$re = '/(?<=Total\r?\n\r?\n?)(.+)(?=\s+\d+\s+\d+\s+[A-z]{3})/m';
$str = 'Item Description Quantity Price Per Total
Various paper supplies 1 269033 USD 269033 USD';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php