does it come with everything it came with in original box? Accessories, etc.?

Not the ones I got. The ones I got came with a card wrapped in bubble wrap. Most of these refurb units are pulled out of old work stations.

Questions & Answers: Refurbished: Dell AMD FirePro W7000 Graphics Card 4GB GDDR5 Memory 256-Bit Video Card, CHF4P

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Item#: 9SIB1PGG1Y2851
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Dell AMD FirePro W7000 Graphics Card 4GB GDDR5 Memory 256-Bit Video Card, CHF4P

Memory Interface: 256-bit
Memory Size/Type: 4GB GDDR5
Bandwidth: 154GB
Display Outputs: 4x Standard DisplayPorts
OpenGL: 4.2
DirectX: 11.1

$148^.99 –