Okaloosa County BOCC — October 7, 2014 — Airgas Invoice-August 2014 — reading text

PAYMENT APPROVAL FORM NON-CONTRACT/DIRECT INVOICE PAYMENTS DATE: September 16, 2014 TO: Finance Department — Accounts Payable Clerk of the Circuit Court FROM: Dino J. Villani, Director Department of Public Safety SUBJECT: Payment Approval RRA KERRERERREREEREBESE BEEBE ERE SEES EE IIIS ISIE IES ASIII NA IIIS ESI IAI EL ISSIR IAI IANA IRR, Vendor Name: Airgas, Inc. Invoice Number: 9500212844 Invoice Amount: $3,164.28 Budget Account Number: 4500-552600 Project Title: Invoice for Oxygen Used During August 2014 (Invoice Dated: 09/04/14) SIGNATURE DATE APPROVED Authorized Personnel: Department Director: ___ 2 ZA 34 26 A 7 Dino J. Vitlani Public Safety Director BCC Chairman: Charles K. Windes, Jr. Chairman 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. 2015 VAUGHN RD NW Sig {00 09/04/2014 1291991 |] 9500212844 | 10/01/2014 $3,164.28 ~ PLEASE MARK YOUR METHOD OF PAYMENT $3.1ULA8 sotpsy AIRGAS USA, LLC | Check $3 i 922 SKIPPER AVE EJ credit card FORT WALTON BEACH FL 32547-7315 re 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: tla Wiad ad TL Ea ote ERT CP paveR ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS AIRGAS USA, LLC 90 COLLEGE BLVD E PO BOX 532609 NICEVILLE FL 32578-1343 ATLANTA GA 30353-2609 000578 3 4291991195002 1284400003Lb4284 (ER nul E RBATE a es er een SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Delivery Invoice Amount Org To To Num Number Date $000 1291991 1288928 OKALOOSA COUNTY EMS 9030083117 8030993919 08/01/2014 95.14 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030083118 8031004467 08/01/2014 13.18 8000 1291991 1288928 OKALOOSA COUNTY EMS 9030127308 8030993917 08/01/2014 74.09 so0Q 1291991 1288928 OKALOOSA COUNTY EMS 9030127309 8030993960 08/01/2014 26.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030170941 8031009469 08/04/2014 68.78 S000 1291991 1288928 OKALOOSA COUNTY EMS $030170942 8031084043 08/05/2014 74.09 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030248433 8031125508 08/06/2014 39.86 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030248434 8031125509 08/06/2014 20.09 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030248755 8031221360 08/07/2014 13.18 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030294441 8031134046 08/08/2014 55.60 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030294442 8031228761 08/08/2014 81.96 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030294443 8031255343 08/08/2014 85.80 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030366318 8031268519 08/11/2014 137.24 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030409771 8031345666 08/12/2014 13.18 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030433501 8031313607 08/12/2014 47.73 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030433502 8031333356 08/12/2014 99.17 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030433503 8031363573 08/13/2014 39.86 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030433504 8031363575 08/13/2014 53.04 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030501062 8031438999 08/14/2014 6.59 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030570730 8031455347 08/15/2014 26.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030570731 8031455348 08/15/2014 20.09 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030570732 8031455353 08/15/2014 67.50 $000 1291991 1288928 OKALOOSA COUNTY EMS 9030570733 8031545915 08/18/2014 6.59 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030638470 8031510676 08/18/2014 135.96 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030685146 8031556715 08/19/2014 95.14 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030732352 8031602588 08/20/2014 39.86 $000 1291991 1288928 OKALOOSA COUNTY EMS 9030754863 8031714146 08/22/2014 26.68 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030754864 8031714147 08/22/2014 26.68 SoO00 1291991 1288928 OKALOOSA COUNTY EMS 9030755145 8031714148 08/22/2014 47.73 SOOO 1291991 1288928 OKALOOSA COUNTY EMS 9030755146 8031714149 08/22/2014 46.45 8000 1291991 1288928 OKALOOSA COUNTY EMS 9030828141 8031796184 08/25/2014 6.59 CONT TNUED Ai Irgas, www.airgas.com AIRGAS USA, LLG AIRGAS USA, LLG Acct No. 8606074182 2015 VAUGHN RD NW STE 400 PNC Bank, ABA No 031000053 KENNESAW GA 30144-7802 REV 1.1,1g88L- 01000 Page 1 of 42 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 . AIRGAS USA, LLC INVOICE DATE PAYER INVOICE Nt DUE DATE PAY THIS AMOUNT Airga . 2015 VAUGHN RD AW S46 00 09/04/2014 1291991 | 9500212844 Ff 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT so.pBy AIRGAS USA, LLC (J 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. ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 3 SUMMARY PAGE Sales Sold Ship Ship To Name Region Inv Delivery Delivery Invoice Amount org To To Num Number Date S000 1291991 1288928 OKALOOSA COUNTY EMS 9030873843 8031741939 08/25/2014 93.86 Soo0 1291991 1288928 OKALOOSA COUNTY EMS 9030954283 8031858988 08/27/2014 20.09 SQO00 1291991 1288928 OKALOOSA COUNTY EMS 9030954284 8031938332 08/28/2014 6.59 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030989982 8031803800 08/26/2014 150.42 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030989983 8031845106 08/26/2014 46.45 So00 1291991 1288928 OKALOOSA COUNTY EMS 9030989984 8031858987 08/27/2014 54.32 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030990255 8031940473 08/29/2014 47.73 S000 1291991 1288928 OKALOOSA COUNTY EMS 9030990256 8031940474 08/29/2014 33.27 S000 1291991 1288928 OKALOOSA COUNTY EMS 9921596802 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 42 Airgas. AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 sotpay AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTo. ~~ ATTN ACCOUNTS PAYABLE rz OKALOOSA CO EMS Wa 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 3 VUNSULIVDALEYV INVUICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 09/04/2014 1291991 |] 9500212844 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT LJ check LJ credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. R DER UATE 2 AGE: NET 30 08/01/2014 r3 eRe ESSEX ROAD 1027790855 OX USPDA ESSEX ROAD 1027790855 OX USP125 {Vol: (Vol: 5048 120 FT3) OXYGEN S048 254 FT3) OXYGEN Delivery Flat Fee USP DA MED CGA 870 USP 125 S048 03 8 CL 8 8 6,59 CL 52.72 N S048 03 2 CL 2 2 14.46 CL 28.92 N Sale subtotal: 81.64 13.50 Airgas. AIRGAS USA, 2015 VAUGHN RD NW STE 400 LLC SHIP TO: 1288928 OKALOOSA COUNTY EMS 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.19SEL- 001000 www.airgas.com CHRISTOPHER D TANNER, MD NICEVILLE FL 32578-1343 Page 3 of 42 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 = AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. QUE DATE PAY THIS AMOUNT. Airgas. AUS VAUGHN RD Nw STE 400 09/04/2014] 1291991 | 9500212844 J 10/01/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT sotpay AIRGAS USA, LLC 922 SKIPPER AVE H on ; FORT WALTON BEACH FL 32547-7315 Teall War 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BLLTO }==ATTN ACCOUNTS PAYABLE “ee OKALOOSA CO EMS wet 90 COLLEGE BLVD E = NICEVILLE FL 32578-1343 000578 3 R CREDIT, PLEASE RETURN THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727. 0693 PO. REGION INV. : Rt 3] 1291081 “1288928 9030083118 | 00000000 florosa f/d S048 1027990163 02 OX USPDA 8048 2 CL 2 2 6.59 CL 13.18 N {Vol: 30 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 13.18 $ 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 1.1.19 SEt- 901000 Page 4 of 42 VYUNOVLIVALIEW 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 ras. 2015 VAUGHN RD NW STE 400 09/04/2014 1291991 ff 9500212844 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sotoey AIRGAS USA, LLC [7] 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 wave OKALOOSA CO EMS Ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 ougs7e DESTIN EMS So48 1027790853 03 OX USPDA So48 7 cL 7 7 6.59 CL 46.13 N (Vol: 105 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS So48 1027790853 03 OX USP125 S048 1 cL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 60.59 Delivery Flat Fee 13.50 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 1,1,1986L- 001000 Page 5 of 42 VLUNSULIVALEV INVUICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 -_ Al RGAS USA LLCO INVOICE DATE PAYER: INVOICE NG. DUE DATE PAY THIS AMOUNT RirMas, BEE Evy sre 1 — Posiowzoraf coro: | osoozroes | sooo PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC 922 SKIPPER AVE H Cat ard FORT WALTON BEACH FL 32547-7315 realt War 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 tt 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 a TO ENSURE | reoeee CREDIT, PLEA IRN THE LEER PORTION WITH YOUR REMITTANCE, FOR Questions. oN YOUR ACCOUNT PLEASE pak ties 200 TRL 0693 DESTIN FD S048 1027791356 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 13.50 26.68 SHIP TO: 1288928 § Air as OKALOOSA COUNTY EMS 9 . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NwsTE 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SF - 001000 Page 6 of 42 sotpBY AIRGAS USA, LLC 922 SKIPPER AVE VLUNSYULIVALED INVUICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 -= AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT Airgas. 2015 VAUGHN RD NV STE 400 09/04/2014 1291991 | 9500212844 J 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT Ol Check FORT WALTON BEACH FL 32547-7315 [] Credit Cara 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BiuLTO ATTN ACCOUNTS PAYABLE wz OKALOOSA CO EMS Eee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 3 BASE ae N THE meen PORTION WITH YOUR REMITTANCE. FOR QUESTIONS ON ae ACCOUNT PLEASE. pasts £00. -7 27-0693 REGION INVING 1291991 09028 9030170941 | 00000000 NET: 30 CRESTVIEW EMS $048 1027991449 03 OX USPDA S048 4 CL 4 4 6.59 CL 26.36 N (Vol: 60 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS $048 1027991449 03 OX USP125 S048 2 CL 2 2 14.46 CL 28.92 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 55.28 Delivery Flat Fee 13.50 $ 68.78 SHIP TO: 1288928 OKALOOSA COUNTY EMS Airgas. www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1,1,13SEt- 001000 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 7 of 42 GCUNSULIDATED 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. 2015 VAUGHN RD NW STE 400 09/04/2014] 1291991 | 9500212844 | 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT sony AIRGAS USA, LLC Cl check 922 SKIPPER AVE FE credit card