| Bill To: | HMS | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Derailed Commodity | |||
| Rep Name: | Dwight Panovich | Attention: | Joe | ||
| Rep Phone #: | 913-645-2746 | Address: | 3001 S Rangeline Rd. | ||
| PM Bank #: | – | Phone #: | 417-781-6616 | ||
| Order Date: | March 19, 2025 at 8:27 am | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 5 | F005749 | F005749 – American Bedding (black) Foot Protector – Queen – | $37.65 | $188.25 |
| 5 | F005753 | F005753 – American Bedding (black) Bolster Pillow – Queen – | $31.70 | $158.50 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $346.75 |