AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	01-29-2025
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$586.11
Paid Alowance Balance:	$586.11
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	6959
Name:	RUBEN M.
Last name:	MUNOZ
Department:	Bus Operators
Allowance Balance:	$219.08

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 13204



Received	In Process	Shipped	Delivered

Shipping Address:

RUBEN M. MUNOZ

231 Margo St.

San Antonio, TX 78223

United States

Phone: 2102793761

Product List:

Horace Small Dutyflex Hidden Cargo Trouser

Brand: Horace Small

Waist: 42

Lenght: 30

Quantity: 5

Color: Navy

$68.39

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

Brand: Sport-Tek

Size: XL

Quantity: 1

Color: Navy

$36.87

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$12.36

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$13.91

Rothco Forced Entry Tactical Waterproof Boot

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$70.65

Mens Softshell Jacket

Brand: Red Kap

Size: XL

Quantity: 1

Color: Black

$74.05

GARRISON BELT

Brand: Dutyman

Size: 40

Quantity: 1

Color: Black

$26.24

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$10.08

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 13204

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