AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-02-2026
Order Status:	Delivered
Total for Addons:	$12.00
Total Order:	$401.23
Paid Alowance Balance:	$401.23
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	23035
Name:	HECTOR
Last name:	MARTINEZ
Department:	Bus Operators
Allowance Balance:	$248.76

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 19779



Received	In Process	Shipped	Delivered

Shipping Address:

HECTOR *** MARTINEZ

1618 SAN CARLOS ST

San Antonio, TX 78207

United States

Phone: 2107491711

Product List:

MENS 5.11 STRYKE PDU CLASS A PLUS PANT

Brand: 5.11

Waist: 46

Lenght: 31

Quantity: 1

Color: Midnight Navy

$98.00

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$22.00

CornerStone® - Select Long Sleeve Snag-Proof Tactical Polo

Brand: CornerStone

Size: Medium

Quantity: 1

Color: Royal

Flag Addon: Texas Flag

Patch Addon: Union Patch

$34.00

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

Brand: Sport-Tek

Size: Medium

Quantity: 1

Color: Navy

$36.87

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

Brand: Sport-Tek

Size: 3XL

Quantity: 1

Color: Navy

$36.87

Port Authority® Womens Long Sleeve Easy Care Shirt

Brand: Port Authority

Size: Large

Quantity: 1

Color: Royal Blue

$35.99

Rothco Athletic Crew Socks

Brand: Rothco

Size: 10 - 13

Quantity: 5

Color: Black

$4.50

Port & Company® - Knit Cap

Brand: Port and Company

Size: One Size

Quantity: 2

Color: Navy

$8.50

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 12

Quantity: 2

Color: Black

$11.00

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: 2XL

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$32.00

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 19779

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