AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	09-03-2024
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$927.92
Paid Alowance Balance:	$927.92
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21800
Name:	JUAN E.
Last name:	ORTEGA
Department:	Bus Operators
Allowance Balance:	$2.08

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 11211



Received	In Process	Shipped	Delivered

Shipping Address: Change

JUAN E. ORTEGA

219 MONCLOVA ALY

SAN ANTONIO, TX 78207

United States

Phone: 2108434621

Product List:

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

Brand: Sport-Tek

Size: Large

Quantity: 1

Color: Navy

$36.87

Rothco V-Max Lightweight Tactical Boot - 8 Inch

Brand: Rothco

Size: 9

Quantity: 1

Color: Black

$114.05

Terra Findlay 6 Inch Safety Boot

Brand: Terra

Size: 9

Quantity: 1

Color: Black

$131.21

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 36

Lenght:

Quantity: 2

Color: Navy

$48.38

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 1

Color: White

$4.03

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$38.01

Mens Softshell Jacket

Brand: Red Kap

Size: Medium

Quantity: 1

Color: Black

$74.05

Terra Paladin Metguard Composite Toe Shoe

Brand: Terra

Size: 7

Quantity: 1

Color: Black

$195.70

Rothco 8 inch Tactical Entry Boot with Side Zipper

Brand: Rothco

Size: 7

Quantity: 1

Color: Black

$100.93

Rothco 8 inch Tactical Entry Boot with Side Zipper

Brand: Rothco

Size: 9.5

Quantity: 1

Color: Black

$100.93

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Medium

Quantity: 2

Color: Navy

$12.65

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 7

Quantity: 1

Color: Black

$10.08

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 11211

store information

Company Information

My account