AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	10-02-2025
Order Status:	Delivered
Total for Addons:	$12.00
Total Order:	$328.74
Paid Alowance Balance:	$328.74
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	21697
Name:	STEVEN A.
Last name:	MORENO
Department:	Bus Operators
Allowance Balance:	$177.75

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 16185



Received	In Process	Shipped	Delivered

Shipping Address:

STEVEN A. *** MORENO

750 W Mayfield Blvd 803

San Antonio, TX 78211

United States

Phone: 2107971473

Product List:

MENS 5.11 STRYKE PDU CLASS A PLUS PANT

Brand: 5.11

Waist: 46

Lenght: 26

Quantity: 1

Color: Midnight Navy

$98.00

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

Brand: Sport-Tek

Size: 4XL

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$36.87

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: 4XL

Quantity: 1

Color: Royal

Flag Addon: Texas Flag

$30.50

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: 4XL

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$22.27

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: Medium

Quantity: 1

Color: Navy

$41.44

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: 4XL

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$29.22

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: 3XL

Quantity: 1

Color: Royal

Flag Addon: Texas Flag

$29.22

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 16185

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