READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — March 18, 2014 — Airgas Invoice-Jan 2014 — reading text
Part 5 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.
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
