HomeMy WebLinkAbout20070923.tiff LIFE
�$I _✓STAR
RESCUE INC_
CUSTOMIZED SERVICE, REMOUNT, AND REPAIR
1171 Production Dr. Van Wert,OH 45891
877-519-1459 Fax:419-238-1479
PURCHASE AGREEMENT
Date: 3/27/07
Billing Information: Titling Information:
Name: Weld County Colorado Name: SAME
Address:915 10th St. Address:
Greeley,CO 80631
Phone:970-353-5700 x3206 Fax: (970)304-6408 Fed.ID# 84-6000813
Contact Person: Mitch Wagy Tax Exempt? x Yes No
If yes,fax or mail tax exemption form to Life Star Rescue ASAP.
Undersigned parties agree to the production and/or the subsequent purchase of a new Emergency Medical Ambulance as per the terms
described below:
Description:( 1 ) Remount of your Type III Braun ambulance onto a Type I Chassis $ 36,390.00
Ford FIN# QE640 Chassis: 2008 Ford F450 4x4 (Includes all discounts) $ 37,500.00
Chassis prepayment $ 37,500.00 due upon signing
Additional Options Added: Granning air ride system $ 4,000.00
Transportation $ 3,000.00
Discount (-) $ 500.00
Trade—In Information: Allowance: (-A 1.500.00
Chassis Year:2003 Chassis Make&Model: VIN#:
Net Purchase Price (after discount—does not include any applicable taxes) $ 78,890.00
TERMS: PAYMENT IN FULL ON ACCEPTANCE AND DELIVERY
F.O.B.: Greeley,CO
Purchaser Signature: `�c Date: 04/02/2007
Printed Name: - v/i�d� E. ng Title: Chair
Life Star Rescue:
t- W/yt,v I1 CL-VVN Date: 3/27/07
Printed Name: Jami Ramos Title:National Sales Manager
An?oo/Y
2007-0923
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SALES ORDER
RESCUE INC.
CUSTOMIZED SEINICE,REMOUNT,AND REPAIR DATE S.O. NO.
1171 Production Drive
Van Wert, OH 45891 4/17/2007 817
BILL TO: VEHICLE INFORMATION
Weld County Colorado
915 10th Street
Greeley CO 80631
P.O. NUMBER TERMS REP ORG PO DATE FINISH DA... MILEAGE JOB#
Due on Delivery JLR 4/17/2007 4/17/2007
ITEM DESCRIPTION QTY U/M RATE AMOUNT
REMOUNT RM444: 2008 Ford F450 4x4 ambulance prep 1 37,500.00 37,500.00
chassis VIN#TBD
Total $37,500.00
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