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

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 BiLtTO }==ATTN ACCOUNTS PAYABLE waz OKALOOSA CO EMS se 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 TO ENSURE FSOFER CREDIT. PLEASE AeTUR THE UPPER PORTION WITH YouR REMI Dae Bl ORDER OATE | 1291901 1200028 9031282487 | 00000000 NET 30 09/08/2014 | 9 | CRESTVIEW EMS S048 1029036071 03 OX USPDA S048 7 CL 7 7 6.59 CL 46.13 N (Vol: 105 PT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 46,13 Delivery Flat Fee 14.25 $ 60.38 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 1.4.19 SEL-o0to00 Page 9 of 36 AIRGAS USA, LLC Airgas. 3018 VAUGHN RD NW STE_400 KENNESAW GA 30144-7802 sotoBy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BILLTO ATTN ACCOUNTS PAYABLE ee OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 900574 3 TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION. WITH YOUR EMT TANCE FOR QUESTIONS, ON Aue ACEO ACCOUNT PLEASE CALL: 800-727-06: 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 [] Check [J credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. EORDE 00000000 NET 30 ovog2014{ 10 | ESSEX ROAD $048 1029084825 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 1029084825 03 OX USP125 8048 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 OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 AIRGAS USA, LLC KENNESAW GA 30144-7802 REV 1.1.19 SBL-901000 Page 10 of 36 Py AIRGAS USA, LLC irgas. 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 so.psy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 pitto }=ATTN ACCOUNTS PAYABLE wae OKALOOSA CO EMS i 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 OCEAN CITY 1029142229 OX USPDA (Vol: 15 10 ENSURE PROPER CREDIT, PLEASE B eae THE UEEER aatiae we YOUR REMITTANCE, FOR QUESTIONS ON YOUR ACC: = soln : ce : S048 FT3) OXYGEN USP DA MED CGA 870 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 F 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LI check [J credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. DER DATE) AGE 9031 1382489 | 00000000 NET 30 09/09/2014 ySt S048 02 1 Ch 1 1 6.59 CL 6.59 N Sale subtotal: 6.59 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 4 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD $ 6.59 90 COLLEGE BLVD E oo «NICEVILLE FL 32578-1343 Page 11 of 36 P AIRGAS USA, LLC Ai ras 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 so.pay AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTO ~=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS wae 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 Niceville FD 1029087699 OX USPDA (Vol: 30 TO De oe CREDIT, pe RETURN THE UPPER PORTION wire YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACCOUNT PLEASE pau ae 727-0693 S048 FT3) Delivery Flat Fee OXYGEN USP DA MED CGA 870 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 Cl Check [_] Credit Card Please visit www.airgas.com/oniinebillpay or complete the information on the reverse side of this form. NET 30 09/10/2014 a Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 141,13 SEL-901000 SHIP TO: 1288928 OKALOOSA COUNTY EMS, CHRISTOPHER D TANNER, MD $048 03 2 CL 2 2 6.59 CL 13.18 N Sale subtotal: 13.18 14.25 $ 27.43 90 COLLEGE BLVD E NICEVILLE FL 32678-1343 Page 12 of 36 Airgas. SOLD BY BILL TO Ed 000574 3 AIRGAS USA, LLG 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 AIRGAS USA, LLC 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 TO ENSURE pROreR CREDIT, PLEASE RETURN THE UPPER anne ae YOUR REMITTANCE. CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/20149 1291994 [| 9500218670 J 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT [_] Credit Card Please visit www.airgas.com/onlinebillpay or OQ Check complete the information on the reverse side of this form. NICEVILLE EMS S048 1029084378 03 OX USPDA so48 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 40.61 SHIP TO: 1288928 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.19 SEL~001000 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 13 of 36 z AIRGAS USA, LLC irgas 2018 VAUGHN RD NW STE 400 . KENNESAW GA 30144-7802 sotpsyY AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BLLTO. ATTN ACCOUNTS PAYABLE ax OKALOOSA CO EMS Eee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 ESSEX ROAD 1029086278 OX USPDA TO ENSURE PROPER CREDIT, PLEASE RETURN THE UPPER PORTION WITH eee FOR QUESTIONS. aa YOUR ACCOUNT PLEASE CALL: BOT 727: 093. $048 (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Delivery Flat Fee 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 [7] Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. $048 03 3 CL 3 3 6.59 CL 19.77 N Sale subtotal: 19.77 14,25 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.13 SEL -001000 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 Page 14 of 36 z AIRGAS USA, LLC irgas. 20:18 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 atte ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E 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 CI check [| Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. DESTIN EMS 1029086276 OX USPDA so48 Delivery Flat Fee (Vol: 45 FT3), OXYGEN USP DA MED CGA 870 SHIP TO: 1288928 So48 03 3 cL 3 3 6.59 CL 19.77 N Sale subtotal: 19.77 14.25 $ 34.02 Airgas. www.airgas.com CHRISTOPHER D TANAER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW sTE 400 NICEVILLE FL 32678-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 Page 15 of 36 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE PATE. PAY THIS AMOUNT 10/03/20149 1291991 J 9500218670 f 10/31/2014 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. = AIRGAS USA, LLC Airgas. 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 pito ATTN ACCOUNTS PAYABLE az OKALOOSA CO EMS ba 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000874 10 SU ee ees ELEASE 8 RETURN Te THE aaah PRN ae YOUR REMITTANCE. FOR QUESTIONS ON YOUR AGCOUNT PLEASE as 800- ee 1291991 os eos | OCEAN CITY FD $048 1029271407 02 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 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 16 of 36 : AIRGAS USA, LLC Airgas 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 BLLTO }=» ATTN ACCOUNTS PAYABLE tz OKALOOSA CO EMS [Bee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000874 3 SOLD TOs ee a ileairer 10 ENSURE PROPER CREDIT, ees RETURN THE me ae eee YOUR REMITTANCE. FOR QUESTIONS ON YOUR ACG: CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/20149 1291991 [| 9500218670 | 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT ([] check [_] Credit Card Please visit www.airgas.com/onlinebilipay or complete the information on the reverse side of this form. TER CRESTVIEW EMS 5048 1029264091 03 OX USPDA S048 9 CL 9 9 6.59 CL 59.31 N (Vol; 135 FT3)} OXYGEN USP DA MED CGA 870 CRESTVIEW EMS S048 1029264091 03 OX USP125 S048 2 Ch 2 2 14.46 CL 28.92 N {Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 88.23 Delivery Flat Fee 14.25 102.48 SHIP TO: 1288928 , Airgas OKALOOSA COUNTY EMS . www.airgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC NICEVILLE FL 32578-1343 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.1.43 SEL- 001000 Page 17 of 36 i AIRGAS USA, LLC irgas 2018 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 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOICE DATE PAYER INVOICE NO. BUE DATE PAY THIS AMOUNT 10/03/2014] 1291991 || 9500218670 ff 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT CJ check [credit Cara Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. BILLTO }=ATTN ACCOUNTS PAYABLE 000574 3 TO ENSURE PROPER CREDIT, PLEASE RETURN THE mee anaes WITH YOUR REMITTANCE, FOR QUESTIONS ae YOUR J ACCOUNT PLEASE CALL: peter es are 69: OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 1291991 ESSEX ROAD S048 1029263116 03 OX USPDA So48 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 $ 40.61 SHIP TO: 1288928 AITWAS. wervsicescon SKAISIOFNER DTANNER, 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 SEL - 001000 Page 18 of 36 Airgas. AIRGAS USA, LLC 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 BLLTO }=ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 TO ENSURE PROPER CREDIT, wee RETURN THE SEGRE Ra WITH YOUR REMITTANCE, FOR QUESTIONS O} 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 C] Check (J Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. om 800-727- en 2 ORDER DATE “1288928 Pos ieoz016 00000000 NET 30 Oalt7/20t4 7