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Product	Price	Quantity	Subtotal	Remove
OR-17D Mixed Dentition: Class II Division 1 Open Bite, Narrow Arch (Hard Base)	$96.50	OR-17D Mixed Dentition:Class II Division 1 Open Bite, Narrow Arch (Hard Base) quantity	$96.50	×
ADM-012 ADEM Adapter	$26.00	ADM-012 ADEM Adapter quantity	$26.00	×
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Subtotal	$122.50
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State Tax	$8.89
Total	$131.39