lovemanfaith@yahoo.com.

mx

SHIP TO:
Felicita Gutierrez
Gutierrez
669 Flagami Blvd

Order Confirmation
Miami FL 331442521

BILL TO:
Larry Molina Ir¡as
Larry Molina Ir¡as Molina
Molina Frente al Quiabuc
Frente al Quiabuc Contiguo Hotel Panorama 1
Contiguo Hotel Panorama 1 Esteli 31000
Esteli, 31000

ACCOUNT # TOTAL AMOUNT

n
2946905 78.05
ORDER NUMBER ORDER DATE

50704522 SI

io
03/19/24
PAGE # ...

at
LINE ITEM UNIT SIZE QTY. ORD SHIPPING DETAILS UNIT
NO DESCRIPTION & STRENGTH EXTENSION
CODE DRUG CLASS SHIPPED CUSTOMER P.O.# PRICE

1062301 CANNOT BE SHIPPED TO RESIDENTIAL ADDRESS.EPALAC

1

2
1062301

1127225
Ea
PU

Ea
Plier Mathieu Delicate Ti
03/18/24

Pin & Ligature Cutter Sta

03/18/24
1.000

m 5

#1002
CANCELLED
HSI_96016105

2.000
1 CANCELLED
HSI_96016105
45.29

58.29
fir
3 1127222 Ea Distal End Cutters #16S 1 SHIPPING 58.29 58.29
03/18/24 3.000 1 HSI_96016105
Item will be shipped from NORTHEAST Distribution Center
on

Estimated Delivery Date: 03/21/24

4 SHIPPING AND/OR HANDLING 14.65 14.65

5 TAX 5.11 5.11

rC

Item 1127225 Pin canceled for lack of inventory.

Included in the below freight charge is a $2.29 Fuel
surcharge. This Fuel surcharge will be monitored on a
regular basis and adjusted accordingly
e
rd
O

ACCOUNT # TOTAL AMOUNT

2946905 78.05
ORDER NUMBER ORDER DATE

50704522 SI 03/19/24
PAGE # ...