AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	04-10-2025
Order Status:	Delivered
Total for Addons:	$10.00
Total Order:	$444.61
Paid Alowance Balance:	$444.61
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	22699
Name:	ANDRES E.
Last name:	VALDEZ
Department:	Maintenance
Allowance Balance:	$19.09

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 13945



Received	In Process	Shipped	Delivered

Shipping Address:

ANDRES E. *** VALDEZ

219 gayle

San antonio, TX 78223

United States

Phone: 2105375075

Product List:

OTTO CAP 6 Panel Low Profile Baseball Cap

Brand: Otto

Size: Adjustable

Quantity: 2

Color: Navy

$13.91

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: 2XL

Quantity: 1

Color: HI VIS/BLACK

$71.79

Mens Hi-Visibility Yellow Short Sleeve Work Shirt - Type R, Class 2

Brand: Red Kap

Size: 2XL

Quantity: 3

Color: Hi Vis Yellow

Flag Addon: Texas Flag

$67.00

Mens Hi-Visibility Yellow Long Sleeve Work Shirt - Type R, Class 2

Brand: Red Kap

Size: 2XL

Quantity: 2

Color: Hi Vis Yellow

Flag Addon: Texas Flag

$67.00

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 13945

store information

Company Information

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