AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1173
Placed:	10-19-2021
Order Status:	Delivered
Total for Addons:	$8.00
Total Order:	$377.51
Paid Alowance Balance:	$377.51
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	6155
Name:	DEVORIA MOORE
Last name:	RODRIGUEZ
Department:	Bus Operators
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00225



Received	In Process	Shipped	Delivered

Shipping Address: Change

DEVORIA MOORE RODRIGUEZ

327 Nash Blvd.

San Antonio, TX 78223

United States

Phone: 2109350966

Product List:

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Small

Quantity: 1

Color: HI VIS/BLACK

$66.70

ESSENTIAL V-NECK ACRYLIC VEST

Brand: Edwards

Size: Medium

Quantity: 1

Color: Navy

$28.24

CornerStone® - Ladies Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: Medium

Quantity: 2

Color: Royal

Flag Addon: Texas Flag

$25.05

ESSENTIAL V-NECK ACRYLIC SWEATER

Brand: Edwards

Size: Medium

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

$28.24

Rothco 8 Point Police / Security Cap

Brand: Rothco

Size: 7 1/4

Quantity: 1

Color: Navy

$41.16

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Medium

Quantity: 3

Color: Navy

$11.82

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Medium

Quantity: 1

Color: Black

Flag Addon: Texas Flag

$21.62

Terra Spider Athletic Composite Toe Shoe

Brand: Terra

Size: 7

Quantity: 1

Color: Black

$97.99

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00225

store information

Company Information

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