Estimated Total
$15,357.61
'87910rx4','155217x1','262501x10','251957x6','107974rx1','111871x7','46412rx88','49671rx8','240800x2','233226x7','143257rx7','259082x6','209563x3','239027x9'
'87910rx4 1','155217x1 1','262501x10 1','251957x6 1','107974rx1 1','111871x7 1','46412rx88 1','49671rx8 1','240800x2 1','233226x7 1','143257rx7 1','259082x6 1','209563x3 1','239027x9 1'
'87910rx4 94.50','155217x1 37.27','262501x10 458.10','251957x6 70.00','107974rx1 29.31','111871x7 9315.00','46412rx88 141.75','49671rx8 52.27','240800x2 958.35','233226x7 512.19','143257rx7 141.75','259082x6 3105.00','209563x3 207.62','239027x9 234.50'
87910rx4|155217x1|262501x10|251957x6|107974rx1|111871x7|46412rx88|49671rx8|240800x2|233226x7|143257rx7|259082x6|209563x3|239027x9
1|1|1|1|1|1|1|1|1|1|1|1|1|1