| Bill To: | Corsicana Mattress 5000 S. Interstate Hwy. 45 West, Corsicana, TX 75109 | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | HAYNES/The DUMP | |||
| Rep Name: | Albert B Kirtland | Attention: | AK | ||
| Rep Phone #: | 804-405-4119 | Address: | 1115 Essex Avenue | ||
| PM Bank #: | – | Phone #: | 804-405-4119 | ||
| Order Date: | August 15, 2025 at 12:53 pm | Requested Ship Date: | Specific Date – August 19, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 4 | F005316 | F005316 – Symbol (Black) Bolster – Queen – | $33.26 | $133.04 |
| 4 | F005317 | F005317 – Symbol (Black) Foot Protector – Queen – | $39.94 | $159.76 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $292.80 |