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Okaloosa County BOCC — May 20, 2014 — Airgas Invoice-April 2014 — reading text
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THE rae FORTION WITH YOUR REMITTANCE, FOR QUESTIONS ON YOUR. ACCOUNT PLEASE CALL: see -7 27-0693.
CRESTVIEW EMS S048
1024822397 03
OX USPDA $048 9 CL 9 9 6.33 CL 56.97 N
{Vol: 135 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS $048
1024822397 03
OX USP125 S048 2 CL 2 2 14.04 CL 28.08 N
{Vol: 254 FT3) OXYGEN USP 125
Sale subtotal: 85.05
Delivery Flat Fee 13.50
SHIP TO: 1288928
Airgas. OKALOOSA COUNTY EMS FOR WIRE TRANSFER PAYMENTS
wwwairgas.com CHRISTOPHER D TANNER, MD
8 90 COLLEGE BLVD E AIRGAS USA LEG
Airgas USA, LLC NICEVILLE FL 32578-1343 cet No. 860607418
PO Box 9249
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 4.1.13 St" 001000 Pace 27 of 39
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas base LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
ANID AS. SEB soe 0
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC oO Check
922 SKIPPER AVE ;
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.
PLEASE MAKE CHECKS PAYABLE AND REMIT TO:
BiLLTO }§=©60ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS AIRGAS USA, LLC
d 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158.
125917911550018423000002784bb3
ae RECUR eae 7 27 -
1290 — Psoze7s2128 F 50000000 NET 30 04/22/2014
ESSEX ROAD S048
1024848663 03
OX USPDA S048 10 CL 10 10 6.33 Ch 63.30 N
(Vol: 150 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1024848663 03
OX USP125 $048 3 ch 3 3 14,04 CL 42,12 N
(Vol: 381 FT3) OXYGEN USP 125
Sale subtotal: 105,42
Delivery Flat Fee 13.50
118.92
SHIP TO: 1288928 i
. OKALOOSA COUNTY EMS
Airgas. winnaitgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC Ni aids ae ad Acct No. 8606074182
PO Box 9249 CEVILLE FL. 325 3 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.13 SBE - 601000 Paae 28 of 39
CUNSULIDALEDV INVUIGCE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
Airgas.
c1
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
05/05/2014, 1291991 §f 9500188230 f 05/31/2014 |] SEE SUMMARY PAGE
. PLEASE MARK YOUR METHOD OF PAYMENT
solpsy AIRGAS USA, LLC
922 SKIPPER AVE H See ard
FORT WALTON BEACH FL 32547-7315 rea 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:
Hap fadp Mba) et ld lle fea papel perl
sito ATTN ACCOUNTS PAYABLE LM pled y Moe lel Te tf flatten lies
OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
000158
329159941950018823000002784L43
79 ENSURE PROPER CREDIT, PLEASE eae THE BES PORTION ae ee REMITTANCE, FOR MES a YOUR ACCOUNT PLEASE. ease AE 0693
i OLDS ORDER DA
1291901 1208028 no pate | 5 90000000 | Wer 30 04/23/2014
FD Niceville 5048
1024850153 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
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- 001000
REV 1.1.13.
Paae 29 of 39
FOR WIRE TRANSFER PAYMENTS
AIRGAS USA, LLC
Acct No. 8606074182
PNC Bank, ABA No 031000053
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-580-6112
Alrgas USA, LLC INVOICE DATE: PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airga ema S24 30065-2249 C1 05/05/2014] 1291991 | 9500188230 J 05/31/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soLDBy AIRGAS USA, LLC Cd check
922 SKIPPER AVE ‘
FORT WALTON BEACH FL. 32547-7318 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:
TUR A Lg feo nr Loe rer) anppalypogl
BLLTo ATTN ACCOUNTS PAYABLE tebe petty lp hey emer thiet
sy, OKALOOSA CO EMS AIRGAS USA, LLC
43 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158
329199419500146623000002744bb43
NICEVILLE EMS 8048
1024850152 03
OX USPDA 8048 4 CL 4 4 6.33 CL 25.32 N
(Vol: 60 FT3) OXYGEN USP DA MED CGA 870
NICEVILLE EMS $048
1024850152 03
OX USP125 8048 2 Ch 2 2 14.04 Ch 28.08 N
(Vol: 254 FT3) OXYGEN USP 125
Sale subtotal: 53.40
Delivery Flat Fee 13.50
66.90
SHIP TO: 1288928
. OKALOOSA COUNTY EMS
Airgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC NICEVILLE FL 32578-1343 Acet No. 8606074182
PO Box 9249 -
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REViaig on Paae 30 of 39
CONSOLIDAIED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, gic INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. PO Box 9249 95.0049 ci 0s/08/2014] 1291991 || 9500188230 | 05/31/2014 |] SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soto By AIRGAS USA, LLC
922 SKIPPER AVE H Cate ard
FORT WALTON BEACH FL 32547-7315 redit 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:
Walpaflaal pede] yp lyala [AUP pls PT Pep yey app epeed ype
euito ATTN ACCOUNTS PAYABLE tefl ed tee el eee ties
OKALOOSA CO EMS AIRGAS USA, LLC
fee 90 COLLEGE BLVD E : PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158
12935159115950018ae23000002784Lb3
TQ ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE, FOR QUESTIONS ONY YOUR ACCOUNT PLEASE fess 09 300-727: 0693
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1281991 1288928 9026816017 { 00000000 Wer 30 Moarearoo 4
DESTIN EMS $048
1024850550 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
$ 19.83
SHIP TO: 1288928
x OKALOOSA COUNTY EMS
Airgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC NICEVILLE FL 32576-1943 Ace No. 606074182
PO Box 9249 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
SEL - 001000
REV 1.1.43
Paae 31 of 39
Altugs | Use fhe
Airgas. : Marietta, BR 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
ete: NICEVILLE FL 32578-1343
000158
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
05/05/2014) 1291991 # 9500188230 | 05/31/2014 || SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
Ol 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:
AIRGAS USA, LLC
PO BOX 532609
ATLANTA GA 30353-2609
42919911950018823000002784bb3
CALL: _800-727- o
1291991 eee SOZSBETABA 00000000 NET 30 04/25/2014
ocean cit S048
1025020544 02
OX USPDA S048 3 CL 3 3 6.33 CL 18.99 N
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 18.99
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
CHRISTOPHER D TANNER, MD
wene-8ITgAS.C0M CY COLLEGE BLVD E AIRGAS USA Uc
Airgas USA, LLC
PO Box 9249
Marietta, GA 30065-2249
SEL - 901000
REV 1.1.13
NICEVILLE FL 32578-1343
Acct No. 8606074182
PNC Bank, ABA No 031000053
Paae 32 of 39
GONSULIVDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airga eee 8288 065-2249 C1} 05/05/2014] 1291991 ff 9500188230 | 05/31/2014 If SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC
922 SKIPPER AVE H Cee ard
FORT WALTON BEACH FL 32547-7315 reall 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:
ITH) 8 Len Feces PPL Le Pell 1 ey | aad Pea
BILLTO. ATTN ACCOUNTS PAYABLE UAL PE ch oe a EER
wy, OKALOOSA CO EMS AIRGAS USA, LLC
bias 90 COLLEGE BLVD E PO BOX 532609
i NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158
429499119500188e3000002784bb3
TO ENSURE. PROPER CREOIT, PLEASE RETURN THE RES SRE we PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON Gan ACCOUNT PLEASE, raat seer 0693
crestview FD
S048
1025025553 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
. OKALOOSA COUNTY EMS
Airgas. wow.irgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC Frere BvD a3 Acct No. 8606074182
PO Box 9249 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
‘SEL - 001000
REV 1.1.13
Page 33 of 39
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas L USS Le INVOICE DATE. PAYER INVOICE NO, DUE DATE
Airga , Mares ae 30068-2249 C1 05/05/2014] 1291991 |] 9500188230 | 05/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC [1] check
922 SKIPPER AVE F1 credit cara
FORT WALTON BEACH FL 32547-7315 reart 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:
Walpafead peddeedp pele] Med yl Ope [pep pope] pag
ail.to. ATTN ACCOUNTS PAYABLE PY be oe Ue co bee oe TE rt 1
OKALOOSA CO EMS AIRGAS USA, LLC
bese 90 COLLEGE BLVD E PO BOX 532609
NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158
142593991197500144823000002784h4b3
ESSEX ROAD $048
1025032011 03
OX USPDA 8048 9 CL 9 9 6.33 CL 56.97 N
(Vol; 135 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD S048
1025032011 03
OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 71.01
Delivery Flat Fee 13.50
SHIP TO: 1288928
= OKALOOSA COUNTY EMS
Airgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC NICEVILLE FL 32578-1943 Acet No. 8606074182
PO Box 9249
PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.4.19 6700700 Paae 34 of 39
GCONSULIDATLED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Algas US A Lc INVOICE DATE, PAYER INVOICE NO. DUE DATE
Box 924!
Airgas. Fo BOX 9249 oo gs-0749 c1f§o505/2014] 1291991 | 9500188230 f 06/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC oO Check
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315 [_] Credit Card
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:
Matfafloed po dond pat pade eel gelfa fH eagt Tf ea papegead ape
pILTo ATTN ACCOUNTS PAYABLE 7 etd Pehl Te be FUT OO
wn. OKALOOSA CO EMS AIRGAS USA, LLC
Wet §=90 COLLEGE BLVD E PO BOX 532609
Sie =NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609
000158
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TO cae pROrER SOLES Saal RETURN THE pitcis aN WITH YOUR UN FOR QUESTIONS aie YOUR ACCOUNT PLEASE. ett ane -7 27-0693
CRESTVIEW EMS S048
1025024775 03
OX USPDA S048 8 CL 8 8 6.33 CL 50.64 N
(Vol: 120 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS S048
1025024775 03
OX USP125 S048 1 CL 1 1 14.04 CL 14.04 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 64.68
Delivery Flat Fee 13.50
78.18
SHIP TO: 1288928 $
. OKALOOSA COUNTY EMS
Airgas. vewwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC
Airgas USA, LLC 90 COLLEGE BLVD E Acct No, 8606074182
PO Box 9249 NICEVILLE FL 32578-1343 PNC Bank, ABA No 031000053
Marietta, GA 30065-2249
REV 1.1.19 97001009 Pade 35 of 39
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
Airgas | USN gf te
INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. ‘3 Maa aa 30065-2240 C1 05/05/2014] 1291991 ]f 9500188230 ¥ 05/31/2014 | SEE SUMMARY PAGE
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC [1 check
922 SKIPPER AVE i
FORT WALTON BEACH FL. 32547-7315 L_] Credit Card
