| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Iowa 80 | Store Name | Iowa 80 | ||
| Rep Name: | Paul | Attention: | Store Manager | ||
| Rep Phone #: | 111-111-1111 | Address: | 510 Sterling Dr. | ||
| PM Bank #: | – | Phone #: | 563-468-5227 | ||
| Order Date: | September 15, 2025 at 9:54 am | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F008963 | F008963 – 2023 Purple (Light Purple) Pillow Wrap – | $20.15 | $20.15 |
| 1 | F009543 | F009543 – 2024 Purple (Essential) Foot Protector – Twin – | $49.81 | $49.81 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $69.96 |