HomeMy WebLinkAbout20091719.tiffr
STAR
RESCUE INC.
1171 Production Dr. Van Wert, OH 45891
Phone: 419-238-1459 or 877-519-1459 * Fax: 419-238-1479
www.lifeStarRescue.com
PURCHASE AGREEMENT
Date: 2/10/09
Billing Information: Titling Information:
Name: Weld County Paramedic Service Name: Weld Co. Colorado
Address: 1 121 M Street Address: 915 10'" Street
Greeley, CO 80631 Greeley, CO 80631
Phone: 970-353-5700 x3206
Contact Person: Mitch Wagy
Fax: 970-304-6408 Fed. ID # 84-6000813
**If out of state and tax exempt, complete the following**
Driver's License #:
Tax Exempt? Yes
If yes, fax or mail tax exemption form to Life Star Rescue ASAP.
State: Exp. Date:
Undersigned parties agree to the production and/or the subsequent purchase of a newly remounted Emergency Medical Ambulance as per
the terms described below:
Description: ( I ) Remount of your Type III Braun Ambulance Module per quote S 60,500.00
Ford FIN t/ N / A Chassis: 2009 Chevy G4500 Cutaway (Includes all discounts) S 35,500.00
Estimated Delivery: 12/23/08
Chassis prepayment
S 34,000.00 due
Trade —In Information: Allowance:
Chassis Year, Make & Model: 2005 Ford [450 Cutaway VIN 0:
Module Make: N / A Module Scr #: N / A
Net Purchase Price (after discount — does not include any applicable taxes)
TERMS: PAYMENT IN FULL ON ACCEPTANCE AND DELIVERY
F.O.B.: Greeley, Colorado (shit it slyded in above price)
r.
Purchaser Signature
Printed Name: WIL[-/AM
Life Star Rescue:
CwARedII
( - ) $ 7_.500.00
S 93,500.00
Date: 7/Z1 to q
Title: eagle t&'CC
Date:
Printed Name: Brian Murphy Title: Sales Representative
449G'low
09-1719
11/7—>q2—oy
JUL-21-2009 TUE 09:40 AM WF' COUNTY GOVT
FAX NO, 97452 9019
P. 01/01
RESCUE 'WC.
1171 Production Dr. Van Wert, OH 45891
Phone: 419-238-1459 or 877-519-1459 * Fax: 419-238-1479
www.LifeStarRescue.com
PURCHASE AGREEMENT
Date: 2/10/09
Billing Information: Titling Information:
Name; Weld County Paramedic Service Name: Weld Co. Colorado
Address: 1121 M Street Address: 915 l0`n Street
Greeley, CO 80631 Greeley, CO 80631
Phone: 970-353-5700 x3206 Fax; 970-304.6408
Contact Person: Mitch Wagy
**If out of sstate and tat: exempt, complete the following**
Driver's License #:
Fed. 11) # S4-6000813
Tax Exempt? Yes
If yes, fax or mail tax exemption farm to Lire Star Rescue ASAP.
State: Exp. Date;
Undersigned parties agree to the production and/or the subsequent purchase of a newly remounted Emergency Medical Ambulance as per
the terms described below;
Description: ( I ) Remount of your Type 111 Braun Ambulance Module per quote $ 60,500.00
Ford FIN # N / A Chassis: 2009 Chevy O4500 Cutaway (includes all discounts) $ 35 500,00
Estimated Delivery: 12/23/08
Chassis prepayment S 34,000.00 due
Trade -In Information: Allowance: (-) S 2,500.00
Chassis Year Make & Model: 2005 Ford E450 Cutaway VIN A:
Module Make: N / A Module Sm. #; N / A
Net Purchase Price (after discount — does not include any applicable taxes) $ 93,500.00
TERMS: PAYMENT IN FULL ON ACCEPTANCE AND DELIVERY
F.O.B.: Greeley, Colorado (shi itt w{yded in above price)
Purchaser Signature;
Printed Name„ Wa-i-/AN
Life Star Rescue;
Printed Name; Brian Murphy
Date: 7/1( ( p q
Title; CAR Bone -
Date: —I Lit et
Title: Sales Representative
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