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

CGA 870 Sale subtotal: 13,18 . 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 1.1.1.8 SEL- 001000 Page 19 of 41 . AIRGAS USA, LLC Airgas 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 OKALOOSA CO EMS Pury vw =90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 ocean city fd 1030270057 OX USPDA (Vol: 12001 1288028 sosoe33744, 00000000 NET 30 Mioiezor | 2 =| $048 30 FT3) SE. RETURN HE BEEN PORTION wi OXYGEN USP DA MED CGA 870 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 11105/20149 1291991 | 9500224501 ff 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT CL] check (] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ae 00-72-0693 See $048 02 2 CL 2 2 6.59 CL 13.18 N Sale subtotal: 13.18 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 40 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD $ 13.18 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.13 S€L- 001000 = NICEVILLE FL 32578-1343 Page 20 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 AR ¢ AS USA, Le INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT PLEASE MARK YOUR METHOD OF PAYMENT so.psy AIRGAS USA, LLC C1] check 922 SKIPPER AVE FJ credit Card FORT WALTON BEACH FL 32547-7315 real Car 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO ATTN ACCOUNTS PAYABLE “x OKALOOSA CO EMS fs 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 NICEVILLE EMS S048 1030155732 03 OX USPDA S048 5 CL 5 5 6.59 CL 32.95 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 . NICEVILLE EMS S048 1030155732 03 OX USP125 $048 3 CL 3 3 14.46 Ch 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 76.33 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 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL-001000 Page 21 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 Al mas. PEAR VAUGHN RD NY STE A00 11/05/2014 1291991 | 9500224501 9 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotasy AIRGAS USA, LLC 922 SKIPPER AVE Ey check FORT WALTON BEACH FL 32547-7315 [_] credit Cara 850-862-5214 Please visit www.airgas.com/onlinebillpay or BiLLTO ATTN ACCOUNTS PAYABLE zz OKALOOSA CO EMS we 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 Beale sues AMOUNT ENCLOSED complete the information on the reverse side of this form. mefd 1030308670 OX USPDA S048 3 CL (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 3 S048 6.59 CL Sale subtotal: SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.aitgas.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 4.1.4 SEL- 001000 Page 22 of 41 19.77 N 19.77 14,25 $ 34.02 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 , 2015 VAUGHN RD NW STE 400 11/05/2014] 1291991 } 9500224501 § 12/01/2074 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC [1 check 922 SKIPPER AVE EJ] credit Card FORT WALTON BEACH FL 32547-7315 reat (ar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ATTN ACCOUNTS PAYABLE ax OKALOOSA CO EMS ie 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 ORDER DAt voter 2028 0s2e 416 00000000 NET 30 10/17/2014 DESTIN EMS S048 1030156441 03 OX USPDA $048 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 1.1.13 SEL- 001000 Page 23 of 44 AIRGAS USA | LL 2015 VAUGHN Airgas. ; ENNESAW GA 30144-7802 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO }=ATTN ACCOUNTS PAYABLE 90 COLLEGE BLVD E fie OKALOOSA CO EMS NICEVILLE FL 32578-1343 000236 a Cc RD NW STE 400 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 C1 Check (1 credit Cara Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. 8SSEX ROAD 1030156442 OX USPDA (Vol; S048 Delivery Flat Fee 120 FT3) OXYGEN USP DA MED CGA 870 $048 Airgas. AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 SHIP TO: 1288928 03 8 CL 8 8 6.59 CL 52.72 WN Sale subtotal: 52.72 14.25 $ 66.97 OKALOOSA COUNTY EMS www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.13 SEL -001000 NICEVILLE FL 32578-1343 Page 24 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 Airgas. 2S 22s 5552 PLEASE MARK YOUR METHOD OF PAYMENT sotpBy AIRGAS USA, LLC oO Check 922 SKIPPER AVE F-] Credit Card FORT WALTON BEACH FL 32547-7315 root var 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO ATTN ACCOUNTS PAYABLE az OKALOOSA CO EMS Eee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 DERE ERGE 1291991 1288928 Poosavetiat | 00000000 NET 30 10/20/2014 CRESTVIEW EMS 8048 1030288721 03 OX USPDA $048 10 CL 10 = 10 6.59 CL 65.90 N (Vol: 150 FT3}) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1030288721 03 OX USP125 $048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 80.36 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 sTE4o9 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 AEV 1.1.13 SEL- 001000 Page 25 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 atta ATTN ACCOUNTS PAYABLE “a OKALOOSA CO EMS ! 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 11/05/2014, 1291991 [| 9500224501 § 12/01/2014 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 1030288728 OX USPDA ESSEX ROAD 1030288728 OX USP125 (Vol: (Vol: S048 S048 Delivery Flat Fee 120 FT3) OXYGEN USP DA MED CGA 870 127 FT3) OXYGEN USP 125 S048 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 03 8 CL 8 8 6.59 CL 52.72 N 8048 03 1 CL 1 1 14.46 CL 14.46 N Sale subtotal: 67.18 14,25 $ 81.43 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.13 SEL - 001000 NICEVILLE FL 32578-1343 Page 26 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 , 218 VAUGHN RD NW SoG 11/05/2014] 1291991 [| 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpey AIRGAS USA, LLC Ol Check 922 SKIPPERAVE FORT WALTON BEACH FL 32547-7315 [1] Credit Card 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. BLLTO ATTN ACCOUNTS PAYABLE uve OKALOOSA CO EMS Eade 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 FD 5048 1030284487 03 OX USPDA S048 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 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL-001000 Page 27 of 41 z AIRGAS USA, LLC Airgas. 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 sotppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO §=©60ATTN ACC OUNTS PAYABLE 90 COLLEGE BLVD E Ee OKALOOSA CO EMS NICEVILLE FL 32578-1343 000236 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 [I 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT Oo Check (J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. 500-127-0693 SO T2T OX USPDA (Vol: NICEVILLE EMS 1030289374 So48 Delivery Flat Fee 150 FT3) OXYGEN USP DA MED CGA 870 $048 03 10 CL 10 10 6.59 CL 65.90 N Sale subtotal: 65.90 14.25 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.13 SEL- 004000 NICEVILLE FL 32578-1343 Page 28 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 , 2215 VAUGHN RD Nvy STE 400 11/05/2014 1291991 [| 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpsy AIRGAS USA, LLC oO Check 922 SKIPPER AVE F] credit Card FORT WALTON BEACH FL 32547-7315 Teak 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 re, OKALOOSA CO EMS Nae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 ESSEX ROAD $048 1030289913 03 OX USPDA $048 7 CL 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 46.13 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 400 NICEVILLE FL 32678-1343 KENNESAW GA 30144-7802 REV 1.1.1 SEL - 001000 Page 29 of 41 Airgas. soppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 Bitto ATTN ACCOUNTS PAYABLE g2 OKALOOSA CO EMS tk 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 11/05/2014, 1291991 || 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT C1 cheek LJ credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. DESTIN EMS 1030289911 OX USPDA DESTIN EMS 1030289911 OX USP125 (Vol: 30 FT3) OXYGEN USP DA'MED CGA 870 (Vol: So48 S048 254 FT3) OXYGEN USP 125 Delivery Flat Fee S048 Airgas. AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 SHIP TO: 1288928 03 2 CL 2 2 6.59 CL 13.18 N S048 03 2 Ch 2 2 14,46 CL 28.92 N Sale subtotal: 42.10 14.25 $ 56.35 OKALOOSA COUNTY EMS 90 COLLEGE BLVD E KENNESAW GA 30144-7802