| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Cloud 9 – Giga | Store Name | Cloud 9 Matrress – Giga | ||
| Rep Name: | Paul | Attention: | Jacob Walker | ||
| Rep Phone #: | 111-111-1111 | Address: | 4110 Suite D13 | ||
| PM Bank #: | – | Phone #: | 260-387-6798 | ||
| Order Date: | November 12, 2025 at 5:22 pm | Requested Ship Date: | Specific Date – November 18, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F010670 | F010670 – 2025 Purple (Rejuvenate) Duvet – King – | $94.80 | $94.80 |
| 1 | F010671 | F010671 – 2025 Purple (Rejuvenate)Coverlet – King – | $65.58 | $65.58 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $160.38 |