READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Jan 2014 — reading text
Part 1 of 6. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 55-Airgas Invoice-Jan 2014.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
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
