AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	11-06-2024
Order Status:	In process
Total for Addons:	$16.00
Total Order:	$348.68
Paid Alowance Balance:	$348.68
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	26919
Name:	JOSE J
Last name:	LARA
Department:	Maintenance
Allowance Balance:	$4.41

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 12150



Received	In Process	Delivered

Shipping Address: Change

JOSE J LARA

338 W. SAN GABRIEL

SAN ANTONIO, TX 78237

United States

Phone: 2106067540

Product List:

Quilted Vest

Brand: Red Kap

Size: Large

Quantity: 1

Color: Navy

$40.49

CornerStone® ANSI 107 Class 2 Mesh Tee

Brand: CornerStone

Size: Large

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: Large

Quantity: 2

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: XL

Quantity: 1

Color: Navy

$36.87

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.91

Enhanced Visibility Shirt

Brand: Red Kap

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$38.06

Rothco Midweight Thermal Knit Top

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$20.18

UNDER ARMOUR SS TSHIRT

Brand: Under Armour

Size: Large

Quantity: 1

Color: Navy

$23.27

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: Large

Quantity: 2

Color: Navy

$29.32

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Navy

$22.27

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 12150

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