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