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	Quantity	Name	SKU	Each	Total
		854 1000 sets (Durable Medical Form - 2 part - C Continuation Form)	854 (1000 sets)	$79.95	$79.95
		843 1000 sets (Durable Medical Form - 2 part - Wheelchairs)	843 (1000 sets)	$79.95	$79.95

Subtotal

$159.90

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