Bill To: 3001 S US Hwy 287 Corsicana TX 75109 Ship To:
PO#: Store Name Jeffrey Johnson
Rep Name: Jeff Johnson Attention:
Rep Phone #: 804-295-2220 Address: 1160 Gwynnfield Rd
PM Bank #: Phone #: 804-295-2220
Order Date: March 20, 2025 at 9:43 am Requested Ship Date: Standard Lead Time –
Qty Item # Description Product Price Product Total
10 F009701 F009701 – Wink Foot Protector – Queen – $64.22 $642.20
10 F009707 F009707 – Wink Bolster – Queen – $43.25 $432.50
Please review Quantity
Approved By:
Order Total: $1074.70