Estimated Total
$15,123.11
'87910rx4','155217x1','262501x10','251957x6','107974rx1','111871x7','46412rx88','49671rx8','240800x2','233226x7','143257rx7','259082x6','209563x3'
'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'
'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'
87910rx4|155217x1|262501x10|251957x6|107974rx1|111871x7|46412rx88|49671rx8|240800x2|233226x7|143257rx7|259082x6|209563x3
1|1|1|1|1|1|1|1|1|1|1|1|1