| Bill To: | 3 WTC, 175 Greenwich St, 39th Flr , New York 10007, USA | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Forest Park Out | |||
| Rep Name: | Carla Bustamante | Attention: | |||
| Rep Phone #: | 786-587-3249 | Address: | 5370 frontage road | ||
| PM Bank #: | – | Phone #: | |||
| Order Date: | January 9, 2025 at 5:10 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 3 | F009645 | F009645 – Foot Protector – Queen – | $70.10 | $210.30 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $210.30 |