4                                    
                            
                                                       
                            
                                    $13.817
                                
                                
                            
            Quantity $5.704        
        
            
            Quantity $6.210        
        
            
            Quantity $1.120        
        
            
            Quantity $783        
        
            
                    Payment Details
                     
                                
                            
                
                       
                     
               
                   
                                Sub Total
                                $13.817
                              
                   
                        
                        
                        
                        



