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82-8588
82-8588
$150.00
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X65
X65
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H12-2/497
H12-2/497
$200.00
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T2700238
T2700238
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82-5053
82-5053
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37-0386
37-0386
$27.75
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1170330-T0301
1170330-T0301
$1.46
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Subtotal $694.09
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State Tax $48.58
Total $757.67
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