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- 9/12/2012
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Document Sample
Therapy Nook PURCHASE ORDER
Pediatric Therapy Equipment Date:
P.O. #:
VENDOR DELIVER TO:
Therapy Nook / Tiny Tots Therapy Inc. Company:
551 Park Ave. Name:
Suite 5 Street:
Scotch Plains, NJ 07076 Street 2:
Phone: 908-380-7715 City/State/Zip:
Fax: 908-462-6655 Phone:
Fax:
Item # Product Description Quantity Unit Price Total
001 6-1 Nesting Bench $719.00
002 Net Swing $88.95
003 Study Board $34.00
004 3 Piece Combo $128.95
005 Rotary Platform $198.95
006 Trapeze Bar $23.95
007 Climbing Ladder $108.95
008 Strap Swing $28.95
009 One Seated Glider $128.95
010 Support Bar $78.95
011 Balance Beam $258.95
012 Ultima $264.00
013 Toddler Swing $58.95
014 2-1 T-Stool $88.95
081525583 Pediatric Treadmill $229.95
081525591 Pediatric Happy Bike $206.95
081525609 Pediatric Air Walker $206.95
081525617 Pediatric Weight Bench Set $206.95
928132 Fun Tube $49.40
561738 FitBALL Wedge - Junior $36.75
565670 Crash Pad 3' x 4' $149.45
565671 Crach Pad 5' x 5' $183.95
556159 Butterfly Tumble Form Weighted Critter $64.95
556160 Dinosaur Tumble Form Weighted Critter $64.95
565630 Cooperative Blanket - SMALL $43.65
565631 Cooperative Blanket - MEDIUM $49.40
565632 Cooperative Blanket - LARGE $59.75
565633 Cooperative Blanket - X LARGE $62.05
561774 Maze Puzzles - Farm $21.80
561776 Maze Puzzle - Vehicles $21.80
4959 Shape & Color Sorter $22.95
081556240 Sort and Snap Color Match $26.40
564987 Sandwich Making Kit $29.85
561779 Wood Lacing Sneaker $16.05
564988 Basic Skills Dressing $29.85
836701 Lauri Pegboards and Tall Stacker Pegs $32.15
A85111 Easy Grip Pegs/Board $24.10
558112 Playvisions Light-Up Molecule Ball $9.75
565634 Fleece Cooperative Band $78.25
565146 Snap Bags $34.45
55614001 XS Tumble Forms 2 Weighted Vest $112.95
55614101 S Tumble Forms 2 Weighted Vest $124.95
55614201 M Tumble Forms 2 Weighted Vest $128.95
55614301 L Tumble Forms 2 Weighted Vest $129.95
55614401 XL Tumble Forms 2 Weighted Vest $143.95
4841 Plastic Scooter Board $32.95
565128 S Pressure Vest $83.95
565129 M Pressure Vest $83.95
565130 L Pressure Vest $85.95
924840 Weighted Blanket $45.95
081498716 Mini Trampoline $130.95
020 Theraputty - Soft (Red) $4.00
021 Theraputty - Medium (Green) $4.00
022 Theraputty - Firm (Blue) $4.00
019 Mini Chalkboard $4.50
4811 Tumble Forms 2 Soft-Top Rockerbalance $301.20
556016 Baby Trampoline $323.20
4808 Rocking Rody Rider $120.70
564996 Round Seesaw $241.45
550770 Chu Chu Tunnels $712.95
559076 Perspex Painting Easel $323.10
924778 Edu-Blocks $321.95
553350 Soft Touch Therapy Rolls - 4" x 24" $161.20
553351 Soft Touch Therapy Rolls - 6" x 24" $196.20
553352 Soft Touch Therapy Rolls - 8" x 24" $241.20
2794A Tumble Forms 2 Rolls - 4" x 24" $146.20
2794B Tumble Forms 2 Rolls - 6" x 24" $171.20
2794F Tumble Forms 2 Rolls - 8" x 24" $213.70
2798 Universal Side Lyer $694.95
2796A Optional Block Modules $138.70
2795A Tumble Forms 2 Wedge - Elevation 4" $202.45
2795B Tumble Forms 2 Wedge - Elevation 6" $227.45
2795C Tumble Forms 2 Wedge - Elevation 8" $264.95
2795J Tumble Forms 2 Wedge - Elevation 10" $319.95
023 Size Matters: Instruction Manual $82.50
024 Size Matters: Student Workbook $15.95
025 Activity Books $30.50
026 Posters $23.00
027 Desktop Stickers $14.50
028 Size Matters: Progress Monitoring Forms $12.50
029 Alphatrangles $5.50
030 Magnetic Rectasquare Boards $62.00
031 Cutting Program: Intruction Manual N/A
032 Cutting Program Box Set $125.00
033 Cutting Program: Progress Monitoring Forms N/A
034 More Cutting I N/A
035 Size Matters: Start Up Kit (TN Exclusive!) $60.00
036A Adapted Writing Paper: Kindergarden $12.95
036B Adapted Writing Paper: First $12.95
036C Adapted Writing Paper: Second In Horizontal $12.95
036D Adapted Writing Paper: Second In Vertical $12.95
036E Adapted Writing Paper: Third $12.95
037 Adapted Writing: Master Guide $34.50
081555705 Lauri Creoe Rubber Puzzles - Lion $13.75
081555713 Lauri Creoe Rubber Puzzles - Plane $13.75
081555721 Lauri Creoe Rubber Puzzles - Fish $13.75
081555739 Lauri Creoe Rubber Puzzles - Train $13.75
565106 Alphabet Puzzles $40.20
081525906 Stack & Sort Boards $12.60
924955 Gears! Gears! Gears! Super Set $63.20
920644 Pattern Blocks & Boards $26.40
081555234 Tricky Tree $47.10
081555747 A-Z Pegboards - LOWERCASE $47.95
081555754 A-Z Pegboards - UPPERCASE $55.15
924970 Geo-Lastic Art $42.50
924195 Get-A-Grip Pegboard Set $67.80
565775 Pencil Weight $23.00
565961 Bipgrip $11.50
920393 Ring Writer Clip $12.05
4038 Stetro Grips $10.35
560116 Pencil Grip Foam Grippers $9.20
564112 Crossover Grip $32.20
402601 The Pencil Grip $34.50
564113 Jumbo Grip $17.25
PK-1-DB-4 Cuddly Pack (Dog & Bear) Size 4-6 $9.99
PK-1-DB-7 Cuddly Pack (Dog & Bear) Size 7-12 $9.99
PK-2-PB-4 Farm Pack (Piggy & Bunny) Size 4-6 $9.99
PK-2-PB-7 Farm Pack (Piggy & Bunny) Size 7-12 $9.99
PK-7-TE-4 T-Rex & Elephant - Size 4-6 $9.99
PK-7-TE-7 T-Rex & Elephant - Size 7-12 $9.99
PK-3-CC-4 Cats (Grey & Purple) Size 4-6 $9.99
PK-3-CC-7 Cats (Grey & Purple) Size 7-12 $9.99
PK-4-PF-4 Penguin & Frog - Size 4-6 $9.99
PK-4-PF-7 Penguin & Frog - Size 7-12 $9.99
PK-8-ML-4 Monkey & Lion - Size 4-6 $9.99
PK-8-ML-7 Monkey & Lion - Size 7-12 $9.99
PK-6-LB-4 LadyBug & Butterfly - Size 4-6 $9.99
PK-6-LB-7 LadyBug & Butterfly - Size 7-12 $9.99
PK-SDB-02-13 Solid Black - Size 13-5 $9.99
PK-SDN-03-13 Solid Navy - Size 13-5 $9.99
PK-SDW-01-13 Solid White - Size 13-5 $9.99
LPZ001 Loopeez Butterfly $5.95
LPZ002 Loopeez Heart $5.95
LPZ003 Loopeez Girl's Camo $5.95
LPZ004 Loopeez Baseball $5.95
LPZ005 Loopeez Lizard $5.95
LPZ006 Loopeez Boy's Camo $5.95
LPZ007 Loopeez Skull & Crossbones $5.95
LPZ008 Loopeez Peace Sign $5.95
LPZ009 Loopeez Clear $5.95
LPZ010 Loopeez White $5.95
BLWSHLC001 Bi Color Canvas Shoe Lace - Black & White $4.99
PKWSHLC002 Bi Color Canvas Shoe Lace - Pink & White $4.99
PPWSHLC003 Bi Color Canvas Shoe Lace - Purple & White $4.99
BUWSHLC004 Bi Color Canvas Shoe Lace - Blue & White $4.99
015 Angry Octopus by Lori Lite $14.95
016 Sea Otter Cove by Lori Lite $14.95
017 Affirmation Weaver by Lori Lite $14.95
018 Bubble Riding by Lori Lite $14.95
935567-24-0 Learn to Have Fun With Your Senses $14.95
932565-86-7 Sensitive Sam $14.95
885477-65-1 Special People, Special Ways $14.95
885477-89-7 My Friend With Autism $11.95
935567-21-9 Picky, Picky Pete $14.95
932565-63-8 Let's Make Faces! $12.95
932565-01-0 Herman's Hiding Places $9.95
932565-42-3 Bookworm $9.95
935567-28-8 Active Imagination Activity Book $24.95
935274-10-0 Asperger's In Pink $14.95
935567-23-3 Building Sensory Friendly Classrooms $19.95
935567-27-1 Ellie Bean the Drama Queen! $9.95
935274-08-7 Behavior Solutions for the Inclusive Classroom $14.95
932565-30-0 Ten Things Every Child With Autism Wishes $14.95
935274-55-1 Developing Leisure Time Skills For Persons $29.95
932565-55-3 Early Intervention And Autism $24.95
935567-17-2 Eyegames: Easy & Fun Visual Exercises $9.95
935567-29-5 No Longer A SECRET $19.95
932565-62-1 No More Meltdowns $14.94
932565-49-2 Toilet Training for Individuals with Autism $19.95
935274-23-0 What I Wish I'd Known about Raising a Child $14.95
935567-32-5 Your Child's Motor Development Story $24.95
935567-07-3 Songames for Sensory Processing CD's $24.95
932656-95-9 Songames for Sensory Integration CD's $24.95
TOTAL QUANTITY
SUBTOTAL
TAX
S&H
TOTAL
PAYMENT METHOD
BILLING ADDRESS
NAME:
STREET:
STREET 2:
CITY/STATE/ZIP:
CREDIT CARD
VISA ______ MC _____ Exp.
Card#:___________________________________________ Date:________________
CASH
AMOUNT:________________________________ CHANGE GIVEN: __________________________
CHECK
CHECK #:_________________ DATE:_____/_____/______ D.L. #: _______________________________________
A Tiny Tots Therapy Inc. Company
