AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-18-2025
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$447.25
Paid Alowance Balance:	$447.25
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	7218
Name:	JONATHAN A.
Last name:	RODRIGUEZ
Department:	Bus Operators
Allowance Balance:	$41.66

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 15408



Received	In Process	Shipped	Delivered

Shipping Address:

JONATHAN A. RODRIGUEZ

202 Glamis Ave

San Antonio, TX 78223

United States

Phone: 2105699451

Product List:

Rothco V-Max Lightweight Tactical Boot - 8 Inch

Brand: Rothco

Size: 9

Quantity: 1

Color: Black

$114.05

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: S/M

Quantity: 1

Color: Black

$19.99

Rothco Tactical Cover Up Sleeves

Brand: Rothco

Size: L/XL

Quantity: 1

Color: Black

$19.99

Sport Tek Action Visor

Brand: Sport-Tek

Size: One Size

Quantity: 1

Color: Navy

$14.00

100% Cotton - Structured Firm Front Panel Low-Fitting

Brand: Otto

Size: Adjustable

Quantity: 1

Color: Navy

$12.36

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Black

$22.27

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Medium

Quantity: 1

Color: HI VIS/BLACK

$71.79

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: 2XL

Quantity: 1

Color: HI VIS/BLACK

$71.79

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Large

Quantity: 1

Color: HI VIS/BLACK

$71.79

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Large

Quantity: 1

Color: Royal

$29.22

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 15408

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