AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-01-2024
Order Status:	Delivered
Total for Addons:	$4.00
Total Order:	$342.71
Paid Alowance Balance:	$342.71
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	26636
Name:	RICARDO
Last name:	MEDELLIN
Department:	Maintenance
Allowance Balance:	$2.62

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 10558



Received	In Process	Shipped	Delivered

Shipping Address: Change

RICARDO MEDELLIN

1038 SAN FRANCISCO

SAN ANTONIO, TX 78201

United States

Phone: 2105016334

Product List:

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 3

Color: Black

$4.03

REDKAP INDUSTRIAL CARGO PANT

Brand: Red Kap

Waist: 38

Lenght: 30

Quantity: 1

Color: Navy

$27.23

Enhanced Visibility Shirt

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

$38.06

UNDER ARMOUR SS TSHIRT

Brand: Under Armour

Size: XL

Quantity: 2

Color: Navy

$23.27

Sport-Tek® Sport-Wick® Fleece Full-Zip Hooded Jacket

Brand: Sport-Tek

Size: XL

Quantity: 1

Color: Navy

Flag Addon: US Flag

Patch Addon: Union Patch

$36.87

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

$14.88

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: XL

Quantity: 1

Color: Navy

$29.32

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: XL

Quantity: 2

Color: Navy

$12.84

JERZEES L/S HEAVYWEIGHT BLEND TSHIRT

Brand: Jerzees

Size: XL

Quantity: 1

Color: Navy

$14.06

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: XL

Quantity: 1

Color: Navy

$19.82

OGIO® Metro Ballistic Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$74.16

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 10558

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