Bill To: Purple Ship To:
PO#: Store Name Costco Coralville
Rep Name: John Notte Attention: Rick Rudock
Rep Phone #: 586-703-2210 Address: 2900 HEARTLAND DR
PM Bank #: Phone #: 319-545-3200
Order Date: February 12, 2026 at 10:27 am Requested Ship Date: Standard Lead Time –
Qty Item # Description Product Price Product Total
1 F011287 F011287 – Purple (Costco) Belly Band – $25.42 $25.42
Please review Quantity
Approved By:
Order Total: $25.42