| Ordered Time | 2023-02-10 04:28:26 |
| Customer Name | Northwest Dental |
| IO Number | 2684497 |
| Sales Rep | Shaman Bradley |
| Sales Rep Number | 1705 |
| Sales Rep Email | shaman.bradley@heraldnet.com |
| Additional Instructions | Kill remaining dates after 2/1/23. Revise 2/1/23 charge to: $109 |