AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	N/A
Placed:	08-04-2022
Order Status:	Delivered
Total for Addons:	$4.00
Total Order:	$314.31
Paid Alowance Balance:	$314.31
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	23663
Name:	FELICIA A
Last name:	BOSQUEZ
Department:	Maintenance
Allowance Balance:	$0.00

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 02466



Received	In Process	Shipped	Delivered

Shipping Address: Change

FELICIA A BOSQUEZ

4041 Medical Dr. Apt. 1408

San Antonio, TX 78229

United States

Phone: 5623046774

General Observations:

Product List:

JERZEES L/S HEAVYWEIGHT BLEND TSHIRT

Brand: Jerzees

Size: Medium

Quantity: 1

Color: Navy

$13.65

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: Large

Quantity: 1

Color: Navy

$19.24

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Large

Quantity: 1

Color: HI VIS/BLACK

$69.70

Belt, 1 1/2

Brand: Dutyman

Size: 34

Quantity: 1

Color: Black

$18.38

Jerzees Adult Super Sweats® NuBlend® Fleece Crew

Brand: Jerzees

Size: Medium

Quantity: 1

Color: Navy

$19.24

Jerzees Adult DRI-POWER® ACTIVE Pocket T-Shirt

Brand: Jerzees

Size: Medium

Quantity: 4

Color: Navy

$12.47

New Era ® Perforated Performance Cap

Brand: New Era

Size: Adjustable

Quantity: 2

Color: Navy

$13.50

JERZEES FULL ZIP HOODED SWEATSHIRT

Brand: Jerzees

Size: Large

Quantity: 2

Color: Navy

$35.80

Augusta Unisex Nylon Coach Jacket

Brand: Augusta SportsWear

Size: Large

Quantity: 1

Color: Navy

Flag Addon: Texas Flag

Patch Addon: Union Patch

$21.62

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EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 02466

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