This document appears to be an order form from a company called Viality. It lists 31 different supplement products including items for prostate health, menopause, heart health, and more. The order form provides the product number, description, retail price, quantity ordered, and total for each item. The total cost and total retail price are listed at the bottom.

1. 8040 NW 33 ST. Doral, FL 33122 - Phone: (305) 591-7601 - Fax: (305) 591-7602
Date: Cust. Number:
Account Address: Shipping Instructions:
PO#: Sales Rep:
Terms:
Product
Num code UPC Code Description Retail Price Qty. Order Total
1 736211-001542 PROSTATE "PM" / PROSTATA "PM" ( 90 count) $23,00 $11.50 $21.000cop
2 736211-001146 MENOPAUSE / MENOPAUSIA ( 90 count) $21,00 $10.50 $ 19.000cop
3 736211-000842 HEART / CORAZON ( 90 count) $39,00 $19.50 $35.000cop
4 736211-001047 LIVER / HIGADO ( 90 count ) $23,00 $11.50 $21.000cop
5 736211-000149 JOINT FORMULA / ARTRITIS ( 90 count) $25,00 $12.50 $23.000cop
6 736211-001245 MULTIVITAMIN / MULTIVITAMINICO (90 count) $20,00 $10.00 $18.000cop
7 736211-001344 OMEGA 3 (90 count) $13,00 $6.50 $12.00 cop
8 736211-000248 BRAIN / CEREBRO (90 count) $20,00 $10.00 $.18.00 cop
9 736211-000941 DIABETES / DIABETES (90 count) $19,00 $8.00 $34.000 cop
10 736211-001641 LUNGS / PULMONES (90 count) $27,00 $13.50 $24.000 cop
11 736211-000545 CHOLESTEROL / COLESTEROL (90 count) $23,00 $11.50 $.21.000 cop
12 736211-000644 COLLAGEN / COLAGENO (90 count) $19,00 $9.50 $17.000 cop
13 736211-001740 KIDNEY / RIÑON (90 count) $18,00 $9.00 $.16.000 cop
14 736211-000347 CALCIUM FOR HER / CALCIO ELLA (90 count) $16,00 $8.00 $14.500 cop
15 736211-000446 CALCIUM FOR HIM / CALCIO EL (90 count) $16,00 $8.00 $14.500 cop
16 736211-001443 PRE-MENOPAUSE / PREMENOPAUSIA (90 count) $19,00 $9.50 $17.500cop
17 736211-001849 VITAMIN C / VITAMINA C (90 count) $11,00 $5.50 $10.000cop
18 736211-002044 VITAMIN E / VITAMINA E (90 count) $12,00 $6.00 $11.000 cop
19 736211-001948 VITAMIN D3 / VITAMINA D3 (90 count) $9,00 $4.50 $9.000 cop
20 736211-000040 ALZHEIMER (90 count) $20,00 $10.00 $19.000 cop
21 736211-000743 COLON CLEANSER / LIMPIADOR DE COLON (90 count) $13,00 $6.50 $12.000 cop
22 736211-002143 STRESS / ESTRES (90 count) $19,00 $19.50 $35.000cop
23 736211-002242 DEPRESSION / DEPRESION (90 count) $30,00 $15.00 $27.000cop
24 736211-002341 HANGOVER / RESACA (90 count) $21,00 $10.50 $19.000 cop
Viality
25 736211-002549 VIALITY MAN (60 count) $45,00 $22.50 $40.000 cop
26 736211-002440 VIALITY WOMAN (60 count) $45,00 $22.50 $40.000 cop
27 736211-002846 VIALITY NOW (30 count) $19,00 $8.00 $14.500 cop
My Slim Now
28 736211-002945 MY SLIM NOW (FOR HER) (PARA ELLA) (120 count/ 60-60) $30,00 $15.00 $27.000cop
29 736211-003041 MY SLIM NOW (FOR HIM) ( PARA EL) (120 count/ 60-60) $30,00 $15.00 $27.000cop
736211-002648 MY SLIM NOW BOX (FOR HER) 12 BOXES (28 cap ea, 336 ct) $120,00 $60.00 $110.000cop
736211-002747 MY SLIM NOW BOX (FOR HIM) 12 BOXES (28 cap ea, 336 ct) $120,00 $60.00 $110.000cop
30 736211-002648 MY SLIM NOW (FOR HER) (PARA ELLA) (28 count/ 1 week) $10,00 $5.00 $9.000 cop
31 736211-002747 MY SLIM NOW (FOR HIM) ( PARA EL) (28 count/ 1 week) $10,00 $5.00 $9.000 cop
* Prices are subject to change without notice:
www.viality.net / www.myslimnow.com Total Cost: $- Total Ret: 0,00