| Bill To: | Purple | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Living Spaces La Mirada | |||
| Rep Name: | Michael Jones | Attention: | Shawn Van Emmerick / Revive Buyer | ||
| Rep Phone #: | 505-463-3889 | Address: | 14501 Artesia Blvd. | ||
| PM Bank #: | – | Phone #: | 505-463-3889 | ||
| Order Date: | December 18, 2025 at 5:11 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 6 | F008963 | F008963 – 2023 Purple (Light Purple) Pillow Wrap – | $20.15 | $120.90 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $120.90 |