAS USA, LLC 922 SKIPPER AVE [-] check PLEASE MARK YOUR METHOD OF PAYMENT 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 OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Ele Me yt hell etme tiie! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4291541159500162b7700003091b81 ecean city f/d 1021575626 OX USPDA so48 1 CL (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 S048 02 1 1 6.33 CL 6.33 N Sale subtotal: 6.33 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 COLLEGE BLVD E PO Box 9249 NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 FIEV 4.1.19 SEL- 004000 Page 7 of 47 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No, 8606074182 PNC Bank, ABA No 031000053 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Al tgas USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT ‘Airgas. PO Bo 8249 a5-0949 C1 02/05/2014] 1291991 | 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC | Check - 922 SKIPPER AVE FORT WALTON BEACH FL. 32547-7315 L] Credit Cara 850-862-5214 Please visit www.airgas.convonlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: TVPUY UPy Peeled ry iced Ged Pe oreae'tt ppg! auto. ATTN ACCOUNTS PAYABLE ed ee deme tie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 32549941950016267 700003091681 ESSEX ROAD 5048 1021589569 03 OX USPDA S048 8 CL 8 8 6.33 CL 50.64 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1021589569 03 OX USP125 $048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 92.76 Delivery Flat Fee 13.50 106.26 SHIP TO: 1288928 § Airgas OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA LG Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 8 of 47 soLpsy AIRGAS USA, LLC CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 | 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT Oo Check C1 credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Ai as. °° Airgas | Eh ‘aad Ig Marietta, GA” 30065-2249 C1 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: ITA A Les en RL COP ef] Peer P| PrP pte ATTN ACCOUNTS PAYABLE pf ete lhe ene les 7 OKALOOSA CO EMS AIRGAS USA, LLC We 90 COLLEGE BLVD E PO BOX 532609 ite NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 1293591155001b26?700003051baL TO aS pRoree CREDIT, ELESE RETURN THE wee AREY ae YOUR CEMTIANCE. FOR QUESTIONS ON ae ACCOUNT PLEASE. can 800 are 0698 NICEVILLE EMS 8048 1021589576 03 OX USPDA S048 5 CL 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS $048 1021589576 03 OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 59,73 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLG Acct No. 8606074182 PO Box 8249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL-901000 Page 9 of 47 Aituas L ue fhe Marat, GN 30065-2249 Airgas. ‘ AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 SOLD BY BILLTO ie 000625 ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ASE ner N THE eae PORTION WIT! CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/20149 1291991 | 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT C] Check [_] Credit Card C1 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: eda ota Maen Cha oe ee EL os AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 L29L99L1495001be6? 7000030916481 H YOUR REMITTANCE. FOR SUESTONS ¢ ae YOUR ASE CALL: 800-727-0693 1201901 9023284560 00000000 “NET 30 01/09/2014 to OKLOOSA ISLAND FD 8048 1021589783 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. www.airgas.com Airgas USA, LLG PO Box 9249 Marietta, GA 30065-2249 REV 1.1.19 SEL-001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 10 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Alraas | USA, pec INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. « FO Box 9249 a5 op4g C1 02/05/2014 1291991 || 9500162677 || 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBpy AIRGAS USA, LLC 922 SKIPPER AVE H Cae ard FORT WALTON BEACH FL 32547-7315 red 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: UWalYafoof polled al pole Map cAfe fear Teer yapegeall ppeagl euro ATTN ACCOUNTS PAYABLE Tia bee ee Te ae UL TC — OKALOOSA CO EMS AIRGAS USA, LLC fee 90 COLLEGE BLVD E PO BOX 532609 , NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000626 b29159911495001b2b7700003051Lb481 TO a ie CREDIT, ann ae THE eee aaa WITH YOUR REMITTANCE. FOR SESTIONS Ob ON ae ACCOUNT PLEASE pasts at rer 0693 DESTIN EMS 5048 1021589785 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 $ 45.15 SHIP TO: 1288928 ————— ne Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC A COLLEGE BLVD E feat No. neneavate2 PO Box 9249 CEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.19 SEL -001000 Page 11 of 47 CONSOLIDATED INVOICE FOR ADORESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas | USA pic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. : ree 2h son6s-2249 Cilo2/05/2014% 1291991 | 9500182677 | 03/03/2014 Jf SEE SUMMARY PAGE soey AIRGAS USA, LLC 922 SKIPPER AVE [1] check FORT WALTON BEACH FL 32547-7315 [_] Credit Card PLEASE MARK YOUR METHOD OF PAYMENT 850-862-5214 Please visit www.airgas.cam/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 000625 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Ueland! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 1291994195001626 7700003091641 OCEAN CITY 1021707771 OX USPDA $048 1 CL (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 1 $048 6.33 CL 6.33 N Sale subtotal: 6.33 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 COLLEGE BLVD E Beas Ong NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.1 SEL~001000 Page 12 of 47 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Airgas USN fhe Airgas. (2::' Marietta, ae 30065-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLto ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE. PAYER INVOICE NO. DUI PAY THIS AMOUNT 02/05/2014 1291991 [] 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT Cd Check (] credit Card Please visit www.airgas.com/onlinebilipay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Le eM ftee petde feat ef tT Peat teniere dine! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 12939911595001beb 7700003091681 FOR —, a ae ACCOUNT PLEASE CALL: 800-727-0693 DER DAI 1251004 1288928 n023344941 | 00000000 NET 30 01/10/2014 ESSEX ROAD $048 1021589040 03 OX USPDA 8048 6 Ch 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD 8048 1021589040 03 OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N (Vol; 254 FT3) OXYGEN USP 125 Sale subtotal: 66.06 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC Rt ESe Ong Aast No. Beogo74182 PO Box 9249 FL 32578-1343 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 13 of 47 Ai Airgas L USN fhe Irgas. * Marlette °BN 30065-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTO. ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS we 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 ocf/d 1021769502 OX USPDA (Vol: S048 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 C71p§02/05/2014 1291991 9500162677 § 03/03/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [] check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. 1 CL AMOUNT ENCLOSED. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: PVM Lee Cnet TL Ek a TC RT oo AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 1 b24LFFLLISOOLbeb 7700005051641 So48 6.33 CL 6.33 N Sale subtotal: 6.33 Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 S8L~ 001000 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL. 32578-1343 Page 14 of 47 $ 6.33 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 REV 4,4,19 SEL- 001000 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Alrgas USA, tLe INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT Airgas. FO BOK 8248 50049 Cif 02/05/2014] 1291991 | 9500162677 | 03/03/2014 Jf SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpsBy AIRGAS USA, LLC 922 SKIPPER AVE be Cott ard FORT WALTON BEACH FL 32547-7315 Tear Var 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: TATA en PLL PPL (Ped || | sito ATTN ACCOUNTS PAYABLE flee Me hel edit thes OKALOOSA CO EMS ni 90 COLLEGE BLVD E Po BOX 532600 © PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 00625 4253499115500ib267700003091b41 TO ENSURE oe CREDIT, PLEASE RETURN THE et por TON WITH YOUR REMITTANCE. FOR QUESTIONS ON) ee ACCOUNT PLEASE CALL: ae el D693 CRESTVIEW fire dept S048 1021708332 03 OX USPDA $048 3 CL 3 3 6.33 CL 18.99 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 18.99 Delivery Flat Fee 13,50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nies us Ac ee ton det Sodrs0 PO Box 9249 - PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 Page 15 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas USA LLC INVOICE DATE PAYER: INVOICE NO. DUE BATE PAY THIS AMOUNT Airgas. or edo 30085-2249 02/05/2014, 1291991 | 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC oO 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: MadfofloeD pole] yUyodo laf ysl eI] ong Teen ya epeadfypeag auto ATTN ACCOUNTS PAYABLE Pepe eM gto tf eee ties . OKALOOSA CO EMS AIRGAS USA, LLC “i 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 4291991495001b267 700003054681 E RETURN THE uerER FORTION WITH YOUR UESTIONS. ON. YOUR ACCOUNT PLEASE pats 800-: 127. 0693. CRESTVIEW EMS S048 1021703260 03 OX USPDA So48 10 CL 10 10 6.33 CL 63.30 N (Vol: 150 FT3}) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS 8048 1021703260 03 OX USP125 $048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 PT3) OXYGEN USP 125 Sale subtotal: 91.38 Delivery Flat Fee 13.50 104,88 SHIP TO: 1288928 $ Airgas OKALOOSA COUNTY EMS wwwaairgas.com CHRISTOPHER D TANNER, MD gash tic Eg fet 503742 PO Box 9249 7 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL-907000 Page 16 of 47 Airgas. ; Airgas SN gto ‘0 Box 924 Marietta, aN 30065-2249 soLpasy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLtTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 13 000625 OX USPDA (Vol: 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 TO ENSIRE PROPER CREDIT, PLEASE RETURN THE asad PORTION wil YOUR ee FOR QUESTIONS: Aue YOUR ACCOUNT PLEASE CALL: steele nee 0693 Station# 6 on Hollywood 1021786278 $048 Delivery Flat Fee cI 195 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 02/05/2014 1291991 § 9500162677 9] 03/03/2014 || SEE SUMMARY PAGE 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AEM fbee pe ef eye ed lL eat eee tie! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 L29199319500162b 7700003091681 S048 03 13 CL 13 15 6.33 CL 82.29 N Sale subtotal: 82.29 13.50 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Acct No. 8606074182 Marietta, GA 30065-2249 REV 1.1.13 SEL - 001000 PNC Bank, ABA No 031000053 Page 17 of 47 Airgas. 2028. Marietta, aN 30065-2249 sotpBy AIRGAS USA, LLC BILL TO 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 OKALOOSA CO EMS [eae 90 COLLEGE BLVD E ATTN ACCOUNTS PAYABLE NICEVILLE FL 32578-1343 00625 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT C1 02/05/2014] 1291991 [| 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (J check (] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: tia bd hea a ae oo AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4294991195001b267700003091b61 8 AL REV 1.1.13 55 “ORDER DA 1291991 ‘268928 9023470034 | 00000000 eae 30 01/14/2014 rte | ESSEX ROAD So48 1021703380 03 OX USPDA S048 8 CL 8 8 6.33 CL 50.64 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD $048 1021703380 03 OX USP125 $048 2 cL 2 2 14,04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 78.72 Delivery Flat Fee 13.50 SHIP TO; 1288928 AYNENTS Airgas OKALOOSA COUNTY EMS . www.airgas.con CHRISTOPHER D TANNER, MD mgm Us Lc NCES FSO 04 fa, ssi PO Box 9249 . Marietta, GA 30065-2249 SEL - 901000 PNC Bank, ABA No 031000053 Page 18 of 47 iH Airgas USN fhe Airvas. (2%:° Marietta, aN 30065-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 aiLLto ATTN ACCOUNTS PAYABLE ..., OKALOOSA CO EMS ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 ue] ENSURE | eee CREDIT, PLEASE ReeN SY REGU RIWoNO UPPER FORTION WITH YOUR ae FOR I ON YOUR ACCOUNT PLEASE ra fu -727-0693 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE. PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 | 9500162677 | 03/03/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (J check [_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AL eMpepleed pela faa yet Get Tt Teale lined! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 429159911595001be26?700003051b481 NICEVILLE EMS 8048 1021703402 , 03 OX USPDA $048 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS 8048 1021703402 03 OX USP125 $048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 66.06 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E ice e ert Airgas USA, LLC NICEVILLE FL 32578-1343 NC Boy PO Box 9249 Marietta, GA 30065-2249 REV 4.1.13 SEL - 001000 PNC Bank, ABA No 031000053 Page 19 of 47 PO Box 924 Airgas. FORT WALTON BEACH FL 32547-7315 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE 850-862-5214 BILLTO ; OKALOOSA CO EMS be 90 COLLEGE BLVD E o00625 RELEASE 7 ORDEI FD Niceville Airgas USN g he Marietta, aN 30065-2249 ATTN ACCOUNTS PAYABLE NICEVILLE FL 32578-1343 ROPER CREDIT, PLEASE a THE ane PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ae YOUR ACCOUNT PLEASE CALL: Lan Lar 0693 1291991 128008 9023470306 0900000 NET: 30 S048 1021703403 03 OX USPDA 5048 1 CL 1 a 6.33 CL 6.33 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 6,33 Delivery Flat Fee 13.50 ct FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 § 9500162677 § 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT L] Check [J Credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: DU efle aged ated eal lene let! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 12949931545001b267700003091Lb41 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL- 901000 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No, 8606074182 PNC Bank, ABA No 031000053 Page 20 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 [J 9500162677 | 03/03/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT CO Check LJ credit cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Ai r Airgas L US bie I gas. **: Marlette, Safe 30065-2249 cf so.pBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: UAT URS Pele pete LLG Pek) se) cette suuto ATTN ACCOUNTS PAYABLE Wee pep Palmer tae .. OKALOOSA CO EMS AIRGAS USA, LLC ae 90 COLLEGE BLVDE PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 129L5941595001beb? 700005091641 TO ENSURE. PROPER CREDIT, PEEASE ee THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON tee ACCOUNT PLEASE CALL: 800. aT oe 0693 ocean city FD S048 1021911030 02 OX USPEA 5048 2 Ch 2 2 9.16 CL 18.32 N (Vol: 48 FT3) OXYGEN USP MEDICAL PURE EA CGA 870 Sale subtotal: 18.32 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 S8L- 001000 Page 21 of 47 REV 4,1,13 SEL- 001000 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USA jLe INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. ©: Me Oat sno6s-2240 Caffozy05/2014] 1291991 | 9800162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpsy AIRGAS USA, LLC 922 SKIPPER AVE H Se ard FORT WALTON BEACH FL 32547-7315 reat Van 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: Wolfafanfy Med aly ate/MefeAL Pong pera pepeald peng suLto ATTN ACCOUNTS PAYABLE Pe ES wets ete ed eo TU OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 2291991195001b2b7700003051Lb81 SE RDEROAT 1291991 1288028 Foozss14644 00000000 “NE 30 01/16/2014 ae a DESTIN EMS $048 1021703710 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 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLG 90 COLLEGE BLVD E hast No. seneo7ais2 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 Page 22 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014F 1291991 | 9500162677 | 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (J check (J credit card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Airgas USN he Airgas. 22 0 Marietta, on 30065-2249 soLpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: TATA Le PLES PPL Pet | Perea Pee sutto ATTN ACCOUNTS PAYABLE Ube df epee Med Apel eee ie , OKALOOSA CO EMS AIRGAS USA, LLC fess 90 COLLEGE BLVD E PO BOX 532609 f NICEVILLE FL 32578-1343 , ATLANTA GA 30353-2609 000625 42919921595001b6267700003091b81 TO ee CREDIT, ea tee THE ach PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE PuRSe are 800-727 £693 Z [ORDER BATE | 1291801 1200028 6020514035 00000000 NET 30 01/16/2014 | OKLOOSA ISLAND FD S048 1021699238 03 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 Delivery Flat Fee 13,50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Aiges USA, LLC 90 COLLEGE BLVD E Act No. 8600074162 PO Box 9249 NICE 578-13 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.19 SEL- 0071000 Page 23 of 47 Altgas L us gc Marietta, ho 30065-2249 Airgas. sotpsy 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 - 000626 c1 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO; 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 9500162677 § 03/03/2014 § SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [_] credit Cara Please visit www.airgas.com/onlinebillpay or Cl Check complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: PUT OO Ie Tor ih bee a ETc | co AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4259499119500162b7700003051b61 R QUESTIONS ON uae ACCOUNT PLEASE CALL: ae ee ORDE z Ocean city $048 1021930233 02 OX USPDA $048 2 CL 2 1 6.33 CL 12.66 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 CY-OX USPD 0 1 0.00 Sale subtotal: 12.66 SHIP TO: 1288928 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.4.19 SeL-001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 24 of 47 Airgas. ; pitgas eh gle 'O Box 9: Marietta, oe 30065-2249 soLpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO }=©ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 000625 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 TO ENSURE. pROreR CREDIT, fee nee THE ae PORTION won YOUR REMIANCE FOR SUES TONS 6 ON YOUR ACCOUNT PLEASE CALL: 800. 727 - 0693 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 ]) 9500162677 9] 03/03/2014 I] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT CJ check [_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Tce bed Coa Wo UL AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4292991195001b2b 7700003091441 ESSEX ROAD 8048 1021699006 03 OX USPDA S048 7 CL 7 7 6.33 CL 44,31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 44,31 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.comn CHRISTOPHER D TANNER, MD hig Usa, uc RGEC Fes 100 sto orton PO Box 9249 ~ Marietta, GA 30065-2249 REV 1.1.1 S&L- 901000 PNC Bank, ABA No 031000053 Page 25 of 47 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. FO Box 9249 30086-2249 C1§oz0s/20149 1291991 || 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpBy AIRGAS USA, LLC 922 SKIPPER AVE ET eee ard FORT WALTON BEACH FL 32547-7315 reall Gan 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: Walfeface petdec fp tpdeQ@e Mf pec fps payee [prasad auto. ATTN ACCOUNTS PAYABLE fee ed tle emer thes ... OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 4251599415950016267700003091b81 10. ENSURE PROPER CREDIT, PLEASE aor N THE ESE PORTION Nee YOUR REMITTANCE. FOR QUESTION: ae i ACCOUNT PLEASE CALL: 800-727-0693 | ORBER DATE | 1291991 “1280028 s023862040" 00000000 er 30 ett 72014 26 si ocean city FD S048 1021996110 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 OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 COLLEGE BLVD E Acot No Be08074182 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 S&L 901000 Page 26 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - Airgas uss A. tic INVOICE DATE PAYER INVOICE NO, DUE DATE. PO Box 9. . Airgas. Marietta, aN 30065-2249 C1§ 02/05/2014 1291991 9500162677 § 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC [J check 922 SKIPPER AVE [1 Creait cara FORT WALTON BEACH FL 32547-7315 rear ar 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: TATA (ee ee PLEA PPL Ter || eer | suito ATTN ACCOUNTS PAYABLE Eee Mle ele eee ie __. OKALOOSA CO EMS AIRGAS USA, LLC [ake 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 329199319500162677000030591b41 TO ENSURE PROPER CREDIT, EES ae THE meee AN eee YOUR REMITTANCE. FOR QUESTIONS ON. YOUR ACCOUNT PLEASE ae B00: are 0693 CRESTVIEW EMS S048 1021982630 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 1021982630 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 Airuas OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 PO Box S249 NICEVILLE FL 32578-1343 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 27 of 47 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. FiO BOX B28 a5. 0049 C1f02/05/20149 1291991 | 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC [1 check 922 SKIPPER AVE Cl Credit Card FORT WALTON BEACH FL 32547-7315 Feat Var 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: TTL) 8 ee Pee PAUL LLG Pel 11) cet || tr Pe euuto ATTNACCOUNTS PAYABLE PTAs ete ei a ba TU ama, OKALOOSA CO EMS AIRGAS USA, LLC " 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 42939911595001b267700003091b81 Ae ESSEX ROAD S048 1021981716 03 OX USPDA S048 4 CL 4 4 6.33 CL 25.32 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1021981716 03 OX USP125 $048 2 CL 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: . $3.40 Delivery Flat Fee 13.50 66.90 SHIP TO: 1288928 : $ Airgas. OKALOOSA COUNTY EMS FOR ANSFER PAYMENTS . www.airgas.com CHRISTOPHER D TANNER, MD sauce MEME, ee PO Box 9249 1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1,1g S€--001000 Page 28 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014f 1291991 | 9500162677 9 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT oO Check LJ Credit Card Please visit www.airgas.com/ontinebillpay or complete the information on the reverse side of this form. Airgas USA, fhe Airgas. (22: ct Marietta, GA 30065-2249 soLtoBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: HA fleafp Mad pty stele E alfa pfeeg MPperyapegeelfy peal sttto ATTN ACCOUNTS PAYABLE eBoy eed pole Cele erie thes OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 AFL FTALLISOOLb2b ?70000309Lb4a1 10 ENSURE PROPER CREDIT, aT, RETURN THE UPPER FORTION WiTH fOuR ee FOR QUESTIONS ON. ae ACCOUNT PLEASE CALL: 800: LOT 0693 E GED REGION INVENG|| @ NICEVILLE EMS $048 1021982754 03 OX USPDA S048 7 CL 7 7 6.33 CL 44.31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 44.31 Delivery Flat Fee . 13.50 $ 57.81 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nas Us RICE FSO 140 pa, 6 PO Box 9249 7 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 29 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Alrgas L USA pre INVOICE DATE PAVER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. PO Box 9249 a 0049 C1oz/05/2014 1291991 | 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT soLpsy AIRGAS USA, LLC 922 SKIPPER AVE H Coe ard FORT WALTON BEACH FL 32547-7315 Teatt 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: Walpole taf tell AP Peat perpappe fap siuto ATTNACCOUNTS PAYABLE al Pele ete ta rte eet TE tear die OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 4291991155001b2b 7700003091641 = ENSURE eeoree CREDIT, PLEASE RI Bears aeRWEN Tue YOUR JUNT PLEASE fae a 727-0693 GES DATE! iG 1291091 _ 1288026 EZ 00000000 ae 30 Pouzae014 P30 | FD S048 1021975228 03 OX USPDA : so48 3 CL 3 3 6.33 CL 18.99 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 18.99 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LC 90 COLLEGE BLVD E post No, 606074162 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 S8t- 901000 Page 30 of 47 Airgas. ‘: Airgas L US fhe Marietta, Bie 30065-2249 soLpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BitTO }=©ATTN ACCOUNTS PAYABLE 4, OKALOOSA CO EMS Ge 690 COLLEGE BLVD E NICEVILLE FL 32578-1343 000626 TO ENSURE. PROPER CREDIT, EAS RETURN THE nec FOR WITH YOUR REMITTANCE, FOR QUESTIONS a9 see ACCOUNT PLEASE joe agate Ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. ‘DUE DATE PAY THIS AMQUNT 02/05/2014] 1291901 [J 9500162677 9] 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT [] check [J credit Cara Piease visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: 7 jdt ices oe Te bed Pe UU | AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 1291993195001b2b7 700003091441 Ocean City S048 1022088278 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 OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD sigs utc Rice ge 100 nen Sate PO Box 9249 - Marietta, GA 30065-2249 REV 1.1.1 SEL - 991000 PNC Bank, ABA No 031000053 Page 31 of 47 Airgas Se bbe PO Box 9249 Marietta, GA 30065-2249 Airgas. AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 SOLD BY sLLTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 eee SEED ALES PLEA ETURN TI mene FoR CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014, 1291991 |] 9500162677 | 03/03/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check ci L] credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 12935991155001b267?700003091b81 WITH YOUR REMITTANCE, FOR QUESTIONS ON ae ACCOUNT PLEASE aan 800. 727-0693 OKLOOSA ISLAND FD 1021982960 OX USPDA S048 (Vol: Delivery Flat Fee 15 FT3) OXYGEN USP DA MED CGA 870 so48 03 1 CL 1 1 6.33 CL 6.33 N Sale subtotal: 6.33 13.50 SHIP TO: 1288928 Airgas. www.airgas.com Airgas USA, LLG PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL - 001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIRE TRANSF! YMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 32 of 47 Ai i Alas | US fhe i gas. Marietac GA. 30065-2249 C1 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 [_] credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THiS AMOUNT 02/05/2014 1291991 § 9500162677 9] 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LJ check ITA A eel PLL Pe CPT Ee | | PPP auto ATTN ACCOUNTS PAYABLE flee Mf let el eee tie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 2294599)1595001b267700003051b81 TO ee ae CREOIT, ee Rerun THE, EES RAE NO PORTION we YOUR REMITTANCE. FOR UESTONS Ob ae YOUR ACCOUNT PLEASE CALL: 800-727-0693 [ORDER DATE 1201901 1208928 Too237et NDT Lia 60000000 | "NET 30 o1lzar2014 DESTIN FD $048 1021982961 03 OX USPDA S048 4 ch 4 4 6.33 CL 25.32 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 25.32 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 hate. seco74i82 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 034000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 33 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L USA pic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. *: More RS so065-2049 C1 02/05/2014] 1291991 § 9500162677 F 03/03/2014 § SEE SUMMARY PAGE sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FE] check FORT WALTON BEACH FL 32547-7315 [] Credit Card 850-862-5214 PLEASE MARK YOUR METHOD OF PAYMENT 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 000625 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 L291991145001be67700003091b81 DESTIN EMS 1021982962 OX USPDA S048 4 cL (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 4 S048 6.33 CL 25.32 N Sale subtotal: 25.32 13.50 SHIP TO: 1288928 Air as OKALOOSA COUNTY EMS 0g . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 COLLEGE BLVD E pitgas USA NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.19 S&L 001000 Page 34 of 47 R PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Alrgas USN fond Air as. PO Box 924 Marietta, fa 30065-2249 sotpay AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO ==ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS es i 90 COLLEGE BLVD E 00626 NICEVILLE FL 32578-1343 OLD PETE NON INVEN C1 19. ENSURE PROPER CREDIT, Er os THE UCrER PORTION WITH YOUR REMITTANCE, FOR QUESTIONS ON ee ACCOUNT PLEASE CALL: 800-727-0693 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/08/2014] 1291991 } 9500162677 J 03/09/2014 [J SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT C Check [_] Credit Card Piease visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Phos Fhe TU ch oe eo AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4291991)155001626b7 7000030916481 ROER DA " 1291981 “208928 | s02301104 00000000 Wer: 30 01/24/2014 —_—e ESSEX ROAD so48 1021982965 03 OX USPDA 8048 7 CL 7 7 6.33. Ch 44.31 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1021982965 03 OX USP125 $048 2 Ch 2 2 14.04 CL 28.08 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 72.39 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nies Uh Lic RISER FL 1943 fete Sse PO Box 9249 ~ Marietta, GA 30065-2249 REV 4,1,1g SEt- 001000 PNC Bank, ABA No 031000053 Page 35 of 47 Airgas US) USA fhe ‘Ox 9; Marietta, aN 30065-2249 Airgas. ; AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 SOLD BY BLLTO ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 ] 9500162677 J 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT L] Check [_] Credit Card C1 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: fla a eo ee 0 AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 429199119500162b 7700003091641 : ls ABER GATE BAI rate 288028 "9023801438 00000000 NEI 30 01/24/2014 OCEAN CITY FD 1022192263 OX USPDA 8048 {Vol: 45 FT3) OXYGEN USP DA MED CGA 870 S048 02 3 CL 3 3 6.33 Ch 18.99 N Sale subtotal: 18.99 SHIP TO: 1288928 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL- 901000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 FOR WIR ANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 36 of 47 Air as. *° pirgas t USK bho 9 Mariote, "2 30065-2249 soLpey AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLTO }=ATTN ACCOUNTS PAYABLE . OKALOOSA CO EMS fz 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000626 ne. ENSURE peoree CREDIT, PLEASE See JHE UPPER FORTION WITH YOUR REMITTANCE, FOR QUESTIONS ene: ACCOUNT PLEASE ae Rae 0693 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014, 1291991 [| 9500162677 9 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT OQ Check LJ Credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: DE Ufefloe fp Hof [yet eal eter iinet! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 42929911595001b267700003091b81 OCEAN CITY FD 8048 1022253250 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. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nips isa SIH ee ns fet No tree PO Box 9249 7 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 PNC Bank, ABA No 031000053 Page 37 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai irgas | uss a pec INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT Airgas. «; Marit, S249 30065-2249 C18 02/05/2014 1291991 9500162677 ff 03/03/2014 [| SEE SUMMARY PAGE sotpBy AIRGAS USA, LLC 922 SKIPPER AVE LI check FORT WALTON BEACH FL 32547-7315 [_] Credit Card 850-862-5214 Please visit www.airgas.com/oniinebillpay or : complete the information on the reverse side of this form. BkLLTO ==ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E ire NICEVILLE FL 32578-1343 000625 PLEASE MARK YOUR METHOD OF PAYMENT PLEASE MAKE CHECKS PAYABLE AND REMIT TO: afl ge Moe yl pp eth ame thes AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 129149911950016267700003091b41 CRESTVIEW EMS 1022206553 OX USPDA S048 8 CL (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 8 S048 6.33 CL 50.64 N Sale subtotal: 50.64 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC 90 COLLEGE BLVD E Airgas USA | NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 1.1.13 SEL - 001000 Page 38 of 47 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Airgas. Airgas USN fhe PO Box 924 Marietta, aN 30065-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO ATTN ACCOUNTS PAYABLE wax, OKALOOSA CO EMS [eae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 ESSEX ROAD TO ENSURE pROreR CREDIT, FLEE RETURN THE HES RRTRKe Nee PORTION wiry YOUR REMITTANCE. FOR QUESTIONS mee YOUR ACCOUNT PLEASE cee 800. 727-0693 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 # 9500162677 § 03/03/2014 | SEE SUMMARY PAGE 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Mt eed alae tae! AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 42919911595001b26 7700003091641 $048 1022207121 03 OX USPDA So48 7 Chl 7 7 6.33 CL 44.31 N (Vol: 105 FPLT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1022207121 03 OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 58.35 Delivery Flat Fee 13.50 SHIP TO: 1288928 SS ee Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E iule tab wehaerrtn Airgas USA, LLC NICEVILLE FL 32578-1343 Ne Bay PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SE- 001000 PNC Bank, ABA No 031000053 Page 39 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas L Ue Etc INVOICE DATE PAYER, INVOICE NO, DUE DATE PAY THIS AMOUNT Airgas. * Prorat Ge 30065-2240 02/05/2014§ 1291991 | 9500162677 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT so.pey AIRGAS USA, LLC 1 check 922 SKIPPER AVE i Credit Card FORT WALTON BEACH FL 32547-7315 Teall Car 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: WaMf opel ylbendypMyoLofOUsTyoU]oO TED onaL D psgnayegoed fa eel suite ATTN ACCOUNTS PAYABLE fl Me tt Lal ane tie OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 4291993195001b267 70000309166) PROPE! Bolbac REDIT, PLEASE RETURN THE HEINE PORTION ee ee ESTIONS ON. ee ACCOUNT PLEASE ahi itt 2 2T 0893. o 1291991 “1280028 Poozsoasr4? | coo NET 30 01/30/2014 oO | NOISHIE) DESTIN EMS 3048 1022289653 03 OX USP125 $048 1 cL 1 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 DESTIN EMS $048 1022289653 03 OX USPDA S048 5 CL 5 5 6.33 CL 31.65 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 45.69 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS ies . www.airgas.com CHRISTOPHER D TANNER, MD Airgas USA, LLC rT COLLEGE BLVD E AatNe 3enco7a 82 PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.19 SEL 001000 Page 40 of 47 Aj r Airgas t USA. bbe | gas. *: Mariat, GN 30066-2249 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILL TO ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS [oa 90 COLLEGE BLVD E f NICEVILLE FL 32578-1343 000625 ocean city FD S048 1022409690 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 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 ] 9500162677 | 03/03/2014 I] SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT 1 check (J credit cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: VMAS ct eC a i UF COC AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 12919911950016b2b7700003091b81 TO patie Br PROPER CREDIT, ESE eae THE ae FORTION ae YOUR REMITTANCE. FOR SSN a en ACCOUNT PLEASE CALL. . ae 727-0693 SHIP TO: 1288928 Air gas. www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNG Bank, ABA No 031000053 Page 41 of 47 Airgas UE phe Airgas. (22: Marietta, ae 30065-2249 soppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS [ke 90 COLLEGE BLVD E i NICEVILLE FL 32578-1343 000625 TO ENSURE PROPER CREDIT, PLEASE RETURN THE een nan WITH YOUR REMITTANCE. FOR QUESTIONS te YOUR ACCOUNT PLEASE CALL. OO! ae 0693 ct CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/2014] 1291991 ff 9500162677 | 03/03/2014 [| SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT (] Cheek [J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 429159911545001b267700003092b81 FD $048 1022276239 03 OX USPDA $048 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 Airgas OKALGOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD nigas us 1c Rice Fee 34 fete airs PO Box 9249 7 Marietta, GA 30065-2249 REV 1.1.13 SEL - 001000 PNC Bank, ABA No 031000053 Page 42 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas us LEG INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THe MOUNT Airgas. Mariela aN 30065-2249 C19 02/05/2014 1291991 | 9500162677 | 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpgy 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: TATA Tee FeLLee PPPS Pe |e || Renee Pee sito ATTN ACCOUNTS PAYABLE Tt Li Fe Fe ch FE TEL Te aye, OKALOOSA CO EMS AIRGAS USA, LLC Mike §©O0 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 4291991195001b267 700003091681 ai] ENSURE feeeee CREDIT, PLEASE RETURN THE RC RATAN PORTION wid YOUR REMITTANCE. FOR QUESTIONS rane YOUR ACCOUNT PLEASE CALL: on £00. 727-0693 1291001 "1288028 Fsoador696s | 00000000 NICEVILLE EMS S048 1022273548 03 OX USPDA S048 6 CL 6 6 6.33 CL 37.98 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS $048 1022273548 03 OX USP125 S048 1 cL 1 1 14.04 CL 14.04 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 52.02 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas OKALOOSA COUNTY EMS wwwaligas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 PO Box 8249 NICEVILLE FL 32578-1343 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 1.1.13 SEL- 001000 Page 43 of 47 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Airgas US, fre INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT PO Box 924! Airgas. Mare PBR so06s-2240 C19 02/05/2014 1291991 || 9500162677 | 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC Ld 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Wad fafdan)peldaa]pydpaafED af psl]a[|] fox PTT oo | To puto ATTN ACCOUNTS PAYABLE EN fbee pode er ened OKALOOSA CO EMS AIRGAS USA, LLC PO BOX 532609 [rae 90 COLLEGE BLVD E : ATLANTA GA 30353-2609 NICEVILLE FL 32578-1343 000625 2294991195001b267700003091Lb61 cal t0ot2T-0693 ESSEX ROAD $048 1022289655 03 OX USP125 $048 3 CL 3 3 14.04 CL 42.12 N (Vol: 381 FT3) OXYGEN USP 125 ESSEX ROAD $048 1022289655 03 OX USPDA 8048 8 CL 8 8 6.33 CL 50.64 N (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 92.76 Delivery Flat Fee 13.50 106.26 SHIP TO: 1288928 $ Airgas. OKALOOSA COUNTY EMS wwwairgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC Airgas USA, LLC Acct No. 8606074182 PO Box 9249 NICEVILLE FL 32578-1343 PNG Bank, ABA No 031000053 Marietta, GA 30065-2249 REV 4.1.13 SEL- 001000 Page 44 of 47 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 02/05/20149 1291991 [| 9500162677 | 03/03/2014 || SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT LI check [_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Ai Airgas USN fhe gas. *: Marlee Bie 30065-2249 sotpBy AIRGAS USA, LLC 922 SKIPPERAVE | FORT WALTON BEACH FL 32547-7315 850-862-5214 PLEASE MAKE CHECKS PAYABLE AND REMIT TO: Walpoflecdpetlecdp Upelad Hal AP [Hoag ty faenprpegeed apa eto ATTN ACCOUNTS PAYABLE PYM Uo Pete ro) TE or | _. OKALOOSA CO EMS AIRGAS USA, LLC it ~=90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000625 429199)1595001beb? 700003091681 he GCM AGES SREDIT, eae RE alee Sere YOUR ACG! of GATE RENTAL RURGHAS OER NG: reotenaeas|(2otee 1288928 RENT Poaosia0i4 NET 30 RRCYLMLG~OX - Rent Cyl Med Large Oxygen 37 31 50 0 18 18 0 168 $0.26/DAY $43.68 N RRCYLMXS-OX ~ Rent Cyl Med Xs Oxygen 137 197 199 0 135 0) 4211 $0. 22/DAY 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 $ 970,10 provisions by written advice to us within (15) days after the date of this document. . SHIP TO: 1288928 AIRGAS USA, LLC Airgas OKALOOSA COUNTY EMS Acct No. 8606074182 » www.airgas.com CHRISTOPHER D TANNER, MD PNC Bank, ABA No 031000053 90 COLLEGE BLVD E Airgas USA, LLC POBox 9249 NICEVILLE FL 32578-1343 Marietta, GA 30065-2249 REV 4.1.13 SEL-001000 Page 45 of 47 Alrgas USM fhe PO Box 924! Mariella, GA” 30085-2249 C1 Airgas. CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 9500162677 § 03/03/2014 | SEE SUMMARY PAGE PLEASE MARK YOUR METHOD OF PAYMENT AMOUNT ENCLOSED Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: afb afaflendpeMteeagtl fp tp fa hee lier soLpsy AIRGAS USA, LLC | Check 922 SKIPPER AVE F | creait card FORT WALTON BEACH FL 32547-7315 reait Gan 850-862-5214 BILLTO }=©ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000625 AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 1291994455001b2b7700003091b81 TQ ENSURE EROFER CREDIT, PLEASE RETURN THE UPreR PORTION WITH YOUR REMITTANCE. FOR QUESTIONS oN HOUR ACCOUNT PLEASE CALL: a Bel 0693 SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Invoice Amount Org To To Num Number $000 1291991 1288928 OKALOOSA COUNTY EMS 9023087885 8023867272 26.16 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9023087886 8023867274 19.83 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023087887 8023882413 8.00 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023135809 8023888520 106.26 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023135810 8023932793 25.32 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023174631 8023943899 142.86 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023174632 8023970760 6.33 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023221300 8023988000 106.26 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9023284568 8024041455 73.23 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023284569 8024083186 19.83 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023284570 8024083188 45.15 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023284571 8024105224 6.33 $000 1291991 1288928 OKALOOSA COUNTY EMS 9023344341 8024137910 79.56 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023344342 8024178052 6.33 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023391570 8024169744 32.49 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023391571 8024170057 104.88 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023448551 8024198804 95.79 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023470034 8024230661 92.22 SO00 1291991 1288928 OKALOOSA COUNTY EMS 9023470305 8024250434 79.56 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023470306 8024250435 19.83 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023470307 8024330240 18.32 $000 1291991 1288928 OKALOOSA COUNTY EMS 9023514644 8024312139 45.15 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023514935 80243123903 19.83 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023514936 8024353511 12.66 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023562039 8024372044 57.81 $000 1291991 1288928 OKALOOSA COUNTY EMS 9023562040 8024413805 6.33 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023633473 8024427584 93.60 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023673842 8024473102 66.90 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023741150 8024513517 57.81 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023741151 8024513519 32.49 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023741152 8024525259 6.33 CONTINUED SHIP TO: OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Airgas. www.airgas.com Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 ‘SEL - 004000 Page 46 of 47 REV 1.1.13 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Airgas. {: SOLD BY BILL TO eS 000625 AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 Airgas L USA he Maria, ae 30065-2249 ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 C1 CONSOLIDATED INVOICE oO Check [] Credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT 02/05/2014 1291991 9500162677 § 03/03/2014 $ 3,091.68 PLEASE MARK YOUR METHOD OF PAYMENT AMOUNT ENCLOSED Phos fy i Pood Teco Wo ECO oP AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 L29L991L245001b2b7 700003091681 SUMMARY PAGE Delivery Invoice Amount Airgas. Airgas USA, LLC PO Box 9249 Marietta, GA 30065-2249 REV 1.4.13, SEL - 001000 www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 47 of 47 AIRGAS USA, LLC Acct No. 8606074182 19,83 38.82 38.82 85.89 18.99 6.33 64,14 71.85 59.19 6.33 26.16 65.52 106.26 970.10 $ 3,091.68 Sales Sold Ship Ship To Name Region Inv Org To To Num Number S000 1291991 1288928 OKALOOSA COUNTY EMS 9023741153 8024565285 so00 1291991 1288928 OKALOOSA COUNTY EMS 9023741154 8024565286 so00 1291991 1288928 OKALOOSA COUNTY EMS 9023741455 8024565287 S000 1291991 1288928 OKALOOSA COUNTY EMS 9023801194 8024603726 $000 1291991 1288928 OKALOOSA COUNTY EMS 9023801435 8024636446 So00 1291991 1288928 OKALOOSA COUNTY EMS 9023861222 8024700984 $000 1291991 1288928 OKALOOSA COUNTY EMS 9023891956 8024661013 sod0 1291991 1288928 OKALOOSA COUNTY EMS 9023891957 8024707966 $000 1291991 1288928 OKALOOSA COUNTY EMS 9024035742 8024804018 $000 1291991 1288928 OKALOOSA COUNTY EMS 9024035743 8024877761 $000 1291991 1288928 OKALOOSA COUNTY EMS 9024076967 8024744639 S000 1291991 1288928 OKALOOSA COUNTY EMS 9024076968 8024751973 S000 1291991 1288928 OKALOOSA COUNTY EMS 9024076969 8024846602 S000 1291991 1288928 OKALOOSA COUNTY EMS 9916414685 N/A SHIP TO: OKALOOSA COUNTY EMS PNC Bank, ABA No 031000053