Okaloosa County BOCC — December 2, 2014 — Airgas Invoice-October 2014 — reading text

PAYMENT APPROVAL FORM NON-CONTRACTI/DIRECT INVOICE PAYMENTS DATE: November 13, 2014 TO: Finance Department — Accounts Payable Clerk of the Circuit Court FROM: Dino J. Villani, Director Department of Public Safety SUBJECT: Payment Approval RKKKKK IKK KK KEKE RRR RE BREE RK KIRK IK EIR IR IR IR IER RRR IR ERIK ERE RERERER ERR Vendor Name: Airgas, Inc. Invoice Number: 9500224501 Invoice Amount: $3,576.73 Budget Account Number: 4500-552600 Project Title: Invoice for Oxygen Used During October 2014 (Invoice Dated: 11/05/14) SIGNATURE DATE APPROVED Authorized Personnel: f Department Direct wy, ZZ C4, hee Dino J. Villani ublic Safety Director Airgas. so_psy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PAYER ba 000236 3 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E 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 11/05/2014] 1291991 | 9500224501 [| 12/01/2014 $ 3,576.73 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: APH ede oh tele Ett aleve lve AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 4254991195002245010000357b738 Sales Org sooo sooo sooo sooo sooo sooo sooo sooo so00 so00 sooo so00 sooo sooo S000 Sood so00 sooo sooo sooo 8000 S000 S000 sooo S000 sooo sooo sooo 8000 sooo S000 Sold To 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 Ship To 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 Ship To Name OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALCOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALCOSA OKALOOSA OKALOOSA OKALOOSA OKALCOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS BMS EMS EMS EMS SUMMARY PAGE Region Inv Delivery Delivery Invoice Amount Num Number Date 9032118904 8033011015 10/01/2014 68.25 9032139790 8033094556 10/03/2014 66.97 9032139791 8033094557 10/03/2014 27.43 9032139792 8033133439 10/03/2014 13.18 9032244700 8033140890 10/06/2014 97.17 9032244701 8033199574 10/07/2014 53.79 9032325525 8033230240 10/08/2014 27.43 9032325526 8033230241 10/08/2014 68.25 9032325527 8033325570 10/09/2014 13.18 9032369968 8033337498 10/10/2014 20.84 9032369969 8033337499 10/10/2014 20.84 9032369970 8033337511 10/10/2014 27.43 9032369971 8033337512 10/10/2014 34.02 9032419652 8033384264 10/10/2014 20.84 9032419653 8033385826 10/13/2014 130.12 9032419654 8033403880 10/14/2014 89.30 9032487733 8033465650 10/14/2014 13.18 9032533744 8033504515 10/15/2014 13.18 9032566134 8033486768 10/15/2014 90.58 9032566345 8033546445 10/16/2014 34,02 9032614316 8033557840 10/17/2014 20.84 9032614317 8033572517 10/17/2014 66.97 9032721141 8033613219 10/20/2014 94.61 9032767812 8033670119 10/21/2014 81.43 9032800587 8033724827 10/22/2014 20.84 9032800588 8033724825 10/22/2014 80.15 9032850351 8033816702 10/24/2014 60.38 9032850352 8033816704 10/24/2014 56.35 9032898114 8033855713 10/27/2014 61,66 9032898535 8033902392 10/27/2014 20.84 9032944281 8033873866 10/28/2014 103.76 CONTINUED Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.19 SEL- 001000 FOR WIRE TRANSFER PAYMENTS AIRGAS USA, LLC Acct No. 8606074 182 PNC Bank, ABA No 031000053 Page 1 of 414 Airgas. SOLD BY 000236 3 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. (UE DATE PAY THIS AMOUNT 11/05/2014] 1291991 | 9500224501 | 12/01/2014 [| SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT oO Check LL credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. : a a Cc SUMMARY PAGE Sales org $000 S000 $000 sooo $000 so000 sooo $000 Sold To 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 Ship are 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 Ship To Name OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY EMS EMS EMS EMS EMS EMS EMS EMS Region Inv Delivery Delivery Invoice Amount Num Number Date 9032944282 8033934099 10/28/2014 6.59 9033038643 8033956655 10/29/2014 40,61 9033038644 8033961480 10/29/2014 68.25 9033077457 8034054029 10/31/2014 34.02 9033077458 8034054070 10/31/2014 27.43 9033077459 8034104397 10/31/2014 26.36 9921762999 N/A N/A 655.30 9922654073 N/A-Rental N/A 1,120.34 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.13 SEL - 001000 Page 2 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 AIRGAS USA, LLG INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NW Sago” 11/05/2014 1291991 J 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC C1] check 922 SKIPPER AVE F] Credit Card FORT WALTON BEACH FL 32547-7315 reali Wart 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO }~=ATTN ACCOUNTS PAYABLE rp OKALOOSA CO EMS fae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236. 3 NICEVILLE EMS S048 1029720485 03 OX USPDA S048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS 8048 1029720485 03 OX USP125 S048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 54.00 Delivery Flat Fee 14.25 . SHIP TO: 1288928 Airgas , OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw ste 4oo NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL -001000 Page 3 of 41 = AIRGAS USA, LLC Airgas 2015 VAUGHN RD. NW STE 400 . KENNESAW GA 30144-7802 so.pBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLTO }=ATTN ACCOUNTS PAYABLE qx, OKALOOSA CO EMS . Fn 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 _IREGION INV; NG ROER CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. BUE DATE PAY THIS AMOUNT 11/05/2014 1291991 || 9500224501 § 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT oO Check LJ credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. LEASE CALL: 800. ee ESSEX ROAD 1029720703 OX USPDA S048 Delivery Flat Fee (Vol: 120 FT3) OXYGEN USP DA MED CGA 870 SHIP TO: 1288928 : Bion TES ROER DATE | Sue 1288928 _| 9032139790 | 00000000 NET 30 10/03/2014 =a 048 03 8 CL 8 8 6.59 CL 52.72 N Sale subtotal: 52.72 14.25 $ 66.97 Airgas OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL-001000 Page 4 of 44 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 Alrga , 215 VAUGHN RD NW STE 400 14105/2014 1291991 ff] 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC 922 SKIPPER AVE . cae ard FORT WALTON BEACH FL 32547-7315 Tealt Var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }=»=ATTN ACCOUNTS PAYABLE wuz OKALOOSA CO EMS fis 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 “oreo | 1288028 9032139791. 30000000 | NET 30 Fr0/0ar2014 | 5 | DESTIN EMS $048 1029720702 03 OX USPDA S048 2 CL 2 2 6.59 CL 13.18 N (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 Delivery Flat Fee 14.25 SHIP TO; 1288928 Airgas. OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 4co NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 Page 5 of 41 Airgas. AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 so.psy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO ==ATTN ACCOUNTS PAYABLE a2 OKALOOSA CO EMS stat 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. QUE DATE PAY THIS AMOUNT 11/05/2014 1291991 ff 9500224501 § 12/01/2014 aan Wes nea 1291001 12008 e082 139702 | 00000000" mama 30 10/03/2014 a CONSOLIDATED INVOICE PLEASE MARK YOUR METHOD OF PAYMENT [J check LJ credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ocean cit 1029928717 OX USPDA (Vol: S048 30 FT3) OXYGEN USP DA MED CGA 870 ORDER DATE | S048 02 2 CL 2 2 6.59 CL 13.18 N Sale subtotal: 13.18 Airgas. www.airgas.com AIRGAS USA, LLG 2015 VAUGHN RD NW STE 40 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E o NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.43 SEL- 001000 Page 6 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 Ai Al RGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 2015 VAUGHN RD NW STE 400 ida . KENNESAW GA 30144-7608 11/05/2014 1291901 § 9500224501 9] 12/01/2014 9 SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sotpesy AIRGAS USA, LLC Oo Check 922 SKIPPER AVE ; FORT WALTON BEACH FL 32547-7315 LJ 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 azz OKALOOSA CO EMS "Wa 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 onga3e CRESTVIEW EMS S048 1029932702 03 OX USPDA $048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1029932702 03 OX USP125 S048 3 CL 3 3 14.46 CL 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 82.92 Delivery Flat Fee 14.25 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD Nw STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL -00t000 Page 7 of 41 Airgas. ; sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 11/05/2014 1291991 [| 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT (] check [_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Bist USA LEG 5 VAUGHN RD NW STE 400 KENNESAW NR 30144-7802 BiLTO }==ATTN ACCOUNTS PAYABLE “uz OKALOOSA CO EMS i 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 Oi = IBEGION INV.NG | {| GREER DATE: 8 r2atet 1200928 9032244701 | 00000000 NET