Clyde's Hoosier Face Mask to IU Baseball / Broken Nose

10/11/18 CLIENT: IU Baseball/ Bloomington, IN INJURY: Broken Nose RX: Clyde’s Hoosier DuPont Surlyn Facemask http://indianabrace.com/basketballfac... SPORT: Baseball HISTORY: Player hit in the nose with baseball. Male 190 lbs. 6'3" Call or Text Clyde Direct 317-445-1475 clyde.peach@indianabrace.com www.indianabrace.com

Broken Nose Mask - Basketball

 

Rx: 1/30/16 protective face mask  #5673 for Carl B.

Diagnosis: fracture of nasal bones / ICD-10-CM diagnosis code group S02.3XXA

Plan: Fabricate Hoosier model basketball  broken nose face mask. Use clear DuPont Surlyn with black straps. Broken nose only.

Sx: Order received 1/30/16 12:21 PM via website www.indianabrace.com. Shipped USPS Priority 02/01/16 to Sherbrooke, QC Canada. Expect delivery in 4 days.

FU: email customer satisfaction questionnaire on 02/12/16.

Clyde Peach, CO
www.indianbrace.com

Hoosier Clyde's Sports Masks Delivered June 2013

Chagrin Falls, OH. "Online Order 6/30/13 9:36 PM" (OTS Model/Broken Nose only/basketball) - Lakewood, CA "Online Order 6/30/13 8:09 PM"  (Milan Model/Broken Nose only/soccer) - Denton, MD. "Online Order 6/25/13 9:46 PM"  (OTS Model/Broken Nose only/basketball) -  Albuquerque, NM. "Online Order 6/25/13 1:51 PM" (OTS Model/Broken Nose only/Basketball) - Fullerton, CA. "Online Order 6/25/13 2:30 AM" (OTS Model/Broken Nose only/Basketball) Laredo, TX. "Online Order 6/19/13 10:57 PM" (Milan Model/Broken Nose only/Basketball) - Plantation, FL. "Online Order 6/16/13 3:48 PM" (Hoosier OTS/Broken Nose Only/Soccer) Orange, TX "Online Order 6/15/13 5:30 PM" (Milan Model/broken nose only/basketball) - Powder Springs, GA "Online Order 6/15/2013 9:56 AM" (Hoosier OTS Model/broken nose only/basketball) - Port Charlotte, FL. "Online Order 6/12/13 4:08 PM" (Hoosier OTS/Broken Nose Only/basketball) - Antioch, IL. "Online Order 6/11/13 2:52 PM" (Hoosier OTS/Broken Nose Only/soccer goalie) - Randburg, Gauteng, South Africa "Online Order 6/11/13 7:37 AM" (Hoosier OTS/Broken Nose Only/Field Hockey) - Woodbury, MN "Online Order 6/2/13 10:12 PM" (Hoosier OTS/Broken Nose Only/basketball) -

Hoosier OTS Face Masks Shipped in May 2013

Burr Ridge, IL "Online Order 5/29/13 7:12 PM" (Hoosier OTS/broken nose only/baseball) - West Lawn, PA "Online Order 5/29/13 10:12 AM" (Hoosier OTS/broken nose with right orbit fracture/basketball)  
Cottonvale, AL "Online Order 5/23/13 6:230 AM" (Hoosier OTS/broken nose /basketball) - 
Cairo, Egypt "Online Order 5/19/13 9:23 AM" (Hoosier OTS/broken nose/soccer) -  Westport, CT "Online Order 5/16/13 8:55 PM" (Hoosier OTS/broken nose/basketball) - Astoria NY "Online Order 5/15/13 4:17 PM" (Modified Hoosier OTS/movie prop/movie) - Jamestown, IN "Online Order 5/2/13 5:34 PM" (Hoosier OTS/broken nose/basketball)

Linda from Akron, OH Orders a Hoosier OTS Facemask

New Order (#3700) - Hoosier OTS Mask

Inbox

x

www.indianabrace.com	Apr 21 (2 days ago)

Order Confirmation

Thank you for your order, Linda Bxxxxx. Your order number is: 3700 Date of order: 4/21/2013 7:41 PM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To Linda Bxxxxx Akron, OH 44319 United States Phone:330-4XX-XXX9
Additional Information Diagnosis: Broken Nose
Product Information
Product Name Part No. Quantity Item Price Total Price CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model:  Hoosier OTS Facemask - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 13.5 Measurement B: Top of forehead to tip of nose.: 6.25 Height?: 6'4'' Weight?: 237 Sex?: Male Sport?: basketball I ackknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes L2999 1 $229.00 $229.00 Subtotal: $229.00 Shipping: $5.70 Tax: $0.00 Order Total: $234.70

Mayaguez, Puerto Rico - Hoosier Gladiator Facemask - Broken Nose w/ R Orbit fx

Hoosier Face Masks to:

 Mayaguez, PR "Online Order 4/10/13 8:15 PM" (Hoosier Gladiator/broken nose with right orbit fx/basketball)

Clyde's Hoosier Face Mask to: Wylie, TX

3/12/13  - Wylie, TX

Part No. Mfg. Part No. Quantity Item Price Total Price CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 11-1/2" Measurement B: Top of forehead to tip of nose.: 5" Height?: 6'0" Weight?: 156 Sex?: Male Sport?: basketball L2999 1 $229.00 $229.00

CLYDE'S HOOSIER MASK TO: MIAMI, FL

CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 34 cm Measurement B: Top of forehead to tip of nose.: 13 cm Height?: 5'10 Weight?: 165 Sex?: Male Sport?: Jiu-Jitsu CLYDE'S HOOSIER MASK SHIPS TODAY.

L2999

1

Clyde' Hoosier Mask to :Trevecca Nazarene U.

CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 27 cm Measurement B: Top of forehead to tip of nose.: 10 cm Height?: 5'8"1/2 Weight?: 160 Sex?: Female Sport?: Basketball

Clyde's Hoosier Protective Face Masks February 2013

Newport, RI "Online Order 2/25/13 7:23 PM" (Hoosier OTS/broken nose only/basketball) - Amity, OR "Online Order 2/23/13 5:23 PM" (Hoosier OTS model/broken nose only/basketball) - Long Beach, CA "Online Order 2/19/13 12:45 PM" (Hoosier Gladiator/orbit fx/basketball) - Smyrna, GA "Online Order 2/4/2013 2:42 PM" (Hoosier model/broken nose only/basketball) - Goffsport, IN "Online Order 2/4/2013 3:32 PM" (Hoosier OTS model/broken nose only/basketball) -