AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-11-2024
Order Status:	Delivered
Total for Addons:	$16.00
Total Order:	$345.55
Paid Alowance Balance:	$345.55
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	24145
Name:	PHILLIP
Last name:	GONZALEZ
Department:	Maintenance
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 10832



Received	In Process	Shipped	Delivered

Shipping Address: Change

Philip Gonzalez

7850 Huber Rd

Seguin, TX 78155

United States

Phone: 210-255-7487

Product List:

CornerStone® ANSI 107 Class 2 Mesh Tee

Brand: CornerStone

Size: 5XL

Quantity: 1

Color: Safety Yellow

Flag Addon: Texas Flag

Patch Addon: Union Patch

$23.99

CornerStone® ANSI 107 Class 2 Mesh Long Sleeve Tee

Brand: CornerStone

Size: 5XL

Quantity: 1

Color: Safety Yellow

Flag Addon: Texas Flag

Patch Addon: Union Patch

$27.50

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

Brand: Sport-Tek

Size: 4XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$36.87

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: 5XL

Quantity: 4

Color: Navy

$12.84

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: 4XL

Quantity: 1

Color: Yellow and Black

Flag Addon: Texas Flag

Patch Addon: Union Patch

$92.12

Mens DuraKap® Industrial Pant

Brand: Red Kap

Waist: 50

Lenght: 30

Quantity: 4

Color: Navy

$19.39

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 5

Color: Black

$4.03

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 10832

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