Okaloosa County BOCC — November 18, 2014 — Airgas Invoice-September 2014 — reading text

Airgas. SOLD BY PAYER pee 000574 3 AIRGAS USA, LLC AIRGAS USA, LLG 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E 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 10/03/20148 1291901 [| 9500218670 | 10/31/2014 $ 2,700.31 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. PLEASE MAKE CHECKS PAYABLE AND REMIT TO: A a a EL AIRGAS USA, LLC PO BOX 532609 ATLANTA GA 30353-2609 429499119500218667000002700313 ORDER DATE | ee ee a a Sales Org so00 so00 sooo s000 sooo S000 S000 8000 sooo so00 sooo So00 sooo sooo sooo sooo S000 sooo sooo sooo sooo so00 sooo sooo sooo sooo sooo sooo sooo sooo so00 Sold To 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291993 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 1291991 Ship To 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 1288928 Ship To Name OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALCOSA OKALOOSA OKALOOSA OKALOOSA OKALCOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA OKALOOSA COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY COUNTY EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS EMS SUMMARY PAGE Region Inv Delivery Delivery Invoice Amount Num Number Date 9031108735 8031981629 09/02/2014 136,71 9031108736 8031981644 09/02/2014 68.25 9031166987 8032034518 09/03/2014 35.30 9031189350 8032141201 09/05/2014 68.25 9031189351 8032141202 09/05/2014 20.84 9031189352 8032141203 09/05/2014 20,84 9031282487 8032189837 09/08/2014 60.38 9031282488 8032227993 09/09/2014 68.25 9031282489 8032262695 09/09/2014 6.59 9031387839 8032275529 09/10/2014 27,43 9031387840 8032278850 09/10/2014 40.61 9031421458 8032374931 09/12/2014 34.02 9031421459 8032374933 09/12/2014 34,02 9031421460 8032412371 09/12/2014 6.59 9031496706 8032426303 09/15/2014 102,48 9031589723 8032459803 09/16/2014 40.61 9031622918 8032530148 09/17/2014 20.84 9031622919 8032530149 09/17/2014 62.94 9031659005 8032637588 09/19/2014 68,25 9031659006 8032637610 09/19/2014 34,02 9031659007 8032657347 09/19/2014 13.18 9031719639 8032637587 09/19/2014 40.61 9031719640 8032713406 09/22/2014 13.18 9031764299 8031905168 09/22/2014 66.97 9031764300 8032725199 09/23/2014 82.71 9031811743 8032637468 09/19/2014 0.00 9031811744 8032768184 09/24/2014 76,12 9031891659 8032766295 09/23/2014 93.33 9031891660 8032677108 09/26/2014 55.07 9031891661 8032865500 09/26/2014 62.94 9032012147 8032907515 09/29/2014 80.15 CONTINUED Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.13 SEL-00%000 AIRGAS USA, LLC Acct No. 8606074182 PNC Bank, ABA No 031000053 Page 1 of 36 z AIRGAS USA, LLC irgas. 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 PAYER ATTN ACCOUNTS PAYABLE ee OKALOOSA CO EMS weak 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 a CONSOLIDATED INVOICE FOR ADORESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014 1291991 | 9500218670 § 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT [J check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. SUMMARY PAGE Sales Sold Ship Ship To Name Org To To S000 1291991 1288928 OKALOOSA COUNTY EMS So00 1291991 1288928 OKALOOSA COUNTY EMS $000 1291991 1288928 OKALOOSA COUNTY EMS Region Inv Delivery Delivery Invoice Amount Num Number Date 9032012148 8032907516 09/29/2014 34.02 9032077428 8032933242 09/30/2014 40.61 9922317345 N/A-Rental N/A 1,084.20 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 § 2,700.31 Page 2 of 36 AIRGAS USA, LLC 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 aiuto ATTN ACCOUNTS PAYABLE raz OKALOOSA CO EMS ee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 TO ENE eaeee CREDIT, PL CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO, DUE DATE PAY THIS AMOUNT 10/03/2014 1291991 [| 9500218670 J 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT [] Credit Cara Please visit www.airgas.com/onlinebillpay or (1 check complete the information on the reverse side of this form. atch foe ee YOU! CRESTVIEW EMS S048 1028865108 03 OX USPDA So48 12 CL 12 12 6.59 CL 79.08 N (Vol: 180 FT3) OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1028865108 03 OX USP125 S048 3 CL 3 3 14.46 CL 43.38 N (Vol: 381 FT3) OXYGEN USP 125 Sale subtotal: 122.46 Delivery Flat Fee 14.25 $ 136.71 SHIP TO: 1288928 Airgas. www.airgas.com OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.4.13 SEL - 001000 NICEVILLE FL 32578-1343 Page 3 of 36 = AIRGAS USA, LLC Airgas 2015 VAUGHN RB NW STE 400 . KENNESAW GA 30144-7802 sotpsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO ATTN ACCOUNTS PAYABLE yaw OKALOOSA CO EMS Fae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 TO ENSURE PROPER CREDIT, PLEASE RETURN THE eee TORN [WITH YOUR REMITTANCE, FOR QUESTIONS ON ee ACCOUNT PLEASE CALL: 800-727-0693 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014 1291991 || 9500218670 9] 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT oO Check C1 credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. a seas feos 08736 | NET O 09/02/2014 — ESSEX ROAD $048 1028868826 03 OX USPDA $048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD $048 1028868826 03 OX USP125 $048 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 $ 68.25 SHIP TO: 1288928 Airgas. 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 1.4.13 SEL -001000 Page 4 of 36 Py AIRGAS USA, LLC irgas. 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 BuLto ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS eas 90 COLLEGE BLVD E BEE NICEVILLE FL 32578-1343 000574 3 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014 1291991 | 9500218670 | 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LJ Check LJ] credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. NICEVILLE EMS so48 1028866908 03 OX USPDA so48 1 CL 1 1 6.59 CL 6.59 N (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 NICEVILLE EMS S048 1028866908 03 OX USP125 So48 1 CL 1 1 14.46 CL 14.46 N (Vol; 127 FT3) OXYGEN USP 125 Sale subtotal: 21.05 Delivery Flat Fee 14.25 $ 35.30 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 5 of 36 7 AIRGAS USA, LLC Ai ras. 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 soLpBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLTO }=ATTN ACCOUNTS PAYABLE ie OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 Delivery Flat Fee TO Lae PROPER CREDIT, PLEASE RETURN THE UPrER PANNE a YOUR REMITTANCE. FOR QUESTIONS ON ee ACCOUNT P PLEASE CALL: an 727-0693 ESSEX ROAD 8048 1028870107 03 OX USPDA S048 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 ESSEX ROAD S048 1028870107 03 OX USP125 8048 . “1 CL 1 1 14.46 CL 14.46 N (Vol: 127 FT3) OXYGEN USP 125 : Sale subtotal: 54.00 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014] 1291991 [| 9500218670 | 10/31/2014 | 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. 14,25 SHIP TO: 1288928 AITWAS. serscicescon SKASTOPNER D TANNER, MO AIRGAS USA, LLC 90 COLLEGE BLVD E 2018 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 0071000 Page 6 of 36 i AIRGAS USA, LLC irgas. 2015 VAUGHN RD NW STE 400 « KENNESAW GA 30144-7802 soppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLtTo }=9ATTN ACCOUNTS PAYABLE che OKALOOSA CO EMS ‘ 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 a 000574 3 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER, INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014 1291991 {| 9500218670 | 10/31/2044 PLEASE MARK YOUR METHOD OF PAYMENT L] Check L_] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. GROER DATES — ad 1 7a6805 Soar 1 30351 F Gooo0000 ail 30 09/05/2014 DESTIN EMS 1028870106 OX USPDA (Vol; 15 8048 FT3) Delivery Flat Fee OXYGEN USP DA MED CGA 870 Airgas. www.airgas.c AIRGAS USA, LLC 2015 VAUGHN RD NW STE 4 KENNESAW GA 30144-7802 REV 1.1.14 SEL-001000 SHIP TO: 1288928 8048 03 1 CL 1 1 6.59 CL 6.59 N Sale subtotal: 6.59 14.25 $ 20.84 OKALOOSA COUNTY EMS om ~=CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E op 6NICEVILLE FL 32578-1343 Page 7 of 36 z AIRGAS USA, LLC Airgas. 2018 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 BILLTO }=©ATTN ACCOUNTS PAYABLE ‘a OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO, CUE. DATE PAY THIS AMOUNT 10/03/2014f 1291991 [| 9500218670 | 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT Od Check L_] Credit Card Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. DESTIN FD 1028870105 OX USPDA $048 (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee Airgas. www.airgas.c AIRGAS USA, LLC 2015 VAUGHN RD NW STE 4! KENNESAW GA 30144-7802 REV 14,13 SEL- 901000 SHIP TO: 1288928 $048 03 1 CL 1 1 6.59 CL 6.59 N Sale subtotal: 6.59 14.25 $ 20.84 OKALOOSA COUNTY EMS om CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E oo NICEVILLE FL 32578-1343 Page 8 of 36 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/2014§ 1291991 || 9500218670 | 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT C1 check CJ credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. = AIRGAS