| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Mathis – Shawnee | |||
| Rep Name: | Jeffrey Kidder | Attention: | Store Manager | ||
| Rep Phone #: | 405-517-9667 | Address: | 4901 N. Kickapoo | ||
| PM Bank #: | – | Phone #: | 405-516-0926 | ||
| Order Date: | October 15, 2025 at 4:39 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F010673 | F010673 – 2025 Purple (Rejuvenate) Left Sham – King – | $56.07 | $56.07 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $56.07 |