AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-10-2025
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$768.97
Paid Alowance Balance:	$768.97
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	20870
Name:	RYAN M
Last name:	PEREZ
Department:	Maintenance
Allowance Balance:	$151.03

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 15227



Received	In Process	Shipped	Delivered

Shipping Address:

Ryan Perez

8719 TIMBER RANGE

SAN ANTONIO, TX 78250

United States

Phone: 2107810465

Product List:

MENS 5.11 STRYKE PDU CLASS A PLUS PANT

Brand: 5.11

Waist: 36

Lenght: 30

Quantity: 2

Color: Midnight Navy

$98.00

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

Brand: Sport-Tek

Size: Large

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

OGIO® - Carbon Pack

Brand: Ogio

Size: One Size

Quantity: 1

Color: Black

$38.01

Belt, 1 1/2

Brand: Dutyman

Size: 36

Quantity: 1

Color: Black

$18.93

MENS INDUSTRIAL S/S WORK SHIRT

Brand: Red Kap

Size: Large

Quantity: 5

Color: Navy

$14.88

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Large

Quantity: 1

Color: HI VIS/BLACK

$71.79

JERZEES L/S HEAVYWEIGHT BLEND TSHIRT

Brand: Jerzees

Size: Large

Quantity: 5

Color: Navy

$14.06

REDKAP CELL PHONE POCKET PANT

Brand: Red Kap

Waist: 36

Lenght: 29

Quantity: 5

Color: Navy

$22.95

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: Large

Quantity: 5

Color: Navy

$19.82

Port Authority® Flexfit® Cotton Twill Cap

Brand: Port Authority

Size: L/XL

Quantity: 1

Color: Navy

$11.17

Flexfit Adult Athletic Mesh Cap

Brand: Flexfit

Size: L/XL

Quantity: 1

Color: Navy

$11.38

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 15227

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