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

Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 FD North Bay so48 1029262368 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 14,25 20.84 SHIP TO: 1288928 $ OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.13 SEL - 001000 NICEVILLE FL 32578-1343 Page 19 of 36 Py AIRGAS USA, LLC Airgas 2015 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 BiLTO }==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 10/03/20149 1291991 | 9500218670 | 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT C1 cheek (1 credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. NICEVILLE EMS 1029262367 Ox USPDA S048 NICEVILLE EMS 1029262367 OX USP125 S048 (Vol: 254 FT3) OXYGEN USP Delivery Flat Fee (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 125 SHIP TO; 1288928 $048 03 3 CL 3 3 6.59 CL 19.77 N S048 03 2 CL 2 2 14.46 Ch 28.92 N Sale subtotal: 48.69 14.25 $ 62.94 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 1.1.13 SEL -001000 Page 20 of 36 = AIRGAS USA, LLC Airgas 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30744-7802 sotosy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 alto. ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS fae 90 GOLLEGE BLVD E NICEVILLE FL 32578-1343 000574 a 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 [_] Credit Card Please visit www.airgas.con/Vonlinebillpay or complete the information on the reverse side of this form. DESTIN EMS $048 1029267022 03 OX USPDA So48 6 CL 6 6 6.59 CL 39.54 N (Vol: 90 FT3) OXYGEN USP DA MED CGA 870 DESTIN EMS so48 1029267022 03 OX USP125 S048 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 AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.43 SEL-001000 Page 21 of 36 AIRGAS USA, LLC irgas. 2018 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 BILLTO. =ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS 80 COLLEGE BLVD E a Ge 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 10/03/2014] 1291991 [| 9500218670 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT oO Check LJ credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. 30. OKLOOSA ISLAND FD $048 1029267020 i 03 OX USPDA 8048 3 CL 3 3 6.59 CL 19.77 N (Vol: 45 FT3) OXYGEN USP DA MED CGA 870 Sale subtotal: 19.77 Delivery Flat Fee 14.25 $ 34.02 SHIP TO: 1288928 AITQAS. enicicascon CKRISTOPNERD TANNER, MD AIRGAS USA, LLC 90 COLLEGE BLVD E 2015 VAUGHN RD NW sTE 409 «NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 001000 Page 22 of 36 Py 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 BILLTO ATTN ACCOUNTS PAYABLE OKALOOSA CO EMS Eee 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000874 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 OJ Check LJ Credit Card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. ocean city f/d 1029499601 OX USPDA (Vol: 30 5048 FT3) OXYGEN USP DA MED CGA 870 $048 02 2 CL 2 2 6.59 CL 13.18 N Sale subtotal: 13.18 Al ras. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 KENNESAW GA 30144-7802 REV 1.4.19 SEL-001000 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD $ 13.18 90 COLLEGE BLVD E NICEVILLE Fi. 32578-1343 Page 23 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 L] check (J Credit card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. Pi AIRGAS USA, LLC Airgas 2015 VAUGHN RD NW STE 400 . KENNESAW GA 30744-7802 soppy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLto ATTN ACCOUNTS PAYABLE cz OKALOOSA CO EMS Ea 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 000574 3 ace ENSURE noe E sent 7274 G93 x B z GROER DATE: | “este “1288628 | 9031719639 | 0000000 NET 30 09/19/2014 ESSEX ROAD $048 1029267023 03 OX USPDA S048 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 OKALOOSA COUNTY EMS . www.airgas.com aay TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2018 VAUGHN RD NW STE 400 «NICEVILLE FL 32578-1343 KENNESAW GA 30144-7802 REV 1.1.19 SEL-001000 Page 24 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 BiLTO }=ATTN ACCOUNTS PAYABLE E i OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 00574 3 CONSOLIDATED INVOICE FOR ADDRESS CORRECTIONS, PLEASE FAX NOTICE TO: 770-590-6112 INVOIGE DATE PAYER: INVOICE NO. DUE DATE PAY THIS AMOUNT 10/03/20149 1291991 | 9500218670 [| 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT CJ check LJ credit Card Please visit www.airgas.com/onlinebillpay or compiete the information on the reverse side of this form. nee PORT NWT ORE ocean city f/d 1029549649 OX USPDA 8048 ocean city f/d 1029549649 OX USPDA S048 (Vol: 30 FT3) OXYGEN USP DA MED CGA 870 (Vol: 15 FT3) OXYGEN USP DA MED CGA 870 S048 02 2 CL 2 2 6.59 CL 13.18 N 8048 02 1 CL 1 1 0.00 N Sale subtotal: 13.18 SHIP TO: 1288928 $ 13.18 Airgas OKALOOSA COUNTY EMS . wwwairgas.com CHRISTOPHER D TANNER, MD 90 COLLEGE BLVD E AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 NICEVILLE FL 92678-1343 KENNESAW GA 30144-7802 REV 1.1.13 SEL- 601000 Page 25 of 36 RD NW STE 400 AIRGAS USA, LLC irgas. 2018 VAUGHN Ri KENNESAW GA 30144-7802 sotwsy AIRGAS USA, LLC 922 SKIPPER AVE FORT WALTON BEACH FL 32547-7315 850-862-5214 BiLLTO ATTN ACCOUNTS PAYABLE 90 COLLEGE BLVD E fi » OKALOOSA CO EMS 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 ff 10/31/2014 PLEASE MARK YOUR METHOD OF PAYMENT LO check (J credit card Please visit www.airgas.com/onlinebillpay or complete the information on the reverse side of this form. CRESTVIEW EMS 1029502247 OX USPDA (Vol: 5048 Delivery Flat Fee 120 FT3) OXYGEN USP DA MED CGA 870 Airgas. www.airgas.com AIRGAS USA, LLC 2015 VAUGHN RD NW STE 400 SHIP TO: 1288928 OKALOOSA COUNTY EMS CHRISTOPHER D TANNER, MD S048 03 8 CL 8 8 6.59 CL 52.72 N Sale subtotal: $2.72 14.25 $ 66.97 90 COLLEGE BLVD E KENNESAW GA 30144-7802 REV 1.1.19 SEL-001000 NICEVILLE FL 32578-1343 Page 26 of 36 AIRGAS USA, LLC irgas. 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 BILLTO }==ATTN ACCOUNTS PAYABLE yea OKALOOSA CO EMS ee 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 CJ check [] credit Card Please visit www.airgas.com/ontinebillpay or complete the information on the reverse side of this form. ESSEX ROAD so48 1029500486 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 $048 1029500486 03 OX USP125 So48 2 CL 2 2 14.46 CL 28.92 N (Vol: 254 FT3) OXYGEN USP 125 Sale subtotal: 68.46 Delivery Flat Fee 14.25 82.71 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 1.1.19 SEL-001000 Page 27 of 36 . AIRGAS USA, LLC Airgas 20/8 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 im Check [| credit Card Please visit www.airgas.com/onlinebillpay or BiLLTO }=ATTN ACCOUNTS PAYABLE Ee OKALOOSA CO EMS 90 COLLEGE BLVD E NICEVILLE FL. 32578-1343 000574 a EGION| 1291991 1250028 903181 Ze 0000000 complete the information on the reverse side of this form. 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 § 10/01/2014 | SEE SUMMARY PAGE 1 PLEASE MARK YOUR METHOD OF PAYMENT AMOUNT ENCLOSED okaloosa island fd S048 1029424270 03 CYMRETEST S048 4 EA 52.00 EA HYDRO OR REQUALIFICATION TEST CYL MTNFER okaloosa island fd $048 1029424270 03 AI B6K 8048 4 CL 4 4 40.00 CL (Vol: 1768 FT3) AIR BREATHING 6K CGA 702 CY-AI BeKC 0 4 Delivery Flat Fee Payment Type: MC Credit Card No: ...4355 Billed Amt: Payment Type: MC Credit Card No: ...4355 Billed Amt: PAID IN FULL 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 1.1.19 S8--001000 Page 28 of 36 Sale subtotal: 208.00 N 160.00 N 368.00 14.25 166.20 216.05 $ 382.25 Py AIRGAS 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 BILLTO }=ATTN ACCOUNTS PAYABLE ee 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 (71 check [] credit Cara Please visit www.airgas.com/onlinebillpay or complete the Information on the reverse side of this form. NICEVILLE EMS 1029504182 OX USPDA S048 NICEVILLE EMS 1029504182 OX USP125 S048 Delivery Flat Fee (Vol: 75 FT3) OXYGEN USP DA MED CGA 870 (Vol: 254 FT3) OXYGEN USP 125 SHIP TO: 1288928 S048 03 5 CL 5 5 6.59 CL 32.95 N S048 03 2 Ch 2 2 14,46 CL 28.92 N Sale subtotal: 61.87 14.25 $ 76.12 Airgas. OKALOOSA COUNTY EMS . www.airgas.con 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 4.1.13 88L- 001000 Page 29 of 36 AIRGAS USA LLG” 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 BILLTO ATTN ACCOUNTS PAYABLE rae OKALOOSA CO EMS E id 90 COLLEGE BLVD E NICEVILLE FL 32578-1343 009574 FWB FD on Hollywood 1029548578 TO ENSURE PROPER CREDIT, Ee RETURN THE UPPER ETH WITH YOUR fee FOR QUESTIONS oN YOUR ACCOUNT PLEASE aan 800-727-0693 OX USPDA S048