| Bill To: | Symbol | Ship To: | |||
|---|---|---|---|---|---|
| PO#: | Store Name | Sealy A | |||
| Rep Name: | Test | Attention: | Bob Fred | ||
| Rep Phone #: | 336-434-5600 | Address: | 123 Road Street | ||
| PM Bank #: | – | Phone #: | 999-555-1234 | ||
| Order Date: | August 18, 2023 at 10:24 am | Requested Ship Date: | Specific Date – August 31, 2023 | ||
| Qty | Item # | Description | Product Price | Product Total |
|---|---|---|---|---|
| 3 | F004259 | Symbol 2018 Blue Bolster – Queen | $21.60 | $64.80 |
| Please review Quantity | ||||
| Approved By: | ||||
| Order Total: $NaN |