New Milan Sports Mask to Homero P. III of Laredo, TX

New Order (#3884) Milan Sports Mask

Hoosier Clyde's Milan Sports Mask

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Hoosier Clyde

Order Confirmation

Thank you for your order, Homero P. III. Your order number is: 3884 Date of order: 6/19/2013 10:57 PM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To Homero P. III 3206  Wxxxxxx St. Laredo, TX 78045 United States Phone:956-XXX-XXXX
Additional Information Diagnosis: Broken Nose Only
Product Information
Product Name Part No. Quantity Item Price Total Price HOOSIER CLYDE'S SPORT MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING - 4 MODELS Select a Model: Milan Model What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 12" Measurement B: Top of forehead to tip of nose.: 4 1/2" Height?: 6'-0" Weight?: 139 Sex?: Male Sport?: Basketball I ackknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes L2999 1 $199.00 $199.00 Subtotal: $199.00 Shipping: $22.94 Tax: $0.00 Order Total: $221.94