| Bill To: | 3001 S US Hwy 287 Corsicana TX 75109 | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | John Bolin | Store Name | BOLIN RENTAL PURCHASE, INC – CLARKSVILLE | ||
| Rep Name: | Frank Clark | Attention: | |||
| Rep Phone #: | 256-947-9597 | Address: | 1757 JARDCO DR | ||
| PM Bank #: | – | Phone #: | |||
| Order Date: | October 19, 2024 at 8:00 am | Requested Ship Date: | Standard Lead Time – | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 1 | F005749 | F005749 – American Bedding (black) Foot Protector – Queen – | $37.65 | $37.65 |
| 1 | F005753 | F005753 – American Bedding (black) Bolster Pillow – Queen – | $31.70 | $31.70 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $69.35 |