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Patient ID:
ABC0001
Address Line 1
Address Line 2
Invoice Date
09/26/2012
Country
Qty
Item Number
Item Description
Price
Ext Price
1 ITEM1
1.17
1.17
2 ITEM2
9.86
19.72
3 ITEM3
9.34
28.02
4 ITEM4
7.13
28.52
5 ITEM5
2.05
10.25
6 ITEM6
0.89
5.34
7 ITEM7
3.54
24.78
8 ITEM8
1.55
12.40
9 ITEM9
3.26
29.34
10 ITEM10
3.63
36.30
11 ITEM11
9.12
100.32
12 ITEM12
8.61
103.32
13 ITEM13
8.50
110.50
14 ITEM14
7.84
109.76
15 ITEM15
0.79
11.85
16 ITEM16
7.57
121.12
17 ITEM17
3.83
65.11
18 ITEM18
2.56
46.08
19 ITEM19
3.18
60.42
20 ITEM20
3.11
62.20
21 ITEM21
9.30
195.30
22 ITEM22
5.71
125.62
23 ITEM23
6.64
152.72
24 ITEM24
3.08
73.92
25 ITEM25
2.28
57.00
26 ITEM26
3.37
87.62
27 ITEM27
0.91
24.57
28 ITEM28
1.90
53.20
29 ITEM29
0.35
10.15
30 ITEM30
5.42
162.60
31 ITEM31
5.08
157.48
32 ITEM32
7.65
244.80
33 ITEM33
9.32
307.56
34 ITEM34
4.10
139.40
35 ITEM35
8.87
310.45
36 ITEM36
1.67
60.12
37 ITEM37
0.02
0.74
38 ITEM38
6.53
248.14
Page No. 1
Patient ID:
ABC0001
Address Line 1
Address Line 2
Invoice Date
09/26/2012
Country
Qty
Item Number
Item Description
Price
Ext Price
39 ITEM39
3.21
125.19
40 ITEM40
9.83
393.20
41 ITEM41
7.73
316.93
42 ITEM42
0.38
15.96
43 ITEM43
7.84
337.12
44 ITEM44
3.35
147.40
45 ITEM45
0.12
5.40
46 ITEM46
4.52
207.92
47 ITEM47
9.91
465.77
48 ITEM48
5.64
270.72
49 ITEM49
2.25
110.25
50 ITEM50
2.56
128.00
51 ITEM51
0.15
7.65
52 ITEM52
8.53
443.56
53 ITEM53
2.58
136.74
54 ITEM54
8.18
441.72
55 ITEM55
2.89
158.95
56 ITEM56
7.80
436.80
57 ITEM57
9.97
568.29
58 ITEM58
5.29
306.82
59 ITEM59
1.66
97.94
60 ITEM60
3.16
189.60
61 ITEM61
9.56
583.16
62 ITEM62
5.00
310.00
63 ITEM63
4.95
311.85
64 ITEM64
2.16
138.24
65 ITEM65
5.28
343.20
66 ITEM66
3.95
260.70
67 ITEM67
5.58
373.86
68 ITEM68
1.27
86.36
69 ITEM69
7.28
502.32
70 ITEM70
5.30
371.00
71 ITEM71
2.71
192.41
72 ITEM72
9.72
699.84
73 ITEM73
5.71
416.83
74 ITEM74
4.67
345.58
75 ITEM75
7.70
577.50
76 ITEM76
3.21
243.96
Page No. 2
Patient ID:
ABC0001
Address Line 1
Address Line 2
Invoice Date
09/26/2012
Country
Qty
Item Number
Item Description
Price
Ext Price
77 ITEM77
6.12
471.24
78 ITEM78
7.93
618.54
79 ITEM79
3.80
300.20
80 ITEM80
5.60
448.00
81 ITEM81
7.62
617.22
82 ITEM82
7.09
581.38
83 ITEM83
4.96
411.68
84 ITEM84
6.07
509.88
85 ITEM85
2.32
197.20
86 ITEM86
3.07
264.02
87 ITEM87
0.61
53.07
88 ITEM88
8.34
733.92
89 ITEM89
3.30
293.70
90 ITEM90
1.74
156.60
91 ITEM91
2.18
198.38
92 ITEM92
6.07
558.44
93 ITEM93
8.92
829.56
94 ITEM94
0.25
23.50
95 ITEM95
1.58
150.10
96 ITEM96
5.91
567.36
97 ITEM97
3.27
317.19
98 ITEM98
6.28
615.44
99 ITEM99
3.75
371.25
100 ITEM100
5.22
522.00
Page No. 3