AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-05-2025
Order Status:	Delivered
Total for Addons:	$6.00
Total Order:	$363.03
Paid Alowance Balance:	$363.03
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	26636
Name:	RICARDO
Last name:	MEDELLIN
Department:	Maintenance
Allowance Balance:	$104.59

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 15052



Received	In Process	Shipped	Delivered

Shipping Address:

RICARDO MEDELLIN

1038 SAN FRANCISCO

SAN ANTONIO, TX 78201

United States

Phone: 2105016334

Product List:

UNDER ARMOUR LS TSHIRT

Brand: Under Armour

Size: 2XL

Quantity: 1

Color: Navy

$29.32

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

Brand: Sport-Tek

Size: XL

Quantity: 1

Color: Navy

$36.87

MP NAVY WESTERN JEAN

Brand: Red Kap

Waist: 40

Lenght: 30

Quantity: 1

Color: Navy

$22.89

JERZEES L/S HEAVYWEIGHT BLEND TSHIRT

Brand: Jerzees

Size: 2XL

Quantity: 1

Color: Navy

$14.06

UNDER ARMOUR SS TSHIRT

Brand: Under Armour

Size: 2XL

Quantity: 3

Color: Navy

$23.27

LINED TEAM JACKET

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

$37.69

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: 2XL

Quantity: 1

Color: Navy

Patch Addon: Union Patch

$14.88

Slash Pocket Jacket

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

Flag Addon: US Flag

$47.49

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: XL

Quantity: 1

Color: Navy

$19.82

CornerStone® ANSI 107 Class 2 Mesh Long Sleeve Tee

Brand: CornerStone

Size: 2XL

Quantity: 1

Color: Safety Yellow

$27.50

MENS INDUSTRIAL 65/35 L/S WORK SHIRT

Brand: Red Kap

Size: 2XL

Quantity: 1

Color: Navy

Flag Addon: US Flag

$17.31

Mens DuraKap® Industrial Pant

Brand: Red Kap

Waist: 40

Lenght: 30

Quantity: 1

Color: Navy

$19.39

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 15052

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