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Okaloosa County BOCC — October 7, 2014 — Airgas Invoice-August 2014 — reading text
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NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.13 SEL- 001000 Page 28 of 42
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 STE 400 09/04/2014 1291991 | 9500212844 f 10/01/2014 | SEE SUMMARY PAGE 1
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE H ee ard
FORT WALTON BEACH FL 32547-7315 Feat 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
tx OKALOOSA CO EMS
WH 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
TO aa nee CREDIT, PLEASE RETURN THE PEG RENO PORTION wre YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE CALL: 800-727-0693
SHIE: : : : ORDER DATE:
1291901 _1288 8 Poo
OKLOOSA ISLAND FD S048
1028443653 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
AITGAS. so sices.com SRENER OTANNER, MO
90 COLLEGE BLVD E
AIRGAS USA, LLC
2018 VAUGHN RD NWsTE 400 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV £.1.13S€L - 001000
Page 29 of 42
VLUNSULIDATLED 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. 2o5 VAUGHN RD NW STE 400 09/04/2014] 1291991 J 9500212844 J 10/01/2014 || SEE SUMMARY PAGE 14
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC
922 SKIPPER AVE H Cae ard
FORT WALTON BEACH FL 32547-7315 realt Car
850-862-5214
Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
giLLTO ATTN ACCOUNTS PAYABLE
“yz OKALOOSA CO EMS
titi 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
o0gs78
REDIT, PLEASE ae THE UPPER PORTION WITH YOUR REMITTANCE. FOR QUESTIONS a Nee ACCOUNT PLEASE CALL: 800- eee 0693
EUR: REGION INV: NW Ss
1291991 “7286326 9030754864 | 00000000
-PO | RELEAS|
DESTIN FD S048
1028443654 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
SHIP TO: 1288928
Air as. OKALOOSA COUNTY EMS
0 www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC 90 COLLEGE BLVD E
2015 VAUGHN RD NW Te 409 NICEVILLE FL. 32578-1343
KENNESAW GA 30144-7802
REV 1.1.13 SEL- 001000
Page 30 of 42
VLUNOSOYVULIVDALCYD INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
- AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Ai gas. 2015 VAUGHN RD Nyy STE 400 09/04/20149 1291901 | 9500212844 F 10/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
so.pBy AIRGAS USA, LLC a Check ae
922 SKIPPER AVE :
FORT WALTON BEACH FL 32547-7315 L] Credit Cara
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
BLLTO }=ATTN ACCOUNTS PAYABLE
suzy, OKALOOSA CO EMS
pa 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
Te NSURE PROPER CREDIT, eR IN THE aaa WITH YOUR REMITTANCE. FOR QUESTIONS ae fouk ACCOUNT PLEASE CALL: Bai ane Bee 0693
OLS REGION INV. NO: Ban
1291 991 “1288928 9030755145 | 00000000
DESTIN EMS S048
1028443655 03
OX USPDA S048 3 CL 3 3 6.59 CL 19.77 N
(Vol: 45 FT3) OXYGEN USP DA MED CGA 870
DESTIN EMS 8048
1028443655 03
OX USP125 8048 1 CL 1 1 14.46 CL 14.46 N
(Vol: 127 FT3) OXYGEN USP 125
Sale subtotal: 34,23
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 409 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REY 1.1.13S8L- 001000 Page 31 of 42
GONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE .FAX NOTICE TO: 770-590-6112
n AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas, 28s
PLEASE MARK YOUR METHOD OF PAYMENT
soppy AIRGAS USA, LLC Oo Check
922 SKIPPER AVE +
FORT WALTON BEACH FL 32547-7315 L] credit Cara
850-862-5214 Please visit www.airgas.com/onlinebillpay or
complete the information on the reverse side of this form.
aiLLTo ATTN ACCOUNTS PAYABLE
wx OKALOOSA CO EMS
Mi 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
ESSEX ROAD $048
1028443656 03
OX USPDA S048 5 Ch 5 5 6.59 CL 32.95 N
(Vol: 75 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 32.95
Delivery Flat Fee 13.50
46.45
SHIP TO: 1288928 i
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- 001000 Page 32 of 42
VCUNSOLIVDALED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
-'_ AIRGAS USA LLCO INVOICE DATE PAYER INVOICE NO. DUE DATE. PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD NW STE 400 09/04/2014 1291991 ff 9500212844 | 10/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
sotpBy AIRGAS USA, LLC | Check
922 SKIPPER AVE F] credit card
FORT WALTON BEACH FL 32547-7315 reali 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
q OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
Ocean City FD
8048
1028712291 02
OX USPDA 8048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.59
$ 6.59
. SHIP TO: 1288928
Airgas. : OKALOOSA COUNTY EMS
. www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC 90 COLLEGE BLVD E
2015 VAUGHN RD NWsTE 400 NICEVILLE FL 32578-1343
KENNESAW GA 30144-7802
REV 1.1.1988L-001000 Page 33 of 42
| GONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
-':| Al RGAS USA, LLCO INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas, Be Seasg — eooszorsf 2st [ osocrzae | soor4
PLEASE MARK YOUR METHOD OF PAYMENT
so.psy AIRGAS USA, LLC oO 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
‘az. OKALOOSA CO EMS
Eat 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
600578
3
TO ENSURE PROPER CREDIT, pees AEN THE vores PORTION WITH YOUR REMITTANCE.
FOR SUESTONS 6 ae ae ACCOUNT PLEASE CALL: an 727-0693
CRESTVIEW EMS $048
1028652268 03
OX USPDA So4g 10 CL 10 10 6.59 CL 65.90 N
| (Vol: 150 FT3) OXYGEN USP DA MED CGA 870
CRESTVIEW EMS $048
1028652268 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 13.50
$ 93.86
SHIP TO: 1288928
Air as OKALOOSA COUNTY EMS
0 . www.airgas.com CHRISTOPHER D TANNER, MD
AIRGAS USA, LLC 90 COLLEGE BLVD E
2015 VAUGHN RD NW sTE 409 NICEVILLE FL 32678-1343
KENNESAW GA 30144-7802
REV 4.4.49 SEL- 001000 Page 34 of 42
CUNSULIDALED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
-_ AIRGAS USA, LLC INVOICE DATE PAYER INVOICE NO. (UE DATE PAY THIS AMOUNT
Airgas. BERENS 35
PLEASE MARK YOUR METHOD OF PAYMENT
sotpsy AIRGAS USA, LLC Oo 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.
BLLTO ATTN ACCOUNTS PAYABLE
raz OKALOOSA CO EMS
He 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
FD North Bay
S048
1028772131 03
OX USPDA S048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.59
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. 32678-1343
KENNESAW GA 30144-7802
REV 1.1,1gSEL - 001000 Page 35 of 42
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 eR AU GIN RE NW STE 400 09/04/2014 1291991 | 9500212844 ff 10/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
soLoBy AIRGAS USA, LLC [I cheek
922 SKIPPER AVE :
FORT WALTON BEACH FL 32547-7315 L] 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
‘gt OKALOOSA CO EMS
hE ©690 COLLEGE BLVD E
NICEVILLE FL 32578-1343
o0gsra
a AGE
08/28/2014
ocean city f/d/ S048
1028836487 02
OX USPDA 8048 1 CL 1 1 6.59 CL 6.59 N
(Vol: 15 FPT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 6.59
6.59
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
HEV 1.1,13 SEL - 001000 Page 36 of 42
CONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
- Al RGAS USA, LEC INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD NW STE 400 09/04/2014 1291991 9 9500212844 F 10/01/2014 | SEE SUMMARY PAGE 1
PLEASE MARK YOUR METHOD OF PAYMENT
soLpBy AIRGAS USA, LLC
922 SKIPPER AVE Ey oe 4
FORT WALTON BEACH FL 32547-7315 Feat Van
850-862-5214
Please visit www.airgas.com/oniinebillpay or
complete the information on the reverse side of this form.
BILLTO ==ATTN ACCOUNTS PAYABLE
vax OKALOOSA CO EMS
90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
TO es CREDIT, Pest RETURN THE wees <
He WITH YOUR REMITTANCE. FOR QUESTIONS ree YOUR ACCOUNT PLEASE CALL; 800-727- 0693
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_1291991 ~1208020 ‘S080980082 00000000 NET 30
ESSEX ROAD S048
1028676253 03
OX USPDA $048 12 CL 12 12 €.59 CL 79.08 N
(Vol: 180 FT3) OXYGEN USP DA MED CGA 870
ESSEX ROAD $048
1028676253 03
OX USP125 S048 4 CL 4 4 14.46 CL 57.84 N
(Vol: 508 FT3) OXYGEN USP 125
Sale subtotal: 136.92
Delivery Flat Fee 13.50
$ 150.42
SHIP TO: 1288928
AITWAS. r.cicescom CSRITORHER 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 1.1.138EL - 001000
Page 37 of 42
GONSOLIDATED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT
09/04/2014 1291991 J 9500212844 F 10/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
AIRGAS USA, LLC
Airga 2015 VAUGHN RD _NW STE 400
. KENNESAW GA 30144-7802
soLpsy AIRGAS USA, LLC Oo Check
922 SKIPPER AVE Fl creait 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.
BLLTO ATTN ACCOUNTS PAYABLE
‘we OKALOOSA CO EMS
te 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
TO ENS Ree PROPER CREDIT, PLEASE RETURN THE EER ER Ne WITH YOUR REMITTANCE, FOR oS ON. YOUR ACCOUNT PLEASE CALL. £00. TAT693
291 1901 _1288928 eosoaasoes |
MARY ESTHER FD $048
1028743735 03
OX USPDA So48 5 Ch 5 5 6.59 CL 32.95 N
(Vol: 75 FT3) OXYGEN USP DA MED CGA 870
Sale subtotal: 32.95
Delivery Plat Fee : 13.50
46.
SHIP TO: 1288928 9 46.45
Air as. OKALOOSA COUNTY EMS
9 . 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 1.1.19 SEL- 01000 Page 38 of 42
CONSULIDATLED INVOICE
FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112
i AIRGAS USA, LLC INVOIGE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT
Airgas. 2015 VAUGHN RD Nv SFR 00 09/04/20149 1291991 | 9500212844 | 10/01/2014
PLEASE MARK YOUR METHOD OF PAYMENT
soLpaY AIRGAS USA, LLC [1 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
az OKALOOSA CO EMS
ee 90 COLLEGE BLVD E
NICEVILLE FL 32578-1343
000578
3
TO ENSURE PROPER CREDIT, aoa eee THE were PORTION WITH YOUR TNE FOR QUESTIONS ¢ ae YOUR ACCOUNT PLEASE ase 800-727-0693
SOLD SHIBAC ONANY. RI [PGRDER DAT
1201991 “1288928 3030989084
