| Bill To: | 3001 S US Hwy 287 Corsicana TX 75109 | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | IDAHO MATTRESS OUTLET (REXBURG) | |||
| Rep Name: | Jacob Johnson | Attention: | |||
| Rep Phone #: | Address: | 160 WEST MAIN ST | |||
| PM Bank #: | – | Phone #: | |||
| Order Date: | February 11, 2025 at 6:34 pm | Requested Ship Date: | Specific Date – February 14, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F005753 | F005753 – American Bedding (black) Bolster Pillow – Queen – | $31.70 | $31.70 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $31.70 |