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Quote

From:

717 S Zero st
Fort Smith, AR 72901

Sales@Humimic.com

Quote Number QUO-5791
Quote Date October 19, 2017
Total $182.78
Billing address
Debra A Bebb
Bard Peripheral Vascular
1415 W 3rd St
Tempe, AZ 85281
Shipping address
Debra A Bebb
Bard Peripheral Vascular
1415 W 3rd St
Tempe, AZ 85281
Hrs/Qty Service Rate/Price Sub Total
10Gelatin #0 - Medical Gel By The Pound$16.98$169.80
Subtotal:$169.80
Shipping:$12.98 via FedEx Ground
Tax:$0.00
Payment method:Purchase Order
Total:$182.78

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