Estimated Total
$12,987.53
'210764rx1','249965x1','181872x10','98808x1','155289rx14','169275x19','242520x1','112833x6','237759x6','243851x1','143514rx7','256429x5'
'210764rx1 1','249965x1 1','181872x10 1','98808x1 1','155289rx14 1','169275x19 1','242520x1 1','112833x6 1','237759x6 1','243851x1 1','143514rx7 1','256429x5 1'
'210764rx1 59.00','249965x1 273.75','181872x10 5265.00','98808x1 57.69','155289rx14 20.00','169275x19 1052.00','242520x1 2316.00','112833x6 909.35','237759x6 485.51','243851x1 2392.00','143514rx7 92.23','256429x5 65.00'
210764rx1|249965x1|181872x10|98808x1|155289rx14|169275x19|242520x1|112833x6|237759x6|243851x1|143514rx7|256429x5
1|1|1|1|1|1|1|1|1|1|1|1