AmeriForm - Manufacturer and Supplier

ORDER SUMARY

Requisition Number:	U21-1368
Placed:	10-21-2021
Order Status:	Delivered
Total for Addons:	$0.00
Total Order:	$636.82
Paid Alowance Balance:	$636.82
Pick up at Store?	No

EMPLOYEE INFORMATION

Employee #:	7822
Name:	GILBERT
Last name:	OZUNIGA
Department:	Bus Operators
Allowance Balance:	$204.72

SHIPPING INFORMATION

Shipping date:
Delivery Date:
Shipping method:

CHANGE REQUISITION

New Number:

Order # 00251



Received	In Process	Shipped	Delivered

Shipping Address: Change

GILBERT *** OZUNIGA

11918 Catbird

San Antonio, TX 78221

United States

Phone: 2104640287

Product List:

ANSI 3 Reversible Police Raincoat w/hood

Brand: Liberty

Size: Medium

Quantity: 1

Color: HI VIS/BLACK

$66.70

Mens Softshell Jacket

Brand: Red Kap

Size: Medium

Quantity: 1

Color: Black

$66.70

Rothco Touch Screen Neoprene Duty Gloves

Brand: Rothco

Size: Large

Quantity: 1

Color: Black

$19.59

Rothco 8 inch Tactical Entry Boot with Side Zipper

Brand: Rothco

Size: 8.5

Quantity: 1

Color: Black

$97.99

Rothco Military And Public Safety Insoles

Brand: Rothco

Size: 8

Quantity: 1

Color: Black

$9.79

Mens Sentry Dress Trouser

Brand: Horace Small

Waist: 34

Lenght: 29

Quantity: 4

Color: Navy

$36.75

AUGUSTA MOISTURE WICKING SHIRT

Brand: Augusta SportsWear

Size: Medium

Quantity: 5

Color: Navy

$11.82

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

Brand: Harriton

Size: Medium

Quantity: 3

Color: French Blue

$21.13

JERSEY KNIT ACRYLIC CARDIGAN

Brand: Edwards

Size: Large

Quantity: 1

Color: Navy

$40.23

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

Brand: Harriton

Size: Medium

Quantity: 3

Color: French Blue

$22.11

ORDER SUMARY

EMPLOYEE INFORMATION

SHIPPING INFORMATION

CHANGE REQUISITION

Order # 00251

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