Quote
From:
| Quote Number | QUO-233044 |
| Quote Date | June 30, 2022 |
| Total | $163.04 |
Billing address
Jeffery Moralde
Northwestern Memorial Hospital
251 East Huron Street
Chicago, IL 60611
Northwestern Memorial Hospital
251 East Huron Street
Chicago, IL 60611
Shipping address
Jeffery Moralde
Northwestern Memorial Hospital (Ship To Code: CDC01T1005)
25 N. Winfield Rd.
Floor 1 Center Building
Winfield, IL 60190
Northwestern Memorial Hospital (Ship To Code: CDC01T1005)
25 N. Winfield Rd.
Floor 1 Center Building
Winfield, IL 60190
| Hrs/Qty | Service | Rate/Price | Sub Total |
|---|---|---|---|
| 2 | Custom Phantom Custom:: Rods and Connectors | $75.00 | $150.00 |
| Subtotal: | $150.00 |
|---|---|
| Shipping: | $13.04 via UPS Ground |
| Payment method: | Credit Card |
| Total: | $163.04 |