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    Permobil, Atlas Auto Comfort Surface, ATLAC3580 Remove
    Permobil, Atlas Auto Comfort Surface, ATLAC3580
    1 X $1,895.00 = $1,895.00
    Champion, Universal Airmesh Wrist Wrap Support, 0446 Remove
    Champion, Universal Airmesh Wrist Wrap Support, 0446
    2 X $37.00 = $74.00
    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 $13,353.00
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