| Ordered Time | 2024-09-05 02:22:08 | 
| Customer Name | Molen Orthodontics | 
| IO Number | 2783191 | 
| Sales Rep | Victor Wright | 
| Sales Rep Number | 8282 | 
| Sales Rep Email | victor.wright@courierherald.com | 
| Additional Instructions | Please change rate to $114.25 + $2.25 green fee = $116.50 |