AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	02-22-2025
Order Status:	Delivered
Total for Addons:	$7.00
Total Order:	$463.73
Paid Alowance Balance:	$463.73
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	23137
Name:	FERNANDO
Last name:	PALOMO
Department:	Security-Police
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 13490



Received	In Process	Shipped	Delivered

Shipping Address:

Fernando Palomo

626 Cravens Ave

San Antonio, TX 78223

United States

Phone: 2106637235

Product List:

Rothco V-Max Lightweight Tactical Boot - 8 Inch

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$114.05

OTTO CAP

Brand: Otto

Size: S/M

Quantity: 1

Color: Black

$11.44

Rothco Police Equipment Bag

Brand: Rothco

Size: One Size

Quantity: 1

Color: Black

$77.24

Rothco Uniform Hi-Gloss Oxford Dress Shoe

Brand: Rothco

Size: 10.5

Quantity: 1

Color: Black

$62.61

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Black

$8.50

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: XL

Quantity: 1

Color: Black

Patch Addon: Police Patch 2

Embroidery Addon Line 1:

$44.52

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: XL

Quantity: 1

Color: HI VIS/BLACK

$71.79

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$20.18

GARRISON BELT

Brand: Dutyman

Size: 38

Quantity: 1

Color: Black

$26.24

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 10

Quantity: 1

Color: Black

$10.08

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 11

Quantity: 1

Color: Black

$10.08

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 13490

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Company Information

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