AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	09-21-2024
Order Status:	Delivered
Total for Addons:	$10.00
Total Order:	$917.47
Paid Alowance Balance:	$917.47
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20076
Name:	JORGE E.
Last name:	VARELA
Department:	Bus Operators
Allowance Balance:	$12.53

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 11521



Received	In Process	Shipped	Delivered

Shipping Address: Change

JORGE E. VARELA

5302 Moreville farm.

San Antonio, TX 78228

United States

Phone: 12106720836

Product List:

OGIO® Metro Ballistic Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$74.16

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.91

Terra Findlay 6 Inch Safety Boot

Brand: Terra

Size: 10

Quantity: 1

Color: Black

$131.21

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 36

Lenght: 30

Quantity: 4

Color: Navy

$68.39

ESSENTIAL V-NECK ACRYLIC VEST

Brand: Edwards

Size: Large

Quantity: 3

Color: Navy

$29.34

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Large

Quantity: 3

Color: Navy

$12.65

Sport-Tek® Flexfit® Cool & Dry Poly Block Mesh Cap

Brand: Sport-Tek

Size: L/XL

Quantity: 1

Color: Navy

$11.42

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 5

Color: Black

$20.18

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 10

Quantity: 3

Color: Black

$10.08

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 5

Color: Royal

Flag Addon: US Flag

$29.22

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 11521

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