Plan Number:	11781
Establishment Name:	Costco Wholesale Online
Establishment Address:	500 Tyvola Road, Charlotte, NC 28217
Establishment County:	Mecklenburg
Establishment Type:	Other
Submitter:	Cushing Terrell
Submitter Address:	800 W Main Street, #800, Boise, ID 83702
Date Received:	06/01/2022
Date Approved:	07/21/2022