| Bill To: | 3 WTC, 175 Greenwich St, 39th Flr , New York 10007, USA | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | HOM Furniture Coon Rapids | |||
| Rep Name: | Susan Ziober | Attention: | |||
| Rep Phone #: | 616-308-4330 | Address: | 10301 Woodcrest Dr NW | ||
| PM Bank #: | – | Phone #: | 763-767-3700 | ||
| Order Date: | July 19, 2024 at 1:07 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 2 | F009646 | F009646 – Foot Protector – Twin – | $66.51 | $133.02 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $133.02 |