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    ObusForme, HighBack Backrest Support, HB-BLK-CB Remove
    ObusForme, HighBack Backrest Support, HB-BLK-CB
    1 X $120.00 = $120.00
    PCP, Foot Stool, 5008 Remove
    PCP, Foot Stool, 5008
    1 X $55.00 = $55.00
    Pride, Go-Go Carbon 4 wheel Travel Scooter, SC25 Remove
    Pride, Go-Go Carbon 4 wheel Travel Scooter, SC25
    1 X $3,999.00 = $3,999.00
    Drive, Tusky Tilt & Recline Seating System, APT-3000 Remove
    Drive, Tusky Tilt & Recline Seating System, APT-3000
    1 X $1,700.00 = $1,700.00
    Subtotal $5,874.00
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