| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Test | Store Name | Mattress Warehouse 123 | ||
| Rep Name: | Paul | Attention: | Tim | ||
| Rep Phone #: | 111-111-1111 | Address: | 123 Townsend Ave | ||
| PM Bank #: | – | Phone #: | 333-612-3412 | ||
| Order Date: | June 26, 2025 at 1:08 pm | Requested Ship Date: | Specific Date – July 18, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 2 | F010672 | F010672 – 2025 Purple (Rejuvenate) Left Sham – Queen – | $50.27 | $100.54 |
| 2 | F010673 | F010673 – 2025 Purple (Rejuvenate) Left Sham – King – | $56.07 | $112.14 |
| 2 | F010674 | F010674 – 2025 Purple (Rejuvenate) Throw Pillow – | $28.30 | $56.60 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $269.28 |