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

00000000 08/27/2014 NICEVILLE EMS $048 1028772130 03 OX USPDA S048 4 cL 4 4 6.59 CL 26.36 N (Vol: 60 FT3} OXYGEN USP DA MED CGA 870 NICEVILLE EMS 8048 1028772130 03 OX USP125 S048 1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 Sale subtotal: 40.82 Delivery Flat Fee 13.50 SHIP TO: 1288928 Airgas. OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLG 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 4c9 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1,1,19S8- 001000 Page 39 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 Aj ra REN AGGHIN RD NW STF 400 og/4/2014f 1291991 Ff 9500212844 Ff 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT soLpsy AIRGAS USA, LLC C1 check 922 SKIPPER AVE i Credit Card FORT WALTON BEACH FL 32547-7315 Ted ar 850-862-5214 Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO ATTN ACCOUNTS PAYABLE aaa OKALOOSA CO EMS ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 O26 1291981 “1208928 90300002 5 000000 DESTIN EMS 5048 1028708798 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 $048 1028708798 03 OX USP125 S048 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 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 4.1.13 SEL -001000 Page 40 of 42 CUNSULIDALED 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 Nyy STE 400 09/04/2014 1291991 9] 9500212844 f 10/01/2014 PLEASE MARK YOUR METHOD OF PAYMENT soppy AIRGAS USA, LLC Cl 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. BILLTO ~~ ATTN ACCOUNTS PAYABLE ay, OKALOOSA CO EMS “4 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 a TO ENS RE FROreR CREDIT, PEE ASE ee THE ee iene WITH YOUR SN FOR QUESTIONS ae YOUR ACCOUNT PLEASE CALL: Ae Tat 0603 DESTIN FD S048 1028708797 03 OX USPDA So48 3 CL 3 3 6.59 CL 19.77 N (Vol: 45 FYT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 19.77 Delivery Flat Fee 13.50 33.27 SHIP TO: 1288928 § Airgas. : OKALOOSA COUNTY EMS » wwwairgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RO NW STE 409 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.1386L- 001000 Page 41 of 42 CUNSULIDAIED RENTAL 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, SEVEN esce — Tosoarzora| s2er00r | ss0021200 | rove PLEASE MARK YOUR METHOD OF PAYMENT sotopy AIRGAS USA, LLC C1 check 922 SKIPPER AVE 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. BLLTO. ATTN ACCOUNTS PAYABLE eae OKALOOSA CO EMS wet 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000578 3 CALL: 800-727-0 HAGE ORCER NG. | RRCYLMLG-OX - Rent Cyl Med Large Oxygen 17 34 34 0 17 17 0 0 $0.29/DAY RRCYLMXS-OX ~- Rent Cyl Med Xs Oxygen 139 «#170 170 0 139 0 139 4309 $0.26/DAY $1,120.34 N 156 204 Important. See the Notice Regarding Cylinder Rentals/Leases and Responsibility on the $ 1,120.34 Reverse side of this form. You will be deemed to have accepted the provisions in the said ' : Notice as part of the contractual arrangements between you and us, unless you reject such provisions by written advice to us within (15) days after the date of this document. SHIP TO: 1288928 Air as. OKALOOSA COUNTY EMS 0g . www.airgas.com CHRISTOPHER D TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW ste 4c0 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SFL-001000 Page 42 of 42