Invoice HBRK002
Invoice HBRK002
Invoice Date: 5-Feb-16
Purchase Agreement
SOLD TO:
Richard Kahn
HBRK Associates Inc.
575 Lexington Avenue 4th Floor
New York, NY 10022
tel
fax cell APGAR AMBULANCE L.C. 7 Glacier Circle
Kalispell, MT 59901
Federal I.D. No.: 20-3365474
Purchase from
Apgar Ambulance
7 Glacier Circle
Kalispell, MT 59901
Customer
HBRK002 Order Day Ship Day Ship Via Delivered To Terms
2/5/16 February 25,
2016 est. tbd customer In full 15 Days
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
202 West Main Street PO Box 6370
Bozeman Montana 59771
Attention: Sam Gilmer
Phone: FAX Account Name: Apgar Ambulance L.0
Account Number:
ABA Routing Number: 092901683
APGAR AMBULANCE L.C. • 7 Glacier Circle • Kalispell, Montana 59901
EFTA00584371