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	Product	Price	Quantity	Subtotal
×	LEVESIGN 500 TAB 60 pills	$102.00	LEVESIGN 500 TAB 60 pills quantity	$102.00
×	ACPREX R CAP 90 pills	$71.00	ACPREX R CAP 90 pills quantity	$71.00
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Subtotal $173.00

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Subtotal	$173.00
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Total	$173.00

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Total $173.00