| Bill To: | Corsicana Mattress 5000 S. Interstate Hwy. 45 West, Corsicana, TX 75109 | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Greensboro Factory | |||
| Rep Name: | Albert B Kirtland | Attention: | |||
| Rep Phone #: | 804-405-4119 | Address: | 8425 Triad Drive | ||
| PM Bank #: | – | Phone #: | |||
| Order Date: | July 21, 2025 at 3:40 pm | Requested Ship Date: | Specific Date – July 23, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 3 | F005922 | F005922 – Symbol (Black) Foot Protector – King – | $44.22 | $132.66 |
| 2 | F005317 | F005317 – Symbol (Black) Foot Protector – Queen – | $39.94 | $79.88 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $212.54 |