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    MOBB, Wheelchair Dual Layer Cushion, MHWDL Remove
    MOBB, Wheelchair Dual Layer Cushion, MHWDL
    1 X $70.00 = $70.00
    ATTO, Mobility Scooter, AT-01-100-B2-0-USCK Remove
    ATTO, Mobility Scooter, AT-01-100-B2-0-USCK
    1 X $4,500.00 = $4,500.00
    Drive, CHAD® Evolution™ Electronic Oxygen Conserver, OM-900 Remove
    Drive, CHAD® Evolution™ Electronic Oxygen Conserver, OM-900
    1 X $530.00 = $530.00
    Posey, Pelvic Soft Belt Remove
    Posey, Pelvic Soft Belt
    1 X $110.00 = $110.00
    Subtotal $5,210.00
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