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

REV 1.1.13 SEL ~901000 www.airgas.com CHRISTOPHER D TANNER, MD NICEVILLE FL 32578-1343 Page 30 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 i AIRGAS USA, LLC INVOICE DATE PAYER INVOIGE NO. DUE DATE PAY THIS AMOUNT Airgas. aS yeas 11/05/2014 1291991 | 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC [ check 922 SKIPPER AVE El credit cara FORT WALTON BEACH FL 32547-7315 red 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 raz OKALOOSA CO EMS [tk 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 009236 SHOER DATE 1291991 1288928 Fooszeoet 4 | 00000000 NET 30 10/27/2014 a CRESTVIEW EMS S048 1030467989 03 OX USPDA S048 5 CL 5 5 6.59 CL 32.95 N (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS 8048 1030467989 03 OX USP125 S048 1 Ch 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 47.41 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 31 of 41 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 ff 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT C1 check ("J credit Card Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. z AIRGAS USA, LLC irgas. 2018 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 BLLTO ATTN ACCOUNTS PAYABLE uz, OKALOOSA CO EMS bi 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 HE ae Aeewe a ocean beat fd S048 103063069 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 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 S&L - 001000 Page 32 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. 2018 VAUGHN RD NW STE 400 11/05/2014) 1291991 J 9500224501 J 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotpBpy AIRGAS USA, LLC ol Check 922 SKIPPER AVE | 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. BiLLTO }§=©ATTN ACCOUNTS PAYABLE rags OKALOOSA CO EMS slit? 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 ESSEX ROAD 8048 1030468129 03 OX USPDA so48 7 Ch 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD $048 1030468129 03 OX USP125 so4g 3 CL 3 3 14.46 CL 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 89.51 Delivery Flat Fee 14.25 $ 103.76 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 33 of 41 z AIRGAS USA, LLC Airgas. 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO ATTN ACCOUNTS PAYABLE sax OKALOOSA CO EMS vt 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ooge38 ocfd Airgas Hazmat Charge (H) 1030663065 02 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 - see Itemized Charges on reverse or visit www.Airgas.com/terms-of-sale 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 (J check (] credit Cara Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of thls form. SHIP TO: 1288928 $ 6.59 AITOAS. woe.cicoscon SHRISTOPMER 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 34 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 iH AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NW Sue 11/05/2014 1201991 ff 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.tpsy AIRGAS USA, LLC Oo Check 922 SKIPPER AVE EJ credit cara FORT WALTON BEACH FL 32547-7315 reall Car 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLto ATTN ACCOUNTS PAYABLE veg OKALOOSA CO EMS ae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 FD Niceville $048 1030466621 03 OX USPDA $048 4 CL 4 4 6.59 CL 26.36 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 26.36 Delivery Flat Fee 14,25 . SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLG 2015 VAUGHN RD NW sTE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL- 001000 Page 35 of 41 AIRGAS USA, LLG 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 Airgas. sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTO ATTN ACCOUNTS PAYABLE wx OKALOOSA CO EMS ‘Wt 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 oonz38 ASE BeweN THE UPPER. roe oe oR REMITTANC. 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 a Check (J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. STIONS ot ee ACCOUNT PLEASE CALL: B00 ROAD NICEVILLE EMS so048 1030467993 03 OX USPDA 8048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS 8048 1030467993 03 OX USP125 so4g 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. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.4.13 SEL-001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 36 of 41 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 LL AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NW STE 400 11/05/2014] 1291991 [| 9500224501 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotosy AIRGAS USA, LLC | Check 922 SKIPPER AVE E| credit Card FORT WALTON BEACH FL 32547-7315 rear var 850-862-5214 Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. BILLTO ATTN ACCOUNTS PAYABLE az OKALOOSA CO EMS 4 ad 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 ESSEX ROAD . So48 1030663296 03 OX USPDA S048 3 CL 3 3 6.59 CL 19.77 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 19.77 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 S&L-001000 Page 37 of 41 z AIRGAS USA, LLC Airgas. 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 soipby AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLTO }=ATTN ACCOUNTS PAYABLE 90 COLLEGE BLVD E fia OKALOOSA CO EMS 000236 3 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 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT CL] check (J Credit card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. DESTIN EMS 1030663295 OX USPDA S048 (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 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 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 8048 03 2 CL 2 2 6.59 CL 13.18 N Sale subtotal: 13.18 14.25 $ 27.43 Page 38 of 41 REV 1.1.13 SEL- 001000 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 " KENNESAW GA 30144-7802 Airga so.pBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO = ATTN ACCOUNTS PAYABLE F OKALOOSA CO EMS waz 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 a REO RNG Oe 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 Jf 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT ([] check L_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. florosa fd $048 1030811970 02 OX USPDA $048 4 CL 4 4 6.59 CL 26.36 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 26.36 26.36 SHIP TO: 1288928 § Airgas. ; OKALOOSA COUNTY EMS A WWW.alrgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 NICEVILLE FL 32578-1343 Page 39 of 41 CONSOLIDATED INVOICE Ps AIRGAS USA, LLC Airgas. 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 sotpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTo ATTN ACCOUNTS PAYABLE ag, OKALOOSA CO EMS tt 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 3 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 11/05/2014] 1291991 [| 95002245801 | 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT C check LJ credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. [ORDER 120108 1288928 0021762000 | 00000000 NET 30 09/04/2014 Lease Renewal $048 7022488530 03 LSECYLMLG $048 17 CL 36.50 YR 620.50 N LEASE CYL MED LARGE OTHER (H) LEASE RENEWAL 11/01/2014 TO 10/31/2015 Sale subtotal: 620.50 Airgas Hazmat Chg ML - 34,80 Airgas Hazmat Charge (H) - see Itemized Charges on reverse or visit www.Airgas.com/terms~-of-sale $ 655.30 SHIP TO: 1288928 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 401 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.4.19 SEL- 001000 o NICEVILLE FL 32578-1343 Page 40 of 41 CONSOLIDATED RENTAL INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 - Al RGAS USA LLO INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT Al gas. 2015 VAUGHN RO NY Seto 11/05/2014) 1291991 § 9500224501 { 12/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.pey AIRGAS USA, LLC 922 SKIPPER AVE H Seek ard FORT WALTON BEACH FL 32547-7315 Fealt Gar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }=ATTN ACCOUNTS PAYABLE eu OKALOOSA CO EMS wha 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000236 a R. REMITTANCE, Fe Read ON Mae see PLEASE aan 800. Sa LINVOICE DATE | BOER NGS RRCYLMLG-OX ~- Rent Cyl Med Large Oxygen 17 22 22 0 17 17 0 0 $0.29/DAY RRCYLMXS-OX - Rent Cyl Med Xs Oxygen 139 «6158 158 0 139 0 139 4309 $0.26/DAY $1,120.34 N 156 180 180 0 156 $1,120.34 Important. See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the Reverse side of this form.