| Bill To: | THE BACK STORE | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | TOB | Store Name | The Back Store | ||
| Rep Name: | SCOTT AMUNDSON | Attention: | Ken Humphrey | ||
| Rep Phone #: | 309-691-8500 | Address: | 4918 N Sheridan Rd | ||
| PM Bank #: | – | Phone #: | 309-691-3600 | ||
| Order Date: | September 19, 2024 at 3:53 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 2 | F009701 | F009701 – Wink Foot Protector – Queen – | $64.22 | $128.44 |
| 2 | F009707 | F009707 – Wink Bolster – Queen – | $43.25 | $86.50 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $214.94 |