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    Procare, Pre-Vent O.R Table Pad, 79-91110 Remove
    Procare, Pre-Vent O.R Table Pad, 79-91110
    1 X $35.00 = $35.00
    Drive, Cervical Traction Set, 13004 Remove
    Drive, Cervical Traction Set, 13004
    1 X $34.00 = $34.00
    Pride, Jazzy Carbon Power Wheelchair Remove
    Pride, Jazzy Carbon Power Wheelchair
    1 X $3,190.00 = $3,190.00
    Drive, Swing Away Footrest Remove
    Drive, Swing Away Footrest
    1 X $108.00 = $108.00
    Parsons, Standard Stocking Aid, 16D005 Remove
    Parsons, Standard Stocking Aid, 16D005
    1 X $14.00 = $14.00
    Subtotal $3,381.00
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