EFTA00584371.pdf

APGAR AMBULANCE L.C. 7 Glacier Circle Kalispell, MT 59901 Federal I.D. No.: 20-3365474 Invoice HBRK002 Invoice Date: 5-Feb-16 Purchase Agreement Purchase from Apgar Ambulance SOLD TO: 7 Glacier Circle Richard Kahn Kalispell, MT 59901 HBRK Associates Inc. 575 Lexington Avenue 4th Floor New York, NY 10022 tel fax cell Customer Order Day Ship Day Ship Via Delivered To Terms HBRK002 2/5/16 February 25, tbd customer In full 15 Days 2016 est. Description VIN Number Price US$ (NEW MEXICO UNIT) Proposal for Sale and delivery of 2003 with 22,000 miles Ford XLT F350 4x4 White with red stripe GSA Type 1 $39,900 Wheeled Coach Modular Ambulance paid in full then delivery to Zorro Ranch with EMT $3800. Includes Stryker EZ Pro One person Medical Cot $2750.00, Two Spine Boards $280.00, Med-E- Pak III Item #36105 $294.00, (1) 100lb Oxygen Tank to be filled $240.00 , Oxygen tank Regulator $89.00, (2) Two Oxygen quick connects with Bag Masks, $270.00, Phillips HeartStart OnSlte Defbrillator OTC # 2746-066R01 $1912.00 Medstorm Oxy Kit Advanced .#36103 $799.00. Graphics $350.00 Invoice Total: $50,684.00 PAID IN FULL $25,000 down to hold $25,684 upon departure from California. Delivery to Stanley, NM with EMT instructor. Payment and wire transfer account information: Bank Information Account Information First Interstate Bank of Bozeman Account Name: Apgar Ambulance L.0 202 West Main Street PO Box 6370 Account Number: Bozeman Montana 59771 ABA Routing Number: 092901683 Attention: Sam Gilmer Phone: FAX APGAR AMBULANCE L.C. • 7 Glacier Circle • Kalispell, Montana 59901 EFTA00584371