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		Product Name	Unit Price	Qty	Subtotal
×		Pelvic Ring - RestoreX Replacement Parts	$30.00		$30.00

$20.00

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Subtotal	$30.00
Shipping Flat Rate Shipping Flat Rate Shipping Shipping to UT. Change address
Route Shipping Protection	$0.90
Tax	$0.00
Total	$30.90