AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-11-2025
Order Status:	Delivered
Total for Addons:	$8.00
Total Order:	$389.60
Paid Alowance Balance:	$389.60
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	26304
Name:	JACOB R.
Last name:	CANTU
Department:	Maintenance
Allowance Balance:	$86.23

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 15230



Received	In Process	Shipped	Delivered

Shipping Address:

JACOB R. CANTU

9914 TAMPKE FALLS

SAN ANTONIO, TX 78245

United States

Phone: 2105442355

Product List:

Zone Performance T-Shirt

Brand: PrimePlus

Size: XL

Quantity: 3

Color: Navy

$13.00

Slash Pocket Jacket

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$47.49

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

Belt, 1 1/2

Brand: Dutyman

Size: 36

Quantity: 1

Color: Black

$18.93

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Large

Quantity: 1

Color: HI VIS/BLACK

$71.79

Rothco Athletic Crew Socks

Brand: Rothco

Size: 9 - 11

Quantity: 10

Color: Black

$4.03

RED KAP HEAVYWEIGHT PARKA

Brand: Red Kap

Size: XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$106.36

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 1

Color: Navy

$8.50

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 15230

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