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    Blake, Geo-Matrix™ G1 Dual Zone Mattress Remove
    Blake, Geo-Matrix™ G1 Dual Zone Mattress
    1 X $1,940.00 = $1,940.00
    Permobil, Overbed Composite Table with Cupholder Remove
    Permobil, Overbed Composite Table with Cupholder
    1 X $219.00 = $219.00
    Roscoe, Overbed Table, Non-tilting Bedside Table Remove
    Roscoe, Overbed Table, Non-tilting Bedside Table
    1 X $140.00 = $140.00
    Joerns, Mattress - Arise1000 EX Low Air Loss, AREXLAL Remove
    Joerns, Mattress - Arise1000 EX Low Air Loss, AREXLAL
    1 X $11,384.00 = $11,384.00
    Subtotal $13,683.00
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