C04415;TA111995;PPFR;1;42260;Wayne Shaddock;Horton's O & P - Conway;635 Dave Ward Drive;Conway;AR;72032;06/17/25
C04415;TA111995;20011XW130;1;42260;Wayne Shaddock;Horton's O & P - Conway;635 Dave Ward Drive;Conway;AR;72032;06/17/25
C04415;TA111995;COMP;No
