AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U22-1456
Placed:	02-09-2022
Order Status:	Delivered
Total for Addons:	$16.00
Total Order:	$447.33
Paid Alowance Balance:	$447.33
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	22571
Name:	JOEY
Last name:	QUINLAN
Department:	Bus Operators
Allowance Balance:	$930.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 01083



Received	In Process	Shipped	Delivered

Shipping Address: Change

JOEY *** QUINLAN

268 elm creek road

Seguin, TX 78155

United States

Phone: 2103923909

Product List:

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 38

Lenght: 31

Quantity: 2

Color: Navy

$66.40

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 5

Color: Black

$3.91

Infinity Footwear Mens Fly in Black on Black

Brand: Infinity by Cherokee

Size: 12

Quantity: 1

Color: Black

$70.00

Rothco Forced Entry Tactical Waterproof Boot

Brand: Rothco

Size: 12

Quantity: 1

Color: Black

$68.59

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 2

Color: Navy

$11.82

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 12

Quantity: 2

Color: Black

$9.79

Harriton Men Easy Blend™ Short-Sleeve Twill Shirt with Stain-Release

Brand: Harriton

Size: XL

Quantity: 2

Color: French Blue

Flag Addon: US Flag

Patch Addon: Union Patch

$21.13

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: One Size

Quantity: 1

Color: Navy

$10.69

Harriton Men Easy Blend™ Long-Sleeve Twill Shirt with Stain-Release

Brand: Harriton

Size: XL

Quantity: 2

Color: French Blue

Flag Addon: US Flag

Patch Addon: Union Patch

$22.11

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 01083

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Company Information

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