AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	09-25-2024
Order Status:	Canceled
Total for Addons:	$16.00
Total Order:	$881.37
Paid Alowance Balance:	$881.37
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	8441
Name:	ROBERT A.
Last name:	MEDRANO
Department:	ParaTransit Operators
Allowance Balance:	$61.95

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 11577

Order Canceled on 10-22-2024 by Monica Ontiveros

Reason for Cancellation:

JY34-YB NOT AVAILABLE

Shipping Address: Change

ROBERT A. MEDRANO

10123 Overlook Point

San Antonio, TX 78245

United States

Phone: 2103641626

Product List:

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

Brand: Sport-Tek

Size: Large

Quantity: 1

Color: Navy

$36.87

Hi-Visibility Soft Shell Jacket - Class 3

Brand: Red Kap

Size: Large

Quantity: 1

Color: Yellow and Black

$92.12

Terra Findlay 6 Inch Safety Boot

Brand: Terra

Size: 8 1/2

Quantity: 1

Color: Black

$131.21

OGIO® Bolt Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$100.94

Mens New Generation® Stretch 4-Pocket Trouser

Brand: Horace Small

Waist: 36

Lenght: 29

Quantity: 3

Color: Navy

$72.83

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Black

$22.27

GARRISON BELT

Brand: Dutyman

Size: 40

Quantity: 1

Color: Black

$26.24

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Large

Quantity: 5

Color: Navy

$12.65

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

Brand: Sport-Tek

Size: S/M

Quantity: 5

Color: Navy

$11.42

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 4

Color: Royal

Flag Addon: US Flag

Patch Addon: Union Patch

$29.22

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 11577

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