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	Product	Price	Quantity	Subtotal
×	Adams Promissory Note, Forms and Instructions (LF293)	$11.99	Adams Promissory Note, Forms and Instructions (LF293) quantity	$11.99
×	CMS 1450 / UB04 Medical Billing forms (500 Sheets)	$23.28	CMS 1450 / UB04 Medical Billing forms (500 Sheets) quantity	$23.28
×	Jonathan Adler Versailles A5 Journal	$10.50	Jonathan Adler Versailles A5 Journal quantity	$10.50
×	Adams Last Will and Testament Kit, Forms and Instructions, Includes CD (K307)	$25.50	Adams Last Will and Testament Kit, Forms and Instructions, Includes CD (K307) quantity	$25.50
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Subtotal	$71.27
Total	$71.27