AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	07-28-2022
Order Status:	Delivered
Total for Addons:	$20.00
Total Order:	$465.99
Paid Alowance Balance:	$456.04
Pending before Tax:	$9.95
Total tax:	$0.82
Total Paid after Tax	$10.77
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	7310
Name:	JOHNNY M.
Last name:	MARTINEZ JR.
Department:	Bus Operators
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 02269



Received	In Process	Shipped	Delivered

Shipping Address: Change

JOHNNY M. MARTINEZ JR.

7621 Strolling Ln

Live Oak, TX 78233

United States

Phone: 2102328160

Product List:

Port Authority® Challenger™ Jacket

Brand: Port Authority

Size: 5XL

Quantity: 1

Color: Black

Flag Addon: US Flag

Patch Addon: Union Patch

$43.22

CLIP-ON TIE - 22

Brand: Edwards

Size: One Size

Quantity: 1

Color: Navy

$18.68

New Era® Performance Dash Adjustable Cap

Brand: New Era

Size: Adjustable

Quantity: 1

Color: Navy

$12.00

Infinity Footwear Mens Fly in Black on Black

Brand: Infinity by Cherokee

Size: 13

Quantity: 1

Color: Black

$70.00

CornerStone® - Select Snag-Proof Tactical Polo

Brand: CornerStone

Size: 6XL

Quantity: 3

Color: Royal

Flag Addon: US Flag

Patch Addon: Union Patch

$28.37

Rothco 8 Point Police / Security Cap

Brand: Rothco

Size: 7 5/8

Quantity: 1

Color: Navy

$41.16

Mens New Generation® Stretch 4-Pocket Trouser

Brand: Horace Small

Waist: 58

Lenght: 29

Quantity: 2

Color: Navy

$70.71

Harriton Men Easy Blend™ Long-Sleeve Twill Shirt with Stain-Release

Brand: Harriton

Size: 6XL

Quantity: 1

Color: French Blue

Flag Addon: US Flag

Patch Addon: Union Patch

$24.61

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 13

Quantity: 1

Color: Black

$9.79

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 02269

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