AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-01-2024
Order Status:	Delivered
Total for Addons:	$44.00
Total Order:	$460.82
Paid Alowance Balance:	$460.82
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20790
Name:	DONALD W.
Last name:	MARKOWSKI
Department:	Maintenance
Allowance Balance:	$429.18

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 10587



Received	In Process	Shipped	Delivered

Shipping Address: Change

DONALD W. MARKOWSKI

114 motel

san antonio, TX 78219

United States

Phone: 2107221503

Product List:

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$10.08

REDKAP CELL PHONE POCKET PANT

Brand: Red Kap

Waist: 38

Lenght: 32

Quantity: 4

Color: Navy

$22.95

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.91

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

Brand: Sport-Tek

Size: XL

Quantity: 1

Color: Navy

$36.87

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$17.31

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

Brand: Sport-Tek

Size: 2XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$36.87

Belt, 1 1/4

Brand: Dutyman

Size: 38

Quantity: 1

Color: Black

$18.93

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: XL

Quantity: 5

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$14.88

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 4

Color: Black

$4.03

Belt, 1 1/4

Brand: Dutyman

Size: 36

Quantity: 1

Color: Black

$18.93

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$12.36

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 10587

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