Product	Price	Qty
COPY FOR YOUR INFORMATION PTR 40	$14.50	1
PATIENTS SIGNATURE ON FILE PTR 40 RED	$14.50	1
NO MAIL RECEPTACLE PTR 40 RED	$14.50	1
ORIGINAL PTR 40 RED	$14.50	1
PHYSICAL DUE PTR 40 RED	$11.90	1
FAXED PTR 40 BLACK	$14.50	1
COURT COPY PTR 40 BLUE	$14.50	1
SCANNED PTR 40 RED	$14.50	1
8 items in cartTotal:	$113.40

Product	Price	Qty
COPY FOR YOUR INFORMATION PTR 40	$14.50	1
PATIENTS SIGNATURE ON FILE PTR 40 RED	$14.50	1
NO MAIL RECEPTACLE PTR 40 RED	$14.50	1
ORIGINAL PTR 40 RED	$14.50	1
PHYSICAL DUE PTR 40 RED	$11.90	1
FAXED PTR 40 BLACK	$14.50	1
COURT COPY PTR 40 BLUE	$14.50	1
SCANNED PTR 40 RED	$14.50	1
8 items in cartTotal:	$113.40