| 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: | October 14, 2024 at 4:55 pm | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 2 | F010374 | F010374 – 2024 Wink Bolster – Twin – | $39.15 | $78.30 |
| 2 | F010373 | F010373 – 2024 Wink Foot Protector – Twin – | $58.13 | $116.26 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $194.56 |