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Okaloosa County BOCC — December 2, 2014 — Airgas Invoice-October 2014 — reading text
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30 10/07/2014 | 8
ESSEX ROAD S048
1029932707 03
OX USPDA $048 6 CL 6 6 6.59 CL 39.54 N
(Vol: 90 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 39.54
Delivery Flat Fee 14.25
Airgas.
SHIP TO: 1288928
OKALOOSA COUNTY EMS
www.airgas.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 8 of 41
Airgas.
sotpBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
auLto ATTN ACCOUNTS PAYABLE
sy, OKALOOSA CO EMS
fen 90 COLLEGE BLVD E
000236
a
AIRGAS USA, LLC
2015 VAUGHN RD NW STE 400
KENNESAW GA 30144-7802
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
11/05/2014q 1291991 | 9500224501 §j 12/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
[] Creait Card
Please visit www.airgas.com/onlinebillpay or
(J check
complete the information on the reverse side of this form.
FD North Bay $048
1029932980 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
Airgas.
SHIP TO: 1288928
OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
AIRGAS USA, LLC
2015 VAUGHN
KENNESAW GA 30144-7802
REV 1.1.19 SEL- 901000
RDNWste4oo NICEVILLE FL 32578-1343
Page 9 of 41
RD NW STE 400
AIRGAS USA, LLC
irgas. 2018 VAUGHN
KENNESAW GA 30144-7802
soLpBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BILLTO ~=ATTN ACCOUNTS PAYABLE
wz OKALOOSA CO EMS
Ke 90 COLLEGE BLVD E
'
I
.
000236
3
NICEVILLE FL 32578-1343
T, PLEASE ae HE Ee eae
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
oO Check
Ld credit card
Please visit www.airgas.com/onlinebillpay or
complete the Information on the reverse side of this form.
NICEVILLE EMS
1029932979
NICEVILLE EMS
1029932979
OX USPDA 8048
(Vol: 90 FT3)
OX USP125 S048
(Vol: 127 FT3)
Delivery Flat Fee
OXYGEN USP DA MED CGA 870
OXYGEN USP 125
S048
03
6 CL 6 6 6.59 CL 39.54 N
S048
03
1 CL 1 1 14.46 CL 14.46 N
Sale subtotal: 54.00
14.25
AIRGAS USA, LLC
2015 VAUGHN RD NW STE 400
KENNESAW GA 30144-7802
REV 4.1.13 S&L- 001000
SHIP TO; 1288928
Airgas. OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
Page 10 of 41
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
= AIRGAS USA LLo INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD Nw cag 11/05/20148 1291991 } 9500224501 || 12/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
sotpesy AIRGAS USA, LLC
922 SKIPPER AVE HT eet ard
FORT WALTON BEACH FL 32547-7315 redit Gar
850-862-5214 Please visit www.airgas.com/onlinebillpay or
comiplete the information on the reverse side of this form.
BiLLTO }=©ATTN ACCOUNTS PAYABLE
ays OKALOOSA CO EMS
suit 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000238
3
291051 AaBE2B 5032325607 00000000 NET 30 “0/00/2014
ELEASE FORDER NU
ocean city S048
1030041451
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
SHIP TO: 1288928
Airgas OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
AIRGAS USA, LLC
DOTS VAUGHN RD NW STE 400. NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.18 SEL -001000 Page 11 of 41
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
i} AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD Nvy STE 400 1105/2014] 1291991 | 9500224501 J 12/01/2014 [| SEE SUMMARY PAGE 1
PLEASE MARK YOUR METHOD OF PAYMENT
sotoBy AIRGAS USA, LLC (2 check
922 SKIPPER AVE
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.
BLLTO ==ATTN ACCOUNTS PAYABLE
OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000236
a
uepen Fe FORTION Wh wr “LEASE CALL: 800-7.
EOROER A
1291091 20928 5032300008 | 00000000 Ner 30 10/10/2014 a
OKLOOSA ISLAND FD
$048
1029932988 03
OX USPDA 3048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870 (H)
Sale subtotal: 6.59
Delivery Flat Fee 14.25
Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale
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 400 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.19 S&L-00t000 Page 12 of 41
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
Airga , 2OIS VAUGHN RD NW STE 400 11/05/2014 1291991 |] 9500224501 | 12/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
sotpay AIRGAS USA, LLC LO 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.
BiLLTO }=ATTN ACCOUNTS PAYABLE
rays OKALOOSA CO EMS
aes 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000236
3
DESTIN FD 8048
1029933259 03
OX USPDA S048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870 (H)
Saie subtotal: 6.59
Delivery Flat Fee 14.25
Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale
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 400 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.13 SEL-001000 Page 13 of 41
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
= Al RGAS USA LLC INVOICE DATE PAYER INVOICE NO. BUE DATE PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD NW STE 400 11/05/2014 1291991 | 9500224501 § 12/01/2014 || SEE SUMMARY PAGE 1
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC
922 SKIPPER AVE [1] check
FORT WALTON BEACH FL 32547-7315 L_] Credit Card
850-862-5214 Please visit www.airgas.com/onlinebillpay or
BiLTO ATTN ACCOUNTS PAYABLE
ax, OKALOOSA CO EMS
ih ~=90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
oon236
AMOUNT ENCLOSED
complete the information on the reverse side of this form.
DESTIN EMS
1029933260
OX USPDA S048 2 CL
(Vol: 30 FYT3) OXYGEN USP DA MED CGA 870
Delivery Flat Fee
2
S048
6.59 CL
Sale subtotal:
. SHIP TO: 1288928
Airgas. . OKALOOSA COUNTY EMS
» www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC 90 COLLEGE BLVD E
2045 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.13 SEL-001000 Page 14 of 44
13.18 N
13.18
14.25
$ 27.43
= AIRGAS USA, LLC
Airgas. 2018 VAUGHN RB NW STE 400
KENNESAW GA 30144-7802
so.ppy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
al.To ATTN ACCOUNTS PAYABLE
are OKALOOSA CO EMS
000236
3
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
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
CONSOLIDATED INVOICE
PLEASE MARK YOUR METHOD OF PAYMENT
[-] Check
(1 credit Card
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
ESSEX ROAD
1029933262
OX USPDA
S048
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
Delivery Flat Fee
So48
03
3 CL 3 3 6.59 CL 19.77 N
Sale subtotal: 19.77
14.25
Airgas.
AIRGAS USA, LLC
2015 VAUGHN RD NW STE 40!
SHIP TO: 1288928
; OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
KENNESAW GA 30144-7802
REV 1.1.13 SEL -001000
90 COLLEGE BLVD E
po NICEVILLE FL 32578-1343
Page 15 of 41
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-580-6112
= AIRGAS USA, LLC INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT
AlrGAS. HLA as
PLEASE MARK YOUR METHOD OF PAYMENT
sotpgy AIRGAS USA, LLC oO Check
922 SKIPPER AVE i Credit Card
FORT WALTON BEACH FL 32547-7315 reat Var
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
BiLtTo }=ATTN ACCOUNTS PAYABLE
‘x OKALOOSA CO EMS
ites 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000236
3
ION: ON. YOUR AC
Crestview FD $048
1030089742 03
OX USPDA S048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870 _ (BH)
Sale subtotal: 6.59
Delivery Flat Fee 14.25
Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale
SHIP TO: 1288928
Airgas. OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC 90 COLLEGE BLVD E
2018 VAUGHN RD NW STE 409 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.19 SEL -001000 Page 16 of 41
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
Airga , POI VAUGHN RD NW STE 400 11/05/2014 1291991 [| 9500224501 | 12/01/2014
. PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC Ol Check
922 SKIPPER AVE FJ creait card
FORT WALTON BEACH FL 32547-7315 redir van
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
BILLTO }~=ATTN ACCOUNTS PAYABLE
sve OKALOOSA CO EMS
wt 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000236
3
CRESTVIEW EMS $048
1030155529 03
OX USPDA SO48 11 CL 11 12 6.59 CL 72.49 N
(Vol: 165 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS S048
1030155529 03
OX USP125 So48 3 CL 3 3 14.46 CL 43.38 N
(Vol: 381 FT3}) OXYGEN USP 125
Sale subtotal: 115.87
Delivery Flat Fee 14.25
130.1
SHIP TO: 1288928 § 2.2
Airgas. OKALOOSA COUNTY EMS
. www.airgas.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-001000 Page 17 of 41
Airgas.
AIRGAS USA | LLO
2015 VAUGHN RD NW STE 400
KENNESAW GA 30144-7802
sotoBy AIRGAS USA, LLC
922 SKIPPER AVE
FORT WALTON BEACH FL 32547-7315
850-862-5214
BLLTO ==ATTN ACCOUNTS PAYABLE
90 COLLEGE BLVD E
bide OKALOOSA CO EMS
NICEVILLE FL 32578-1343
000238
3
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
11/05/20149 1291991 | 9500224501 | 12/01/2014 || SEE SUMMARY PAGE 4
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.
eens PORTION ae yore REM
ESSEX ROAD
1030151407
OX USPDA
ESSEX ROAD
1030151407
OX USP125
{Vol:
(Vol:
$048
S048
254 FT3) OXYGEN USP
Delivery Flat Fee
7 CL
105 FT3) OXYGEN USP DA MED CGA 870
125
$048
03
7 7 6.59 CL 46,13 N
S048
03
2 CL 2 2 14.46 CL 28.92 N
Sale subtotal: 75,05
14.25
Airgas.
AIRGAS USA, LLC
2015 VAUGHN RD NW STE 400
SHIP TO; 1288928
OKALOOSA COUNTY EMS
www.airgas.com CHRISTOPHER D TANNER, MD
90 COLLEGE BLVD E
KENNESAW GA 30144-7802
REV 1.1.13 SéL- 001000
NICEVILLE FL 32578-1343
Page 18 of 41
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. BUE DATE PAY THIS AMOUNT
Airgas. 2018 VAUGHN RD NW S02 11/05/2014, 1291991 |} 9500224501 | 12/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
sotpasy AIRGAS USA, LLC
922 SKIPPER AVE Hy Cet ard
FORT WALTON BEACH FL. 32547-7315 reat Gar
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
BiLTo }=ATTN ACCOUNTS PAYABLE
rg OKALOOSA CO EMS
— 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000236
3
Ocean City FD
S048
1030229664 02
OX USPDA S048 2 Ch 2 2 6.59 CL 13.18 N
{Vol: 30 FT3) OXYGEN USP DA MED
