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Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Jan 2014 — reading text
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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:
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OKALOOSA CO EMS AIRGAS USA, LLC
90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000625
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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:
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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
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= ENSURE eeoree CREDIT, PLEASE RI Bears aeRWEN Tue YOUR
JUNT PLEASE fae a 727-0693
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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
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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
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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
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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
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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
