AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1270
Placed:	10-13-2021
Order Status:	Delivered
Total for Addons:	$4.00
Total Order:	$328.91
Paid Alowance Balance:	$328.91
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	22366
Name:	ADAM
Last name:	HERNANDEZ
Department:	Bus Operators
Allowance Balance:	$400.41

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00155



Received	In Process	Shipped	Delivered

Shipping Address: Change

ADAM *** HERNANDEZ

7311 Vista Grove

San Antonio, TX 78242

United States

Phone: 2104228740

Product List:

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: XL

Quantity: 1

Color: Black

$41.22

New Dimension® Plus 6 Pocket Cargo Short

Brand: Horace Small

Waist: 24

Lenght:

Quantity: 1

Color: Navy

$44.09

Mens Softshell Jacket

Brand: Red Kap

Size: XL

Quantity: 1

Color: Black

$66.70

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 42

Lenght: 30

Quantity: 1

Color: Navy

$36.75

Sport-Tek® Flexfit® Cool & Dry Poly Block Mesh Cap

Brand: Sport-Tek

Size: L/XL

Quantity: 2

Color: Navy

$11.09

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: XL

Quantity: 2

Color: Navy

$11.82

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: Large

Quantity: 1

Color: Navy

$40.23

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: XL

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$25.05

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00155

store information

Company Information

My account