Sumner Emergency Medical Services, Inc. - 2012
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SEMS 2 is a 2012 Ford E450 chassis with a gasoline engine manufactured by Lifeline Emergency Vehicles in Sumner, Iowa.  See the SEMS 2 page for pictures and information on the safety features that have been incorporated into this new ambulance.
SEMS 3 is a 2007 Ford E450, and SEMS 4 is a 2004 E450.  Both have diesel engines and were built by Lifeline Emergency Vehicles.  The ambulances are nearly identical and are stocked as such.