| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Living Spaces – Rancho Cucamonga | |||
| Rep Name: | Michael Jones | Attention: | Mattress Gallery | ||
| Rep Phone #: | 505-463-3889 | Address: | 12649 Foothill Blvd | ||
| PM Bank #: | – | Phone #: | |||
| Order Date: | November 13, 2025 at 11:32 am | Requested Ship Date: | Specific Date – November 14, 2025 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 2 | F010668 | F010668 – 2025 Purple (Rejuvenate) Duvet – Queen – | $86.71 | $173.42 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $173.42 |