AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	11-03-2024
Order Status:	In process
Total for Addons:	$0.00
Total Order:	$273.95
Paid Alowance Balance:	$273.95
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20833
Name:	CARLOS M.
Last name:	AVINA
Department:	Bus Operators
Allowance Balance:	$656.05

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 12103



Received	In Process	Delivered

Shipping Address: Change

CARLOS M. AVINA

110 Bailey Ave.

San Antonio, TX 78210

United States

Phone: 2106892165

Product List:

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: XL

Quantity: 1

Color: Black

$22.27

ESSENTIAL V-NECK ACRYLIC SWEATER

Brand: Edwards

Size: XL

Quantity: 1

Color: Navy

$30.84

GARRISON BELT

Brand: Dutyman

Size: 42

Quantity: 1

Color: Black

$26.24

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 34

Lenght: 30

Quantity: 1

Color: Navy

$40.41

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 1

Color: Navy

$12.65

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Medium

Quantity: 1

Color: Black

$20.18

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

Brand: Harriton

Size: XL

Quantity: 1

Color: French Blue

$25.35

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: XL

Quantity: 1

Color: Navy

$41.44

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: XL

Quantity: 1

Color: Royal

$29.22

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

Brand: Harriton

Size: XL

Quantity: 1

Color: French Blue

$25.35

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 12103

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