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    Pride, Jazzy Carbon Power Wheelchair Remove
    Pride, Jazzy Carbon Power Wheelchair
    1 X $3,190.00 = $3,190.00
    ERP, Hip Kit No. 3, PP1900-03 Remove
    ERP, Hip Kit No. 3, PP1900-03
    1 X $59.00 = $59.00
    MOBB, Disposable Isolation Gown, DPG015 Remove
    MOBB, Disposable Isolation Gown, DPG015
    1 X $32.00 = $32.00
    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
    Parsons, Freedom Alert, 16M114A Remove
    Parsons, Freedom Alert, 16M114A
    1 X $720.00 = $720.00
    Drive, HurryCane Replacement Feet, HC-FEET Remove
    Drive, HurryCane Replacement Feet, HC-FEET
    1 X $21.00 = $21.00
    Subtotal $15,406.00
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