| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Ornate home – Giag | Store Name | Ornate Home | ||
| Rep Name: | Paul | Attention: | Ozzie Ozkan | ||
| Rep Phone #: | 111-111-1111 | Address: | 2235 N. Tustin Ave. | ||
| PM Bank #: | – | Phone #: | 844-955-3399 | ||
| Order Date: | August 11, 2025 at 4:33 pm | Requested Ship Date: | Specific Date – August 15, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F009543 | F009543 – 2024 Purple (Essential) Foot Protector – Twin – | $49.81 | $49.81 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $49.81 |